Reverse shoulder replacement surgery is a complex procedure performed on one of the most delicate structures in the body. One thing that patients should know is the importance of post-operative care after a shoulder replacement. It can even affect the overall outcome of the surgery.
Post-operative care involves wound management to ensure optimal healing of the shoulder. Proper wound care helps prevent complications that can delay healing of the patient and lead to poor outcomes.
In this article, we will explore postoperative care and wound management following reverse shoulder replacement surgery.
Immediate Reverse Shoulder Replacement Postoperative Period
During the immediate postoperative period, the patient’s wound requires careful attention to minimize the risk of infection and promote proper healing. The incision site must be kept clean and dry to reduce the likelihood of bacterial contamination. Additionally, the surgical team may apply a sterile dressing to protect the incision and absorb any exudate or fluid secreted by the wound.
Patients are advised to follow specific guidelines provided by their healthcare provider regarding wound care, including:
- Proper hand hygiene
- When and how to change dressings
- How to shower while keeping the wound protected
- Signs of infection to watch out for
- Restrictions on activities that may strain the surgical site
Applying ice to the area can help bring down swelling and improve comfort for the patient. An ice machine can be used by the patient upon the advice of the doctor. For the initial few weeks post-surgery, you might find it more comfortable sleeping in a recliner or chair. It’s advisable to continue sleeping with the sling until you receive instructions indicating otherwise.
Monitoring for Signs of Infection
Monitoring for signs of infection is important after a reverse shoulder replacement. Orthopedic shoulder surgeons educate patients on the signs and symptoms of surgical site infection, like:
- Increased redness
- Swelling
- Warmth
- Drainage from the wound
- A fever of over 101.5
- Persistent pain or worsening pain at the operation site
Signs and symptoms of a possible infection need to be brought to the attention of the patient’s healthcare team for further evaluation and appropriate management. Early detection and treatment of surgical site infections are crucial for preventing complications and ensuring successful outcomes following reverse shoulder replacement surgery.
Movement Exercises
The process of wound healing is linked to the overall rehabilitation program following reverse shoulder replacement surgery. Healthcare providers may recommend specific exercises and movements to promote circulation and tissue healing while minimizing stress on the surgical site, such as hand and arm movements.
However, it is essential to strike a balance between these and protecting the surgical wound to avoid compromising the healing process. It is why these exercises should be done slowly and in phases, gradually building up to exercises that require more effort.
Reverse Shoulder Replacement Long-Term Wound Care
As the initial postoperative phase transitions into long-term recovery, patients must continue to prioritize proper wound care to ensure the ongoing integrity of the incision site. This may involve gradually reducing the frequency of dressing changes as the wound heals, while remaining vigilant for any potential signs of delayed wound healing or infection.
Furthermore, adhering to any restrictions on physical activities, particularly those that place excessive strain on the shoulder, can contribute to favorable wound healing outcomes and overall recovery progress. Patients are encouraged to maintain open communication with their orthopedic care team regarding any concerns or changes in the appearance or sensation of the surgical site.
Rehabilitation Exercises
Within one week after a shoulder replacement, the patient may progress to light shoulder exercises, such as pendulum exercises, and shoulder rotation exercises, followed by strengthening exercises, which should be done under the guidance of a physical therapist. Engaging in prescribed rehabilitation activities can aid in strengthening the surrounding muscles that support the shoulder joint and enhancing joint stability, which is necessary for restoring shoulder function.
Top Orthopedic Shoulder Replacement Surgeon in Port Charlotte, Punta Gorda, and Venice, FL
Shoulder pain is a problem that needs a medical solution. Our advice is not to delay treatment and consult an orthopedic surgeon who is a shoulder expert.
Dr. Robert Stchur is the “shoulder guy” at the Advanced Orthopedic Center, with advanced training in arthroscopic shoulder repair and shoulder replacement surgery. Dr. Stchur combines specialized knowledge and skill with compassion when treating our patients. You can be assured of the high-quality care you will receive from Dr. Stchur, as he also serves as team orthopedic consultant for the Tampa Bay Rays.
To schedule an appointment with a top shoulder replacement surgeon, call our orthopedic office nearest you. The friendly staff at the Advanced Orthopedic Center looks forward to welcoming you to our Port Charlotte, Punta Gorda, or Venice location.
