Shoulder replacement, also known as shoulder arthroplasty, is a surgical procedure performed to replace a damaged or diseased shoulder joint with an artificial joint or prosthesis. It is typically recommended for individuals with severe shoulder arthritis, rotator cuff arthropathy, or other conditions that cause significant pain, loss of function, and limited mobility in the shoulder.
Here’s an overview of the shoulder replacement procedure:
Anesthesia:
The surgery is usually performed under general anesthesia, meaning you will be asleep and pain-free during the procedure. Regional anesthesia or a combination of regional and general anesthesia may also be used.
Incision:
The surgeon makes an incision to access the shoulder joint. The size and location of the incision may vary depending on the specific condition being treated, the surgical technique used, and the patient’s individual needs.
Joint preparation:
The damaged parts of the shoulder joint, including the humeral head (upper arm bone) and the glenoid (socket), are carefully removed. The surgeon prepares the bone surfaces to accommodate the prosthetic components.
Implant placement:
The artificial joint components are inserted. These components can be made of metal, plastic, or a combination of both. The humeral component replaces the upper end of the arm bone, and the glenoid component replaces the socket.
In some cases, the glenoid component is fixed to the bone using bone cement.
In other cases, a “reverse” shoulder replacement may be performed. This involves switching the position of the humeral and glenoid components, providing stability and function when the rotator cuff is severely damaged.
Closure:
Once the components are in place, the incision is closed using sutures or staples. Sterile dressings are applied, and a sling or shoulder immobilizer may be used to support the shoulder during the initial healing phase.
After the surgery, you will be closely monitored in the recovery area and then transferred to a hospital room. Physical therapy and rehabilitation are essential for regaining strength, mobility, and function in the shoulder. You will work with a physical therapist to perform specific exercises and gradually increase the range of motion and strength in the shoulder.
Recovery time can vary, but most individuals can expect noticeable improvement within a few weeks to months. However, it may take several months to a year to achieve maximum recovery and regain full shoulder function.
As with any surgical procedure, shoulder replacement carries risks and potential complications, including infection, blood clots, nerve or blood vessel injury, shoulder stiffness, instability, or implant-related problems. Your surgeon will discuss these risks with you before the surgery and take appropriate measures to minimize them.
It is important to consult with an orthopedic surgeon who specializes in shoulder conditions to determine if shoulder replacement is the right option for you. The Alabama Bone and Joint orthopedic surgeons specialize in diagnosing and treating shoulder disorders and injuries, and they will evaluate your specific condition, consider your overall health, and discuss the potential benefits, risks, and alternatives of shoulder replacement surgery. At Alabama Bone and Joint Clinic our specialists are able to guide you through your treatment options. Call today to schedule an appointment with one of our experts in orthopedic care.
