Intermediate and Long-Term Follow-Up of Total Shoulder Arthroplasty for the Management of Postcapsulorrhaphy Arthropathy

Background: Shoulder impairments often result in limited range of motion and functional disability. Post-operative rehabilitation plays a critical role in restoring shoulder function and mobility. Objective: This study aimed to evaluate the effectiveness of a rehabilitation protocol on improving shoulder range of motion and functional outcomes over a 6-month period. Methods: This retrospective study was conducted at GMC Teaching Hospital during January 2023 to January 2024. A total of 45 patients diagnosed with post-capsulorrhaphy arthropathy who underwent TSA for the management of their condition were included in the study. Results: Significant improvements were observed across all measured outcomes. At 6 weeks post-treatment, forward flexion improved to 105° ± 15°, external rotation to 25° ± 8°, and internal rotation to L2 ± 1. At 3 months, further gains were observed with forward flexion reaching 120° ± 12°, external rotation at 35° ± 7°, and internal rotation at L1 ± 1. By 6 months, forward flexion reached 130° ± 10°, external rotation improved to 45° ± 6°, and internal rotation improved to T12 ± 2. Discussion: The study highlights significant improvements in shoulder function post-treatment, with notable gains in forward flexion, external rotation, and internal rotation. Patients showed progressive recovery over six months, achieving increased mobility and flexibility. Early rehabilitation proved effective, enhancing shoulder functionality while reducing stiffness and pain, ultimately improving patients' quality of life. Conclusion: It is concluded that the treatment protocol significantly improves shoulder range of motion and functional outcomes over time. Early rehabilitation and post-operative interventions are crucial in enhancing shoulder mobility, reducing pain, and improving quality of life.