‣ After leaving the operating room with the arm immobilized at the side in a removable canvass arm sling, the patient will wake up in the recovery room.
‣ Based on the range of motion and stability of the implant, physical therapy begins on the first postoperative day, following x-rays documenting that the implant is properly positioned. Sling immobilization is enforced during the early rehabilitation phase to permit the tendons which have been repaired to heal. The sling is removable for showering and rehabilitation exercises.
‣ The patient is permitted to use the hand and wrist soon after surgery, and the whole arm, including shoulder, for light activity beginning at approximately six weeks after surgery. Unrestricted, active use of the arm may begin as early as eight weeks after surgery.
‣ The pre-surgical condition of the shoulder muscles and tendons play the biggest role in the patient’s outcome. If their muscles and tendons are in good shape, rehab will be less burdensome as the type and rapidity of post-surgical rehabilitation of the shoulder depends on the patient’s own muscles and tendons.
‣ Patients can expect the following after surgery:
‣ At about three months after surgery, most patients are reasonably comfortable, have the motion about half normal, but do notice some weakness.
‣ At six months, most patients are pain-free (although the weather does have an effect), and have motion and strength about two-thirds normal.
‣ At one year, approximately 95% of TSA patients will be pain-free, and the remaining will usually have no more than a weather ache or an occasional ache with excessive activity. Likewise, there will probably not be significant strength limitations, depending on the condition of the deltoid and rotator cuff, particularly if both these muscle groups were normal before surgery.