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Postoperative Rehabilitation and Outcomes of Primary Anatomic Shoulder Arthroplasty

Etier, Brian E. Jr MD; Pehlivan, Hakan C. MD; Brockmeier, Stephen F. MD

Techniques in Shoulder & Elbow Surgery: March 2016 - Volume 17 - Issue 1 - p 19–24
doi: 10.1097/BTE.0000000000000075
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The purpose of this review is to outline appropriate rehab and discuss outcomes of anatomic total shoulder arthroplasty. Rehabilitation is an important part in producing an effective total shoulder arthroplasty. Implant protection, guided motion and strengthening, and pain control are pillars of appropriate rehab that should start immediately following surgery. Regardless of rehab specifics, the physician must maintain communication with the patient and therapist to individualize the patient's therapy milestones. Outcomes following anatomic total shoulder arthroplasty have proven to be durable and reproducible. Total shoulder arthroplasty decreases pain, improves function, improves subjective and objection patient scores, and is a cost effective procedure. Survivorship of the prosthesis has had long term success at greater than 20-year follow up. The current gold standard for total shoulder arthroplasty is an all-polyethylene, pegged, cemented glenoid component with a cemented or uncemented humeral stem.

Department of Orthopedics, Sports Medicine, University of Virginia, Charlottesville, VA

The authors declare no conflict of interest.

Reprints: Brian E. Etier Jr, MD, Department of Orthopedics, Sports Medicine, University of Virginia, PO BOX 800159, Charlottesville, VA 22908 (e-mail: brianetier@gmail.com).

Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.