PATIENT INFO

GENERAL INFORMATION
 
HIPS
 
KNEES
 
OSTEOARTHRITIS
 
SHOULDERS
 
ELBOW SURGERY
 
VISCOSUPPLEMENTATION

 

Shoulder Replacement

wHAT TO eXPECT aFTER sURGERY

SHOULDER HEMIARTHROPLASTY OR TOTAL SHOULDER ARTHROPLASTY
Indications: Osteoarthritis of the shoulder joint.

For complete Mayo Clinic Protocol: click here

pOST-oPERATIVE cARE

Instructions to PatientS:

EQUAL ICING AND REST/WORK RATIO IS IMPORTANT. PAIN SHOULD NOT OCCUR WITH ANY ACTIVITY, COME ON SOONER, DURING ACTIVITY OR REHAB, OR LAST LONGER AFTER REHAB. IF THIS OCCURS, MODIFICATION OR RE-EVALUATION NEEDS TO BE UNDERTAKEN.

The arm rests in a sling with the elbow at the side and a strap around the trunk to prevent shoulder extension when supine. When in bed, the elbow may be supported by a small pillow.

Shower: 7 days, or cover incision with waterproof tape. Pad area dry after shower
Time in sling: 4-6 weeks
Range of motion returns: 10-12 weeks
Return to full activities: 3-4 months
Initiate physiotherapy: week 2 after surgery

rEHABILITATION pROTOCOL
  • Usually achieve 30º External Rotation; functional result may depend on the status of Rotator Cuff
  • Wear sling at all times except while performing exercises
  • Post Operative Day 1
    • Begin active assisted shoulder forward flexion
    • Limit External Rotation to 30º
    • Limit extension to neutral
    • Pendulum exercises
    • Elbow Active Range Of Motion (ROM), wrist Active ROM, hand Active ROM
  • 0-4 weeks Post Operative:
    • Active Assisted ROM while limiting External Rotation to 30º (to protect subscapularis repair)
    • Active Assisted Forward Flexion supine
    • Active Assisted External Rotation to 30º supine with other hand
  • 4 weeks Post Operative:
    • progress to Active ROM
    • gentle hands behind back
  • 6-8 weeks Post Operative (usually doing well by 6 weeks)
    • begin strengthening
  • Maximum lift ~ 25 lbs.
  • Expect improvement up to 2 years post-op