Instructions for Patients Undergoing
Total Shoulder Replacement Surgery

We will make the arrangements and call you~

bulletWe will call your insurance carrier and make the arrangements for surgery.
bulletWe will call you to let you know when and where your surgery will be performed.
bulletPlease keep a pencil and paper by the phone to write down the information when we call you.
bulletThe exact time of your surgery will not be known until the evening before your surgery.

Before surgery~

bulletYou need a history and physical by your family physician within 7 days prior to the day of surgery.
bulletIf you are taking medications, you should call your family doctor to find out if it is okay to continue taking that medication.
bulletA blood transfusion is usually required. Before surgery, you will need to donate 2 units of blood that is either your own, a family member's, or a close friend's.
bulletDo not eat or drink after midnight the night before surgery. This includes sips of water, coffee, or anything else.
bulletMake sure you have someone to drive you home the day of surgery.
bulletIf you are 18 or under and are not married, you must be accompanied by a parent or guardian.
bulletDo not wear jewelry or take other valuable items with you.
bulletDo not wear make-up or nail polish.

Day of surgery~

bulletThe average stay in the hospital is 3 to 7 days, depending on your general overall health and the help you will have at home.
bulletTotal shoulder replacement surgery is done under a general anesthetic (puts you to sleep).
bulletThe surgery usually takes one to one and a half hours.
bulletRisks include blood clot, anesthesia complications, and infection.
bulletThe scar on your shoulder will be approximately 10 inches long.
bulletYou will be given a prescription for pain medication to take home with you.

After surgery

bulletYou will be in an immobilizer for approximately 4 to 6 weeks following surgery.
bulletPhysical therapy will be started in the hospital, and you may continue most of your therapy at home.
bulletYou will see your doctor in 8 to 10 days following surgery.
bulletIf you notice any changes such as fever, bleeding, drainage, or unusual symptoms at all, you should contact our office immediately.
bulletAfter surgery, you will be at risk of infection from total joint surgery. We will issue you a medic alert card as a reminder that if you should ever have any sort of infection, such as a urinary tract infection, or if you should have dental work or surgery, you will need an antibiotic medication. You will be given a pamphlet which will further discuss this.

Please call our office at 515-222-3151 if you have any questions. Please do not call the hospital. If you have questions or concerns, we want to hear from you.

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Central Iowa Orthopaedics

1601 NW 114th Street, Suite 142
Des Moines, Iowa 50325
Phone: 515-222-3151 ~ Toll Free: 877-348-9341 ~ Fax: 515-222-3155

last modified:  11/07/2007 10:57 AM