Respuesta :
A client is paraplegic and lives alone. The client just had a total shoulder arthroplasty. In planning for discharge, the nurse starts arranging for Admittance to a rehabilitation unit.
What is a Shoulder Arthroplasty?
Humeral head replacement with glenoid resurfacing. The Standard of care is a cemented all-polyethylene glenoid resurfacing. THA and TKA differ from total shoulder arthroplasty in that
• Increased shoulder range of motion
• Success depends on the soft tissues’ proper operation.
The glenoid has fewer limitations. Anything becomes more susceptible to mechanical loosening due to increased shear strains.
Humeral head replacement and glenoid resurfacing
A cemented all-polyethylene glenoid resurfacing is considered the standard of care.
Factors necessary for TSA’s success
• Rotator cuff intact and functional
• If the rotator cuff is inadequate and proximal migration of the humerus is evident on x-rays (rotator cuff arthropathy) then glenoid resurfacing is prohibited
• If there is an irrecoverable rotator cuff defect then continue with hemiarthroplasty or an opposite ball prosthesis.
• A secluded supraspinatus bruise without recantation can move ahead with TSA
• Occurrence of full-thickness skin rotator cuff tears
To know more about care during Arthroplasty, visit:
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