Reverse Geometry Shoulder Replacement

Indications:       

  • Severe Cuff arthropathy

  • Salvage procedure for failed Hemiarthroplasties in elderly

 

 

 

 

In Patient

 

 

Day 1

  • Mastersling with body belt fitted in theatre

  • Finger, wrist and elbow movements

 

 

Week 1

Mobility 1

  • Body belt removed

  • Handing gripping exercise

  • Pendular exercises

  • Passive flexion, abduction, internal and external rotation

  • Scapular setting and posture correction

  • Discharge when safe, usually 3 days post-op

  • Keep sling for 6 weeks

  • May perform ADL below shoulder level, , such as eating & writing

 

 

 

 

Out Patient

 

 

6 Weeks

Mobility 2

  • Active assisted flexion, abduction, internal and external rotation in supine and progress to sitting position as soon as the patient is able.

  • Progress to active when possible

  • Begin isometric strengthening of all muscle groups

 

 

8 Weeks+

 Strengthening

  • Encourage active movement into all ranges with some gentle self-stretching at the end of range.

  • Progress isotonic strengthening though range

  • Regularly stretch the joint to the end of its available range

 

 

 

 

Continue to strengthen for 6-months.

Improvement continues for 18 months to 2 years and the patients should continue exercising until their maximum potential has been reached.

Improvement continues for 18 months to 2 years and the patients should continue exercising until their maximum potential has been reached.

 

 

 

Return to functional activities

Driving                    After 6 weeks

Driving                    After 6 weeks

Swimming              Breaststroke: 6 weeks

                                Freestyle:      12 weeks

Golf                       3 Months

Lifting                   Light lifting can begin at 6 weeks.  Avoid lifting heavy items for 6 months.

Return to work     Sedentary job: 6 weeks

                             Manual job:    Guided by Surgeon