Total Shoulder Replacement Surgery
Total shoulder replacement is indicated for someone with an arthritic shoulder, that has failed all non-operative treatment and the pain is affecting one’s quality of life. Anatomic Total Shoulder Replacement requires intact rotator cuff tendons. This surgery replaces the damaged or diseased head of the humerus (also called the ball) and cartilage from the shoulder joint with a metal and plastic joint.
Once a patient has failed non-operative treatment, the next step is a total shoulder arthroplasty. The purpose of shoulder replacement is to relieve pain and restore the ability to maintain independence in daily activities. Your shoulder has become damaged by arthritis or injury which often results in shoulder pain and/or discomfort, stiffness, swelling, weakness and limited motion. It is often difficult to perform simple activities such as dressing or lifting due to joint pain.
What is Total Shoulder Replacement Surgery?
During a total shoulder replacement, the physician has to cut one of the rotator cuff tendons (subscapularis) in the front of your shoulder in order to get into the glenohumeral joint. Then the humeral head is cut off. A metal rod is placed down the humerus. And a metal ball is placed on top of the metal rod. Next, the physician prepares the glenoid and cements in a plastic glenoid. After the implant is in place, the physician has to repair the subscapularis tendon. The subscapularis, along with other muscles and tendons, help keep the total shoulder located. Your recovery and restrictions initially after surgery are based off of this tendon healing
Benefits of Total Shoulder Replacement Surgery
Outcomes of a Total Shoulder Replacement
■ 90-95% successful in taking away pain.
■ On average patients can elevate their arm to
about 140 degrees.
■ 90% of total shoulders are still in place at 10
years and 85% are still in place at 15 years.
■ It can take from three to six months for the
shoulder to heal.
■ Regaining full strength and range of motion
can take up to a year.