Download - Jeffrey B. Witty, M.D. North Oaks Orthopaedic Specialty ... You can use any soft ball (tennis, racquetball, etc). Some slings come with their own. Squeeze the ball as many times as

JeffreyB.Witty,M.D.North Oaks Orthopaedic Specialty Center Hammond, LA 70403 Day phone: (985) 230 – 2663 After hours number: (985) 345 - 2700 Fax: (985) 230 – 2665 Website: drjeffreywitty.com

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PostoperativeInstructionsforLabralRepairwithRemplissage:ImportantPhoneNumbers:

- Pleaseseethecontactinformationaboveforimportantphonenumberstocall.

- Ifyouhaveconcernsafterhours,pleasecallthe“Afterhoursnumber”toreachouron-callservices.

PhysicianFollowup:

- Appointmentsforpostsurgeryfollowupcanbemadeoneoftwoways.o Eithercallthedayphonenumberabovetomakeanappointmentwith

thedoctoryourself.o Thenursingstaffatourfacilitycanmaketheappointmentforyouo Thetimetoyourfirstfollowupwillbeconfirmedpriortoleavingfor

theday.o FollowupwithDr.Wittyisabout1weekaftersurgery.

Precautions/Weightbearing:

- Donotplaceanyweightthroughyourshoulderorhand.- TheslingshouldremainonATALLTIMES,includingsleepingwiththe

exceptionofshowersandwhenyoustarttherapytotheshoulder.Sling:

- Pleaserefertothe“YourGuidetoShoulderSurgery”handoutorDr.Witty’swebsiteforinstructionsonslinguseandpositioning.

- Thehandshouldbefacingforwardandtheupperarmshouldbeinlinewiththebodywhenlookingfromtheside.


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Exampleofincorrectpositioningoftheshouldersling.Theupperarmisbehindthetorso/upperbody.

HowtoApplyYourShoulderSling:Note:Pleaseseedrjeffreywitty.comandgoto“PatientInfoandEducation>>PatientEducationVideos”andwatch“HowtoApplyShoulderSling”fordetailsonhowtoapplyyourslingbyyourselfwithoutneedforasecondperson.


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Step1:Placeslingandpillowonsurfaceatleastathipheightandstandnexttoit.Theslingshouldbeopensoyoucanlowertheforearmintothesupport.

Step2:Leanovertowardtheslingwhilesupportinginjuredarmwiththeoppositearm.

Step3:Lowerthearmintothesling.


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Step4:Securethestrapfortheforearmsupportandthestraparoundtheneck.

Step5:Reacharoundbackandgrabthestraptosecurepillowandpassitaroundtothefront.

Step6:Clipthefinalstraptotheappropriatelocationonyourindividualsling.


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NerveBlockInformation:

- Theanesthesiateammayhaveplacedanerveblockpriortosurgery- Anerveblockisaprocedurewherenumbingmedicationisinjectedaround

thenervesthattraveltoyourshoulder.- Itshouldprovide8–12hoursofpainrelief.Duringthattime,theshoulder

mayfeelnumbandyoumayevenbeunabletomovetheextremity.- Starttakingyourpainmedicationimmediatelywhenyoustarttofeelany

painevenifitisminimal.- Monitoryourskincloselyandplaceatowelbetweentheskinandanyice

packtoavoidfrostbite.Thisisimportantwhentheblockisworkingbecauseyouwillnotbeabletofeelanything.

RecoveryatHome:

1) Ifyouaredischargedthedayofsurgery,thefirstmealathomeshouldbeclearliquids.Slowlyincreasetoothereasilytoleratedmeals(ex.Soup)topreventanynausea.Takingyourpainmedicationwithsomefoodmayhelp.

2) Aftershouldersurgery,itiscommonforpatientstofeelmorecomfortablesittinguporinareclinerforatleastafewweeksaftersurgery.Youmayfeelmorecomfortablesleepinginareclinerorsimilarpositionuntilthattime.

3) Ifyouhavereceivedanerveblock(seeNerveBlocksection),itwilloften

begintowearofflaterintheevening.Takethepainmedicationrightwhenyoubegintofeeleventheslightestamountofpaininorderto“getahead”ofthepain.Applyicetohelpwithpain(seesectiononicepacksbelow).

4) Youmaystarttomoveyourelbow,handandwristwhileinthesling.See

exercisesectionbelow.

5) Ifyoubegintohaveworseningpainorswelling,redness,temperaturegreaterthan100.4,ordrainagefromyourincision,callDr.Witty’sofficeimmediatelyatthenumberlistedabove.

6) Trytogetupandmovearoundasmuchaspossibleaftersurgerykeepinginmindanypostoperativeprecautions.


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Ice:

1) Ice(cryotherapy)canbeappliedtotheshoulderimmediatelyaftersurgerytohelpwithpostoperativepainandswelling.Infact,somestudiesshowthaticetreatmentisjustasbeneficialaspainmedication.Commercialcoolertypedevicesattachedtoacuffthatwrapsontheshoulderarehelpful,buticingcanbeperformedusingstandardicepacks.

2) Placeasmallhandtowel(orsimilar)totheshoulderandthenplacethepack/deviceontop.Thiswillhelppreventthedressingfromgettingwetfromcondensation.Itwillalsohelpfromtheskinfrostbiteespeciallywithanerveblock.

3) Applytheicepackasoftenasyouwouldliketohelpminimizepainand

swelling.Becauseyoumaynotbeabletofeelhowcoldtheskinisgetting,pleaseremembertochecktheskinoftenwhilethenerveblockisineffect.Itiscommontousetheicepacksforthefirstfewmonthsaftersurgerywhentheshouldergetssore,especiallyaftertherapy.

WoundCareandDressingChange:

1) Typicallyyourdressingwillconsistofwhitegauzeandwhitetape.Itmayseemalittlebulkyonyourshoulder.Leavethisdressingandtapeonfor3days.Duringthat3-dayperiod,reinforcethedressingifneededwithmoregauzeandtapedirectlyontopoftheinitialpostopdressings.Attheendof3days,youmayremovethetapeandthegauze.Youmayseemorewhitegauze,andunderneaththatyoumayseeyellowgauzeontopofstitches.Youmayremovetheyellowgauze.Replaceclean/freshwhite“4x4”gauzeorsimilardressingsovertheincisionsandre-tape.Seetheimagesbelow.


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2) Anothertypeofdressingusedare“Steri-strips”.Theyaretapelikeadhesives.Theywilltypicallybegintopeeloffontheirownafteraweekorsoandthenyoucanremovethemcompletely.Seeimagebelow.

3) Replacethedressingdailyuntilthedayyouhavenospotsordrainageonthegauze.Youcanuseeithersimilargauzeandtapethatwasinplacerightaftersurgery,oryoucanuseabsorbentadhesivedressingsthataresealedonallfoursides.Seeimagesbelow.

Shower/Bathing:

1) Onceyourincisionshavenodrainage,youmaystarttakingashower.Allowtheoperativearmtohangatthesideandusetheotherarmtobatheanddry.Donotuseyourownarmmusclestoflex(bend)yourelbowatthistime.Itmaybehelpfultoobtainashowerchairwhichwillallowyoutoresttheoperativearmonyourthigh.Seeimagesbelow.


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Step1:Startintheuprightpositionwitharmattheside.

Step2:Leantowardtheinjuredshoulder.Thiswillallowaccesstothearmpitwithoutusingtheshoulderandstressingtherepair.

Note:Thiscanalsobedoneinaseatposition.Leantowardsideasneededtoaccessunderneaththearmforbathing.


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2) Replaceyourslingwithoutmovingyourarmawayfromtheshoulder.Youmayhavetoleantothesidetogentlyallowyourarmtohangawayfromyourbodytoapplythesling.SeeinstructionsaboveorvideoonDr.Witty’swebsite.

Exercises:

- TheonlyexercisesyouwillstartbeforeyoureturntoseeDr.Wittywillbesimplehand,wrist,andelbowmotion.

ElbowActiveFlexionandActiveExtension:- Theslingneedstobeloosenedfortheseexercises.- Opentheslingandallowthearmtofalltothesideandhangfreely.

o - Performabout10–20reps3timesaday.


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WristMotion:- Thearmcanremainintheslingorbedoneoutofthesling.- Simplyextendandflexthewristbackandforthagainstgravity.

o - Performabout10–20reps3timesaday.

HandSqueezes:

- Thesecanbeperformedinoroutofthesling.- Youcanuseanysoftball(tennis,racquetball,etc).Someslingscomewith

theirown.Squeezetheballasmanytimesaspossiblethroughouttheday.

Download - Jeffrey B. Witty, M.D. North Oaks Orthopaedic Specialty ... You can use any soft ball (tennis, racquetball, etc). Some slings come with their own. Squeeze the ball as many times as

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