Shoulder Replacement Surgery at Yapita Health

Why would someone need to have a Shoulder replacement?

Common indications of Shoulder replacement include:

• Osteoarthritis

• Rheumatoid arthritis

• Post-traumatic arthritis

• Rotator cuff tear arthropathy

• Avascular necrosis

• Severe fractures

• Failed previous shoulder surgery

What conditions can a Shoulder replacement treat?

Shoulder replacement can treat conditions like osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, rotator cuff tear arthropathy, avascular necrosis, severe fractures, and failed previous shoulder surgery, providing pain relief and improved function.

Different Types of Shoulder Replacement

1. Total Shoulder Replacement (Total Shoulder Arthroplasty): Involves replacing the damaged ball and socket joint of the shoulder with artificial components.

2. Reverse Shoulder Replacement (Reverse Total Shoulder Arthroplasty): Designed for patients with severe rotator cuff damage, where the ball and socket are reversed, providing stability and function.

3. Partial Shoulder Replacement (Hemiarthroplasty): Only replaces the ball of the shoulder joint, typically used for fractures or severe arthritis affecting only one part of the joint.

4. Resurfacing Shoulder Replacement (Surface Replacement Arthroplasty): Similar to total shoulder replacement but preserves more bone, replacing only the damaged parts of the joint.

5. Stemless Shoulder Replacement: Utilizes implants without a stem, potentially preserving more bone and allowing for a less invasive procedure.

6. Anatomic Shoulder Replacement: Mimics the natural anatomy of the shoulder joint, restoring function and mobility.

7. Customized Shoulder Replacement: Tailored to the patient's unique anatomy using advanced imaging technology for a more precise fit.

8. Revision Shoulder Replacement: Performed to replace or repair a failed previous shoulder replacement, addressing complications or wear over time.

Requirements & Evaluation: Shoulder replacement surgery

The following are important requirements and evaluations while planning Shoulder replacement surgery:

1. Diagnosis: A thorough assessment by an orthopedic surgeon to confirm the need for shoulder replacement, usually due to severe arthritis, fractures, or rotator cuff tears.

2. Medical History: Evaluation of past medical history, including any previous shoulder injuries, surgeries, or medical conditions.

3. Imaging Studies: X-rays, MRI, or CT scans to assess the extent of damage to the shoulder joint and surrounding structures.

4. Physical Examination: Examination of shoulder range of motion, strength, stability, and any signs of inflammation or deformity.

5. Functional Assessment: Evaluation of the patient's ability to perform daily activities and assess the impact of shoulder pain and dysfunction on their quality of life.

6. Lifestyle Factors: Consideration of the patient's occupation, hobbies, and lifestyle to determine the best treatment approach and set realistic expectations.

7. Bone Quality: Assessment of bone quality and integrity to ensure adequate support for the shoulder implants.

8. General Health: Evaluation of overall health status, including factors such as age, weight, smoking status, and presence of other medical conditions that may affect surgery outcomes.

9. Shared Decision-Making: Discussion between the patient and surgeon regarding treatment options, risks, benefits, expected outcomes, and post-operative rehabilitation.

Shoulder Replacement Procedure

Before Surgery:

• Preoperative Assessment: The patient undergoes a thorough evaluation by the surgeon to assess shoulder function, medical history, and suitability for surgery.

• Imaging: X-rays, MRI, or CT scans are conducted to assess the extent of damage to the shoulder joint and plan the surgery.

• Medical Clearance: Patients may undergo medical tests and evaluations to ensure they are fit for surgery and anesthesia.

• Education: The patient receives information about the procedure, expected outcomes, risks, and post-operative care.

• Preoperative Preparation: The patient may be advised to stop certain medications, refrain from eating or drinking before surgery, and make arrangements for post-operative care.

After Surgery:

• Recovery Room: The patient is monitored in the recovery room until fully awake and stable.

• Pain Management: Medications are provided to manage post-operative pain.

• Rehabilitation: Physical therapy and exercises are initiated to improve shoulder mobility and strength.

• Hospital Stay: The patient may stay in the hospital for a few days for monitoring and initial rehabilitation.

• Follow-up Care: The patient attends follow-up appointments with the surgeon to monitor healing, assess shoulder function, and adjust rehabilitation as needed.

• Return to Activities: The patient gradually resumes normal activities and may experience improved shoulder function and reduced pain over time. Full recovery can take several months.

• Long-term Follow-up: Regular follow-up appointments are scheduled to monitor the shoulder joint's function and address any concerns or complications.

Risk & Benefits

Risks of Shoulder Replacement Surgery:

• Infection

• Blood clots

• Nerve injury

• Implant complications

• Stiffness

• Anesthesia risks

Benefits of Shoulder Replacement Surgery:

• Pain relief

• Improved function

• Increased mobility

• Enhanced quality of life

• Long-term durability

• Minimally invasive options

Recovery 

Shoulder replacement surgery recovery involves pain management, physical therapy, and a gradual return to activities. Follow-up appointments are crucial for monitoring progress. Recovery time for shoulder replacement surgery varies but typically ranges from several weeks to several months. With proper care, patients can experience improved shoulder function and quality of life post-surgery.