Early Versus Delayed Rehabilitation After Reverse Total Shoulder Arthroplasty for Proximal Humerus Fracture A Randomized Controlled Trial

What this Trial Is About

Researchers are evaluating the best timing for rehabilitation after reverse total shoulder arthroplasty rTSA in patients aged 50 to 85 who have suffered proximal humerus fractures. This study aims to determine whether starting physical therapy early or delaying it affects shoulder motion, patient-reported outcomes, and postoperative complications. The goal is to improve recovery protocols for this patient group, as current practices vary widely. Participants will be randomly assigned to one of two groups one begins physical therapy two weeks after surgery early rehabilitation, and the other starts six weeks after surgery delayed rehabilitation. Both groups will follow their assigned rehabilitation schedule postoperatively. The study includes in-person clinic visits and radiographic evaluations at six weeks, three months, and six months after surgery to monitor progress and safety. Throughout the study, participants will undergo range of motion measurements using a goniometer and complete patient-reported outcome assessments such as the American Shoulder Elbow Surgeons Shoulder Score and Constant score. Researchers will also review medical charts and radiographs to track any postoperative complications. The total follow-up period spans six months, allowing for detailed monitoring of recovery and functional outcomes.

Early Versus Delayed Rehabilitation After Reverse Total Shoulder Arthroplasty for Proximal Humerus Fracture