Reverse Shoulder Replacement

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Severe cuff arthropathy, shoulder arthritis (certain indications), revision surgery

In Patient
Day 1
  • Polysling with body belt fitted in theatre
  • Finger, wrist and elbow movements
  • Cold compression
  • Drain removal after 24 hours
Week 1
  • Body belt removed
  • Axillary hygiene is taught
  • The Subscapularis has not been repaired and therefore protection regarding IR and ER beyond neutral is not required
  • 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
  • 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 but concentrate on strengthening the deltoid
8 Weeks+
  • 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 the deltoid for 6-months.

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
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