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Online ISSN 1827-1707
102nd CONGRESS OF THE PIEMONTESE-LIGURIAN-LOMBARD SOCIETY OF ORTHOPEDICS AND TRAUMATOLOGY (S.P.L.L.O.T.) - Brescia September 9-10, 2005
NEW TECHNOLOGIES, MODERN INSTRUMENTARIUM IN ARTHROPLASTIC SURGERY
UPDATES ON SHOULDER ARTHROPLASTY
Canata G. L. 1,2
1 Koelliker Centre of Sports Traumatology Turin, Italy
2 Sports Medicine, SUISM University of Turin, Turin, Italy
Aim. The aim of this study was the search for an optimal synergy of rehabilitation times with biological reparative processes in shoulder replacement to favour precocious articular mobility, initially passive, then active, in order to improve the clinical results of home based rehabilitation.
Methods. We present a retrospective study on simplified rehabilitation after shoulder arthroplasty for post-traumatic arthritis or osteo-necrosis of the humeral head: 8 patients (1 male and 7 females); mean age 61.13 (70-52). None of them had rotator cuff rupture. They had all been operated on by the same surgeon. Mean time in hospital was 2.5 days. Rehabilitation was always individualized. Clinical check-ups were routinely fixed after 7, 15, 30, 60, 90 and 180 days. Mean follow up 29.9 months (4-60). All patients were evaluated with the Constant 100 point score.
Results. Constant score: mean 91.5 (100-68). All patients except one were fully satisfied after surgery.
Conclusion. A simplified and individualized home rehabilitation allows good results even in shoulder replacement surgery. The patient is instructed to progressively extend shoulder functions working in a safe no pain zone. Pain is an important signal that helps and guides the patients through the rehabilitative processes. A well instructed patient will be able to further improve the results of shoulder replacement even after the supervised rehabilitation period.