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Resection Shoulder Arthroplasty

 
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