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Total Shoulder Arthroplasty Total shoulder arthroplasty or TSA is a procedure used to replace the diseased or damaged ball and socket joint of the shoulder with a prosthesis made of polyethylene and metal components In TSA the current components of the glenoid are either a pegged or keeled highmolecular weight polyethylene cemented component
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Sep 09 2019 Reverse total shoulder replacement during this procedure the surgeon reverses the positions of the shoulders ball and socket The top of the humerus is replaced with a socketlike prosthetic and the shoulders socket is replaced with a prosthetic ball This option is ideal for individuals with damaged rotator cuff muscles
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CPT Codes 23472 Arthroplasty glenohumeral joint total shoulder glenoid and proximal humeral replacement eg total shoulder Technique guide are not considered high yield topics for orthopaedic standardized exams including the ABOS EBOT and RC
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Shoulder replacement surgery may involve only the replacement of the ball the head of the humerus see gure 1A and B called hemiarthroplasty In hemiarthroplasty the socket may be recontoured or resurfaced but a plastic socket replacement is not used Total shoulder arthroplasty TSA involves both replacement of the ball head of the
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Precautions There is a higher risk of shoulder dislocation following a reverse total shoulder arthroplasty rTSA than with conventional shoulder replacement Stability and mobility of the shoulder joint is now dependent upon the deltoid and periscapular musculature Patients with rTSA dont dislocate with the arm in abduction and external
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Jun 03 2012 After healing In order to replace the shoulder the majority of shoulder replacements require detaching and reattaching a rotator cuff muscle This must heal before lifting through the muscle after it heals and after a rehabilitation program you shoulder be able to return to a lifting program under yours surgeons supervision
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The reverse total shoulder replacement is a mechanical device gure 3 A and B and is expected to have wear and tear with time and use Most reverse total shoulder replacements are expected to last 1015 years Individuals who have weakening and loss of function from rotator cuff arthropathy need to have their shoulder
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Total Shoulder Replacement The typical total shoulder replacement involves replacing the arthritic joint surfaces with a highly polished metal ball attached to a stem and a plastic socket A total shoulder joint replacement These components come in various sizes
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A conventional shoulder replacement device mimics the normal anatomy of the shoulder a plastic cup is fitted into the shoulder socket glenoid and a metal ball is attached to the top of the upper arm bone humerus In a reverse total shoulder replacement the socket and metal ball are switched
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Standard of Care Total Shoulder ReplacementTSA HemiarthroplastyHumeral Head Replacement HHR Case Type Diagnosis The first reported total shoulder arthroplasty was reported by a French surgeon named Jules Emile Pean in 1893 for the purpose of treating tuberculous arthritis of the shoulder1 Neer
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Total Shoulder Replacement Protocol Sports Orthopaedic Specialists 9 SUPINE ROTATOR CUFF PROGRAM These exercises are intended for the initial strengthening of acute shoulder problems andor longterm rehabilitation for massive rotator cuff tears and other conditions resulting in
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Total Shoulder Arthroplasty Total shoulder arthroplasty or TSA is a procedure used to replace the diseased or damaged ball and socket joint of the shoulder with a prosthesis made of polyethylene and metal components In TSA the current components of the glenoid are either a pegged or keeled highmolecular weight polyethylene cemented component
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Shoulder joint replacement surgery also called shoulder arthroplasty is a great treatment for many people with shoulder pain from arthritis But patients who dont have enough muscle function to stabilize the joint may not be able to benefit from the traditional implant design one that mimics the normal anatomic d a different type of shoulder replacement called reverse
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Sep 18 2016 Over the past decade shoulder replacement surgeries including total shoulder arthroplasty TSA reverse total shoulder arthroplasty RTSA and hemiarthroplasty HA have become increasingly more common12 Technical innovations in shoulder arthroplasty have led to good implant survival and satisfactory longterm outcomes36
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What does the recovery time for total shoulder replacement surgery look like The best way to get all of your questions answered and get on the road back to a healthy active lifestyle is to simply call 18003219999 and schedule an appointment with a specialist at Rothman Orthopaedic Institute
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Mar 21 2018 I had a total hip replacement in Jan 2016 My recovery was excellent and I returned to the gym to rebuild strength To my chagrin as my hip got stronger my shoulder osteoarthritis worsened with astonishing speed Now 16 months later I need full replacement of both shoulders
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A total shoulder surgery is done as an inpatient It is usual that you are discharged the next day Pain Management A long acting local anesthetic is generally administered in the shoulder at the end of surgery to decrease pain The local anesthetic will last for
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Total shoulder replacement is a highly successful procedure to reduce pain and restore mobility in patients with endstage shoulder arthritis and in some cases after a severe shoulder er replacement surgery relieves pain and helps restore motion strength and function of the shoulder
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REHABILITATION AFTER TOTAL SHOULDER ARTHROPLASTY Activities and advice for in the hospital and while at home 1 Please call with any concerns 817 4190303 2 Apply ice or the cooling unit to the shoulder as it will be quite helpful
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Ninety percent of patients feel that their new shoulder has attained the 80 percent of what they feel a normal shoulder would be and 37 percent of patients think that their new shoulder is normal Warner et al What are my restrictions after a Total Shoulder Replacement Most activities can be resumed after a shoulder replacement
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However little data exist regarding appropriate longterm activity restrictions We hypothesize that European and North American surgeons both recommend increasing longterm activity restrictions moving from hemiarthroplasty to total shoulder arthroplasty TSA to reverse total shoulder arthroplasty RTSA and that both groups impose similar
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May 31 2018 This type of total shoulder replacement is known as a standard or anatomical total shoulder arthroplasty TSA It receives its name from the simple fact that the prosthetic components that are placed in the shoulder look like the structures they are replacing
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After patients recover from shoulder surgery they often ask about returning to a workout regimen that involves weight lifting Strength training is a great form of exercise for staying fit and preserving bone density but if you have had a prior shoulder operation it is
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Total shoulder replacement involves the installation of a polished metal ball attached to a stem and a plastic socket In reverse total shoulder replacement the ball and socket are swapped around thus allowing the patient to use the deltoid muscle instead of the rotator cuff to lift the arm
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Rehabilitation Guidelines for Standard Reverse Total Shoulder Arthroplasty rTSA Note Revision surgery or cases involving bonegrafting procedures may undergo modifications to the below guideline Additional restrictions or modifications will be listed in the last paragraph of the Operative Report and the therapy instructions
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Reverse total shoulder replacement is different than a total hip replacement total knee replacement partial joint replacement or any other joint replacement The reverse total shoulder replacement has only been approved by the Federal Drug Administration since March of 2004 but has been widely used in Europe for over 20 years
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Total shoulder replacement postop physical therapy protocol General Considerations Use of a sling for 3 weeks postop unless otherwise indicated No pulley in the first 6 weeks No resistance until 4 months periscapular strengthening ok Minimize heavy excessive cyclic loads for the first 6 months
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Legally I must recommend that you delay driving until you are out of your sling This is for 4 to 6 weeks depending on the type of shoulder replacement surgery Standard total shoulder replacements and partial replacements require a sling for 4 weeks after surgery Reverse total shoulder replacements require a sling for 6 weeks
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rehabilitation course of a patient that has undergone a Total Shoulder Arthroplasty TSA or Hemiarthroplasty Humeral Head Replacement HHR It is not intended to be a substitute for
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Total Shoulder Replacement involves replacing the arthritic joint surfaces where a plastic cup is placed into the shoulder socket glenoid and a metal ball is attached to the upper arm bone humerus Patients with boneonbone osteoarthritis and an intact rotator cuff are generally good candidates for traditional total shoulder
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Oct 17 2017 Over the years the surgical technique for a total shoulder replacement has improved though Im not sure our rehabilitation approach has also improved If our patients are younger and want to be more active after total shoulder replacement then perhaps our rehabilitation programs should adjust based on their goals
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