Hemiarthroplasty / Internal Fixation for Fracture of Proximal Humerus
Indications:
Severe fractures of the proximal humerus
In-patient from
day 1 post op.
Mastersling with body belt fitted in theatre, the
body belt remains on for three weeks with the patient wearing sling under
their clothes for this time. They wear the sling during the night for
6/52.
Finger, wrist and elbow movements
Passive forward flexion in the scapula plane (within
the limits defined at surgery & patient comfort)
Scapular setting
Day 21
Remove body belt, keep remaining sling on for
another 3/52 but, can wear this outside of clothing.
Pendular exercises
Teach pendular dressing techniques
Passive abduction in supine.
Passive external rotation using walking stick within
limits of pain
Active assisted flexion in supine within limits of
pain and progress to sitting position as soon as the patient is able.
6-8 weeks
Wean off sling
All ADL as normal unless otherwise indicated at 6/52
review clinic
