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| CPT |
Technique |
| Indications |
Complications |
| Contraindications |
Follow-up Care / Rehab Protocol |
| Alternatives |
Outcomes |
| Pre-op Planning / Case Card |
Review References |
synonyms:
Resection Shoulder Arthroplasty CPT
Resection Shoulder Arthroplasty Anatomy
Resection Shoulder Arthroplasty Indications
- Failaed TSA with infection
- Chronic septic arthritis
Resection Shoulder Arthroplasty Contraindications
Resection Shoulder Arthroplasty Alternatives
Resection Shoulder Arthroplasty Pre-op Planning
Resection Shoulder Arthroplasty Technique
- Sign operative site.
- Pre-operative antibiotics, +/- regional block.
- General endotracheal anesthesia
- position. All bony prominences well padded.
- Examination under anesthesia.
- Prep and drape in standard sterile fashion.
- Irrigate.
- Close in layers.
Resection Shoulder Arthroplasty Complications
- Loss of motion, function
- Infection
- Painful hardware
- Heterotopic Ossification
Resection Shoulder Arthroplasty Follow-up care
- Post-op:Sling
- 7-10 Days: Wound check. May begin pendulum ROM.
- 6 Weeks: PT focus on deltoid education exercises.
- 3 Months:Continue home exercise program, activities as tolerated
- 6 Months: Evaluate pain and function
- 1Yr: Evaluate pain and function
Resection Shoulder Arthroplasty Outcomes
- no complications, no recurrence of deep infection, no nerve damage, no fractures. All patients able to reach the opposite axilla, their backpocket, perineum, mouth. 86% patient satisfaction. Patients can reliably perform basic activities of daily living. (Braman JP, JSES 2006;15:549).
- Pain generally decreased but patients may continue to have moderate to severe pain. Mean active elevation = 70° (0° to 150°). IR and ER hardly changed. Shoulder generally comfortable when the arm was positioned at rest by the side. The mean post-operative ASES score = 36 (8 to 73) (Rispoli DM, JBJS 2007 89-B: 1184).
Resection Shoulder Arthroplasty Review References
- Rispoli DM, JBJS 2007 89-B: 1184.
- Braman JP, JSES 2006;15:549
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