Total shoulder replacement, also known as shoulder arthroplasty, is a surgical procedure designed to relieve pain and restore function in shoulders damaged by arthritis, severe fractures, or other degenerative conditions. At PCI Orthopedics, our highly skilled orthopedic surgeons utilize advanced techniques and state-of-the-art technology to provide effective shoulder replacement surgery, ensuring optimal outcomes and improved quality of life for our patients.
When Is Total Shoulder Replacement Needed?
Total shoulder replacement may be recommended for patients experiencing:
- Severe Arthritis: Osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis leading to significant pain and reduced mobility.
- Severe Fractures: Complex shoulder fractures that cannot be repaired with other surgical methods.
- Avascular Necrosis: A condition where the blood supply to the shoulder bone is disrupted, causing bone tissue death.
- Rotator Cuff Tear Arthropathy: A combination of rotator cuff tear and arthritis leading to pain and shoulder dysfunction.
- Failed Previous Surgeries: When previous surgical treatments have not relieved pain or restored function.
The Total Shoulder Replacement Procedure
Preoperative Evaluation
- Comprehensive physical examination and medical history review.
- Advanced imaging studies, such as X-rays, MRIs, or CT scans, to assess the extent of shoulder damage.
- Discussion of your medical condition, treatment options, and the benefits and risks of the surgery.
Surgical Procedure
- Anesthesia: General anesthesia or regional anesthesia to ensure you are comfortable and pain-free during the surgery.
- Incision: A precise incision is made over the shoulder joint to access the damaged area.
- Removal of Damaged Tissue: The damaged head of the humerus (upper arm bone) and the socket of the scapula (shoulder blade) are carefully removed.
- Implant Placement: A metal ball attached to a stem is inserted into the humerus, and a new plastic socket is attached to the scapula. These components mimic the natural anatomy of the shoulder joint.
- Closure: The incision is closed with sutures or staples, and a sterile dressing is applied.
Postoperative Care
- Pain management strategies, including medications and ice therapy.
- Immobilization of the shoulder with a sling to promote healing.
- Detailed instructions on wound care, activity restrictions, and follow-up appointments.
- Rehabilitation and Recovery