Total Shoulder Replacement

What is Shoulder Replacement Surgery?

Shoulder replacement surgery is a procedure where parts of the shoulder joint are replaced with artificial components to restore function and relieve pain. This joint is a ball and socket joint, where the head of the upper arm bone (humerus) fits into a socket in the shoulder blade (scapula). Over time, due to injury or arthritis, this joint can deteriorate and become a source of severe shoulder pain.

During total shoulder replacement surgery, both the ball and socket are replaced. In cases where only one part of the joint is affected, a partial shoulder replacement may be appropriate. Another option, especially for patients with rotator cuff damage, is the reverse total shoulder replacement, where the positions of the ball and socket components are reversed for better stability.

Conditions Treated by Shoulder Replacement Surgery

A shoulder replacement may be recommended for a variety of conditions that lead to joint damage and chronic shoulder pain, such as:

• Osteoarthritis: Wear-and-tear arthritis that leads to joint surface degeneration.
• Rheumatoid arthritis: An autoimmune condition that causes chronic inflammation of the shoulder joint.
• Post-traumatic arthritis: Arthritis resulting from a previous injury, such as a fracture of the upper arm bone.
• Rotator cuff tear arthropathy: Joint damage caused by long-term, untreated rotator cuff tears.
• Avascular necrosis: A condition where the blood supply to the arm bone is compromised, leading to bone tissue damage.
• Severe fractures: When the humeral head has been shattered, it can be difficult to repair. Replacement might be a better option.

To explore treatment options for these and other shoulder issues, visit our shoulder services page for more information.

How Do I Know if I Need a Shoulder Replacement?

Several signs may indicate it’s time to consider shoulder joint replacement. These include:

• Constant or worsening shoulder pain, especially at night
• Inability to perform daily activities, like lifting or reaching
• Decreased shoulder joint mobility or strength
• Pain that persists despite medications, physical therapy, or other non-surgical treatments

If these symptoms sound familiar, a consultation with an orthopedic specialist can help determine whether you’re a candidate for total shoulder replacement. At Georgia Hand, Shoulder & Elbow, we evaluate your condition thoroughly before recommending any surgical treatment.

Who Should Not Get a Shoulder Replacement?

While shoulder replacement surgery can significantly improve mobility and quality of life, it isn’t the right choice for everyone. Surgery may not be recommended for individuals with:

• Active infections near the shoulder joint
• Irreparable nerve damage in the arm bone area
• Severe health conditions that increase surgical risk

Each case is unique. Our providers consider your health history, lifestyle, and goals before they recommend shoulder replacement surgery.

Preparing for Surgery

Proper preparation can significantly improve the outcome of your total shoulder or reverse shoulder replacement. Here’s how to get ready:

• Medical Evaluation: Blood tests, imaging (X-rays, MRIs), and a full health assessment are typically required.
• Home Preparation: Arrange for help at home, prepare meals in advance, and set up a recovery-friendly space.
• Preoperative Instructions: Follow your doctor’s guidance regarding fasting, medications, and any needed lifestyle changes.

At Georgia Hand, Shoulder & Elbow, our care team provides step-by-step preparation guidance so you can approach surgery with confidence.

How is Shoulder Replacement Done?

Total shoulder replacement surgery is typically performed under general anesthesia. Here’s an overview of what happens:

1. Incision and Exposure: A surgical incision is made to access the damaged shoulder joint.
2. Removal of Damaged Tissue: The affected parts of the upper arm bone and shoulder blade are removed.
3. Implant Placement: The artificial components are implanted to recreate a functional ball and socket joint.
4. Closure and Recovery: The incision is closed, and the shoulder is immobilized for initial healing.

If a patient has a damaged rotator cuff, a reverse total shoulder replacement may offer better function and reduced pain post-surgery.

Recovery After Shoulder Replacement

Recovery from shoulder replacement involves several key stages:

Outpatient Surgery

The surgery is typically performed as an outpatient procedure. The anesthesiologist blocks the arm with regional anesthetic before the surgery, which, in most cases, allows the patient to recover at home after the surgery.

Immobilization

A sling is usually worn for several weeks to protect the new joint. During this time, mobility will be limited, and you’ll receive guidance on daily activities.

Physical Therapy

Rehabilitation is crucial. A physical therapy plan will be tailored to help you regain strength, flexibility, and range of motion. Many patients begin with gentle movements within days of surgery and progress over several months.

Follow-Up Care

Ongoing evaluations ensure your shoulder joint replacement is healing properly. Your surgeon will monitor your progress and adjust your care plan as needed.

Full recovery may take several months, but many patients experience a significant reduction in severe pain and improved function in their shoulder and arm.

Schedule a Consultation Today

If severe shoulder pain is holding you back, don’t wait to explore your options. At Georgia Hand, Shoulder & Elbow, our skilled team offers comprehensive care for a wide range of shoulder conditions, including total shoulder replacement, reverse shoulder replacement, and partial shoulder replacement procedures.

Our offices in Marietta and Atlanta, GA, are ready to help you take the next step toward a more comfortable and active life. Contact us today to schedule your consultation and find the treatment that’s right for you.