ORTHO SPACE

(In space Implantation)

Please check there is no associated rotator cuff repair with implant.

On Ward:

• The shoulder is positioned in a sling. The sling can be removed for short periods at home but avoid sudden quick movements, repetitive movements or lifting of weights. Do not do any activities that require force or power for 4-6 weeks.
• Sling should be worn for sleep for 4-6 weeks.
• Teach active exercises scapula, neck, elbow, forearm, wrist and fingers.. Squeeze ball to minimize swelling. Active/assisted forward elevation and scaption to 60 degrees in pain free range. ER to neutral – 20 degrees as pain allows.
• Use ball on table/lap if struggling to lift the weight of arm

2-6 weeks

• Gradually wean out of sling as pain allows. May need sling for sleeping and outdoor activities.
• Gradual increase in AROM in all movement planes. Gentle passive assist can assist AROM and function. Care with HBB and do not push into pain.
• Start light strengthening when able to lift weight of arm. Start with I kilo free weights or light bands in sagittal plane then mid-range pain free rotations
• Avoid power or over load for 3 months.

6-12 weeks

• Patient continues to gain full ROM and functional strength through range.

Click on the links below to read the guidelines for individual procedures:

• Arthroscopic Sub-Acromial Decompression
• Rotator Cuff Repair
• Arthroscopic Subacromial Decompression + Arthroscopic Excision of Distal Clavicle (ACJt resection)
• Anterior Stabilisation (open or arthroscopic)
• SLAP repair – arthroscopic
• Acromio Clavicular Joint Reconstruction
• Anatomical Shoulder arthroplasty – Hemi arthroplasty (HA) or Total Shoulder Replacement (TSR)
• Arthroscopic Capsular Release and MUA of Frozen Shoulder
• ORIF Clavicle / Hook Plate Clavicle
• ORIF proximal humeral fractures – (Proximal Humeral Locking Plate)
• Physiotherapy Protocol for REVERSE Total Shoulder Replacement