II. Definitions
- Glenoid and humeral head replacement
III. Indications
- Severe Shoulder Osteoarthritis
- Shoulder Pain and loss of function refractory to conservative therapy or prior surgery
- End-stage rotator cuff Arthropathy
- Osteonecrosis
IV. Contraindications
- Recent infection
- Neuropathic joint
- Deltoid or rotator cuff complete paralysis
- Debilitating comorbid illness
- Shoulder Instability that cannot be surgically corrected
V. Efficacy
- Most effective and long-lasting procedure for severe Shoulder Arthritis
VI. Procedure
- Performed under general Anesthesia with supplemental Regional Anesthesia in some cases
- Minimal blood loss
- Replacement
- Glenoid fossa resurfaced with solid polyethylene part
- Humeral head and neck replaced with metal prosthesis
VII. Protocol: Post-operative Management
- Sling used for 3-6 weeks after surgery
- Post-operative rehabilitation
- Day 1
- Start active range of motion of elbow, wrist and hand
- Start passive range of motion of Shoulder
- Day 21
- Start pulley Exercises
- Day 35
- Start Isometric Exercises
- Day 1