INDICATIONS
- Failed, loose, infected, or otherwise worn out shoulder replacements.
PREOP
- Infection workup, labs, bone scan, radiologist samples shoulder fluid with needle
- CT Scan--Computer Planning and possible custiomization of implant
- Medical Clearance with PMD
RECOVERY
- 10 days suture removal
- Three to four weeks sling
- 4-6 months physical therapy 2 x per week.
- Expectation is improved range of motion and minimal to no pain depending on severity of clinical situation
TECHNIQUE
Shoulder components are replaced many shoulder revisions are reverse replacements. Infected shoulder replacements can sometimes need a two stage surgery.
DAY OF SURGERY
- Nerve block anesthesia
- 2 hour surgery
- One night in hospital
- 24 hours antibiotics
- No Foley catheter
- PT and OT in hospital
WHEN TO HAVE SURGERY?
- Significant pain
- Loss of motion
- Interrupted sleep
- Poor shoulder function
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RTSA Implants
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X-Ray Before
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X-ray After
Questions?
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