ORTHOPEDICS: REHABILITATION AFTER SHOULDER PROSTHESES IN ANTALYA

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A HOLISTIC PERSPECTIVE ON SHOULDER PROSTHESES
HEALTH 

Turkey Medicals Co-ordinator, “The shoulder joint is the joint that has the most mobility among other joints. Although the stability of the shoulder joint is largely provided by ligaments, some muscle groups also make an important contribution to dynamic stability.”

Although the shoulder is functionally composed of 4 joints, shoulder arthroplasty covers only one joint in the classical sense.

The aim of shoulder arthroplasty is to reduce severe and continuous pain; to increase functionality and quality of life by providing shoulder movement width. The first goal is to reduce pain. Movement restriction and loss of function are secondary goals.

Mechanical stability is poor in the shoulder joint, because the head of the arm bone is round and large, but the pit in which the joint will be made is flat and small relative to it. Since the short muscles around the shoulder are very important in ensuring stability, it is essential that these muscles are intact during a successful shoulder arthroplasty.

Shoulder arthroplasty can be performed in 2 ways.

1- Total shoulder arthroplasty: It is the attachment of a prosthesis to the lower and upper bones that make up the joint.

2- Partial shoulder prosthesis: It is the insertion of a prosthesis into only one of the bones that make up the joint.

Shoulder prosthesis operations are performed in arthrosis or shoulder fractures.

Undesirable conditions that may be seen after shoulder arthroplasty:

It is the relaxation of the prosthesis parts, inability to maintain joint strength, tears in the short muscles around the shoulder, fractures that may occur during the operation, infection, nerve injuries, shoulder muscle dysfunction and the need for a re-operation.

Rehabilitation: Shoulder arthroplasty rehabilitation depends on multiple factors, such as the condition of the soft tissues around the shoulder joint (whether the short muscles around the shoulder are intact or torn, such as the size of the tear), the strength of the shoulder joint, bone, the robustness of the prostheses and technique used, other concomitant injuries, systemic diseases, and the patient’s expectation. The aim of shoulder arthroplasty rehabilitation is to reduce pain and improve function. However, it is very important to prevent movement novation in the shoulder and to protect the prosthesis and the muscles around the shoulder while doing so.

The rehabilitation program consists of 3 phases.

Phase 1: (0-4 weeks) Covers the first 4 weeks after the operation. In this phase, the aim is to increase the range of motion of the joint so as to prevent limescale that may occur due to inactivity. During this period, shoulder pain is reduced, and muscle weakness is tried to be slowed down as much as possible.

Phase 2: (4-12 weeks) The second phase is the active movement phase. 4. the week begins and after the operation is 12. it will continue until next week. In this phase, the aim is to strengthen the muscles around the shoulder, increase the range of motion of the shoulder, reduce pain and novae, and increase functional activities.

Phase 3: Some patients may never reach this stage. The criteria for moving to this phase are to be able to lift the arm forward by 120 degrees, to turn the arm outward by 30-40 degrees, to turn it inward by 45-55 degrees and to have sufficient muscle strength in the muscles around the shoulder. In this phase, the aim is to try to gain the maximum muscle strength that can be gained in the muscles around the shoulder, to increase the use of the arm in daily life and to provide complex muscle-nerve control.

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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.

Awards:

Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.

Certificates:

Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.

Disclaimer:

Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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