Shoulder Arthroplasty — Total Shoulder Replacement / Hemiarthroplasty

iOrtho

Weight-Bearing

Sling in neutral with abduction pillow (30-45 deg ABD); sleep in sling; wean during day wks 4-6; D/C at wks 7-8

Key Restrictions

No AROM wks 0-3; no reaching behind back (especially into IR); no excessive ER or ABD; no lifting >coffee cup wks 4-8; no lifting >10lbs wks 7-11; avoid ER above 80 deg ABD; no WB through hands

Timeline & Phases

Phase I (Wks 0-3 immediate), Phase II (Wks 4-6 intermediate), Phase III (Wks 7-8), Phase IV (Wks 9-11 transitional), Phase V (Wks 12-16 advanced strengthening)

Notes

Covers both TSA and hemiarthroplasty; factors include surgical approach, concurrent RTC repair, and reason for arthroplasty

Published

August 2024