Total Shoulder Arthroplasty: The Surgery, The Rehabilitation, The Outcomes – Trent Brown

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Total Shoulder Arthroplasty (TSA) and Reverse Total Shoulder Arthroplasty (R TSA) have increased by 243% in the last decade and will steadily climb with the emergence of the baby boomer generation.  In addition, over 1/3 of all TSA and R TSA patients are under the age of 64.  As outcomes have steadily increased with the advancement of surgical techniques, therapy protocols for the TSA patient have remained stagnant and redundant.

This recording will discuss the techniques used by surgeons to access the shoulder, common prosthesis used for TSA and R TSA, and a peer reviewed “gold standard” 3-phase protocol to ensure aggressive therapy services and functional outcomes.  We will discuss the risks from delaying total shoulder arthroplasty and the benefits from immediate therapy.  We will also study the emergence of younger patients electing for total shoulder arthroplasty and their ability to return to normal activity including sports.

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1. Discuss the risks associated from delaying joint arthroplasty and the outcomes achieved if immediate therapy is implemented.
2. Describe the risks associated from delaying joint arthroplasty & the outcomes achieved if immediate therapy is implemented
3. Identify current components, surgical procedures, and functional treatment strategies for total shoulder arthroplasty based on current evidence, research and national protocols.
4. Develop documentation strategies developed from this lecture using terminology accepted by payer sources to justify skilled services with the total shoulder client.

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Trends and Projections with TSA

• Age, etiology, costs, etc.
• Common Dx leading to TSA
• Why R TSA will be the new norm
• Mastering the R TSA

Why Individuals Undergo TSA

• Pain, Arthritis, etc.
• Delaying Arthroplasty
• Who qualifies for TSA

The Surgery and the Rehab

• Humeral and Glenoid Components
• Surgical Procedure
• 3 Phase “Gold Standard” Protocol
• Proper Pendulum
• GPG Mobilization Techniques
• Post Recovery

Documentation

• 5 standards of Documentation
• Examples

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