Shoulder joint replacement surgery is done to relieve the pain and improve the mobility of the joint.
Here we remove and replace the damaged parts of the shoulder with artificial metal components.
We either do replacement of just the head of the humerus bone (ball), or replacement of both the ball and the socket (glenoid).
Shoulder joint is an important joint which has maximum range of motion compare to other joints of the body.Shoulder joint is a ball and socket type of synovial joint which is formed by Head of humerus(Ball) and Glenoid of scapula (Socket).The joint is also supported by ligaments and tendons around the joint.
When you have unbearable pain and disability due to any of the following conditions
Osteoarthritis is an age-related wear-and-tear type of arthritis. It usually occurs in people 50 years of age and older, but may occur in younger people, too. The cartilage that cushions the bones of the shoulder softens and wears away. The bones then rub against one another. Over time, the shoulder joint slowly becomes stiff and painful.
This is a disease in which the synovial membrane that surrounds the joint becomes inflamed and thickened. This chronic inflammation can damage the cartilage and eventually cause cartilage loss, pain, and stiffness.
This can follow a serious shoulder injury. Fractures of the bones that make up the shoulder or tears of the shoulder tendons or ligaments may damage the articular cartilage over time. This causes shoulder pain and limits shoulder function.This can follow a serious shoulder injury. Fractures of the bones that make up the shoulder or tears of the shoulder tendons or ligaments may damage the articular cartilage over time. This causes shoulder pain and limits shoulder function.
A patient with a very large, long-standing rotator cuff tear may develop cuff tear arthropathy. In this condition, the changes in the shoulder joint due to the rotator cuff tear may lead to arthritis and destruction of the joint cartilage.
Avascular necrosis, or osteonecrosis, is a painful condition that occurs when the blood supply to the bone is disrupted. Because bone cells die without a blood supply, osteonecrosis can ultimately cause destruction of the shoulder joint and lead to arthritis. Chronic steroid use, severe fracture of the shoulder, sickle cell disease, and heavy alcohol use are all risk factors for avascular necrosis.
A severe fracture of the shoulder is another common reason people have shoulder replacements. When the head of the upper arm bone is shattered, it may be very difficult for us to put the pieces of bone back in place. In addition, the blood supply to the bone pieces can be interrupted. In this case, we may recommend a shoulder replacement.
Although uncommon, some shoulder replacements fail, most often because of implant loosening, wear, infection, and dislocation. When this occurs, a second joint replacement surgery — called a revision surgery — may be necessary.
Shoulder Joint Replacement may be suitable for patients who experience:
The standard total shoulder replacement involves replacing the arthritic joint surfaces with a highly polished metal ball attached to a stem, and a plastic socket.
Depending on the condition of your shoulder, we replace only the ball. This procedure is called a hemiarthroplasty. We replaces only the head of the humerus with a metal ball and stem,.hence it is called a stemmed hemiarthroplasty.
Reverse total shoulder replacement is used for people who have:
In reverse total shoulder replacement, the socket and metal ball are interchanged A metal ball is attached to the shoulder bone(glenoid), and a plastic socket is attached to the upper arm bone(humerus). This allows the patient have a better shoulder movements.
When complications occur, most are successfully treatable.These are possible risks associated with shoulder replacement.
Shoulder replacement can be done as a day care procedure and you can go home on the same day. But we recommend to stay for at least 24hours in the hospital after surgery for your safety and better care.
Talk with your surgeon about any precautions you may have after surgery.
Make sure you have a follow-up appointment scheduled with your surgeon 10 to 14 days after your surgery. You will leave the hospital with arm pouch and should continue to use it till 6 weeks.
Your follow up visits will happen by now,sutures will be removed by end of 2ndweek.You will be on Home physical therapy and continue using your arm pouch/immobilizer. You should do shoulder ROM exercises as advised by you surgeon.
You will still be on Home physical therapy .You can resume to your daily routine activities,After about six weeks, you can use the entire arm, including the shoulder, for gentle activities.Your physical therapy now includes strengthening exercises.
Continue physical therapy,you will be more comfortable.Can involve in routine activities with precations.You may still feel some weakness but your shoulder movements will be painfree.Schedule an appointment with your surgeon at 6 months.
After one year, about 95% of shoulder replacement patients are pain-free, and the remaining 5% usually only experience time-related pain or unintentional pain due to excessive activity.
Likewise, there is probably no significant limit on strength, depending on the condition of the deltoid and rotator cuffs, especially if both muscle groups are healthy before surgery.
Surgery have been lasted for 10 year
To resume to your daily normal activities
Patients will be able to do their shoulder movements fully,painfree with improved quality of life.
We have a very less failure rate of less than 1%
We provide the most full medical services, so every person could have the
pportunity o receive qualitative medical help.
Fellowship in Knee & Shoulder Surgery (Aus, NZ, Japan)
Specialist in Joint Replacement & Arthroscopy, Senior Consultant Ortho Surgeon.
Fellowship in Joint Replacement and Arthroscopy
Specialist in sports medicine and joint replacement surgery
Senior consultant Ortho surgeon
Fellowship in Joint replacement and Arthroscopy
Specialist in sports medicine and joint replacement surgery
Specialist in complex trauma surgery
Senior consultant Ortho surgeon
Fellowship in Arthroscopy, Joint replacement, Trauma & Ilizarov Limb Reconstruction
Fellowship in spine surgery
Senior consultant Ortho Surgeon
Shoulder joint replacement surgery, also known as shoulder arthroplasty, is a procedure in which a damaged or diseased shoulder joint is replaced with a prosthetic joint.
Individuals with severe shoulder pain, limited mobility, and arthritis are typically good candidates for shoulder joint replacement surgery.
The procedure involves making an incision in the shoulder, removing the damaged joint surfaces and replacing them with a prosthetic joint. The prosthesis can be made of metal, plastic, or a combination of both materials.
Recovery time after shoulder joint replacement surgery varies depending on the individual and the extent of the injury. Physical therapy is typically recommended to help with the rehabilitation process, and most people can return to light activities within a few months.
Some discomfort and pain are expected after the surgery but can be managed with medication prescribed by your doctor.
Like any surgical procedure, shoulder joint replacement surgery carries a risk of complications such as infection, bleeding, and nerve damage. However, these risks are generally low with joint replacement surgery.