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