Prof. Lennard Funk’s Education Portal

Call: 01625 545071
Email: [email protected]
For treatment enquires visit The Arm Clinic

Reverse Shoulder Replacement (Delta3)

Indications:       

  • Severe Cuff arthropathy
  • Salvage procedure for failed Hemiarthroplasties in elderly

 

 

In Patient

 

Day 1

  • Mastersling with body belt fitted in theatre
  • Finger, wrist and elbow movements

 

Week 1

 

Level 1 Exercises

  • Body belt removed
  • 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

 

Level 2 exercises

  • 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

 

8 Weeks+

 

Progress to levels 3 exercises

  • 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 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

Swimming              Breaststroke: 6 weeks

                             Freestyle:      12 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

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