Adam Dalgleish Orthopaedic Surgeon Adam Dalgleish Orthopaedic Surgeon
My Practice

Total Shoulder Joint Replacement or Shoulder Hemiarthroplasty

Day 1

  • Read operation note and define 1/ type of prosthesis
  • 2/ state of rotator cuff 3/ ROM limitation / caution
  • Cryocuff rest in polysling, analgesia
  • Elbow, wrist and hand exercises

Day 2

  • Commence phase I
  • Explain rehab and importance of analgesia

Day 2 – 4

  • Discharge
  • Commence phase II if able, scapula setting
  • Postural correction / neck mobility
  • Reinforce analgesia and exercises

2 weeks

  • Follow up shoulder clinic
  • Wound check and stitch removal
  • Progress exercises phase I and II and weight bearing to stimulate cuff teach early deltoid strengthening in supine position begin to wean sling at home

4-6/52

  • Remove sling  and  x-ray at 6 weeks encourage functional use and independence

8-12/52

  • Commence phase III / strengthening begins gradual strengthening through via therabands or free weights (cuff and deltoid)

3-6/12

  • Review in clinic and ensure good progress aim for HBB to LSJ and HBH with elbow forward and elevation 100º

6-12/12

  • X-ray should be able to actively elevate to 100º

 

Mr. Adam Dalgleish
Mr. Adam Dalgleish
Shoulder Surgery
Knee Surgery
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