Total shoulder replacement, also known as total shoulder arthroplasty, is shoulder surgery to relieve pain, restore motion, and increase strength and function in your shoulder. It is most commonly performed in patients with severe shoulder arthritis.
Total shoulder arthroplasty involves removing and replacing both the damaged ball and socket parts of your shoulder joint with new artificial components, called a prosthesis.
Shoulder replacement is a shoulder pain treatment for severe pain and stiffness that typically results from arthritis or injury of your shoulder joint.
The procedure may also be performed in patients who have:
• long term rotator cuff tear – tear of the muscles and tendons that surround your shoulder joint and keep the head of your upper arm bone in your shoulder socket. A torn rotator cuff can cause osteoarthritis.
• frozen shoulder – an inability to move your shoulder as the shoulder capsule of connective tissue thickens and becomes tight. Stiff bands of tissue, called adhesions, may develop.
• shoulder bone spurs – bone spur shoulder is an abnormal bony overgrowth of your normal bone that often occurs with osteoarthritis.
• avascular necrosis - a lack of blood supply to your upper arm bone causes it to die and can lead to breaks in your bone and eventually bone collapse. It can cause osteoarthritis to develop.
Arthritis of the shoulder is a condition that damages the smooth and lubricated shoulder joint cartilage, that would normally allow the ends of your shoulder joint bones to glide easily. The most common types of arthritis of the shoulder are:
• osteoarthritis - a wear and tear condition that causes your shoulder joint to become stiff and painful. It occurs when the shock-absorbing cartilage that cushions your shoulder joint becomes inflamed, worn away and eventually lost, and when you move your shoulder joint, the bones of the joint then rub against each other and cause pain. It is one of the most common reasons why patients need shoulder replacement surgery.
• rheumatoid arthritis (RA) - a chronic autoimmune disease that causes your immune system to attack and damage normal tissue such as cartilage and ligaments. It usually affects both of your shoulder joints.
• posttraumatic arthritis - a form of osteoarthritis that develops after an injury, such as a shoulder fracture or dislocation.
Total shoulder replacement surgery typically takes around two hours and can be performed under general or local anaesthetic.
Your surgeon will make an incision down the front of your shoulder to allow access to your shoulder joint. They will remove your arthritic ball (humeral head) and carefully prepare your bone surfaces to accept the components of your new shoulder. A highly polished metal ball is inserted into place using cement or implants that foster bone ingrowth and, a new smooth plastic surface is press-fitted or cemented on to your glenoid, also called the socket.
Your incision will then closed using stitches that will need removing after two weeks.
Procedure alternatives include a partial shoulder replacement (or hemi-replacement) where only the ball is replaced, leaving the glenoid socket untouched and, shoulder resurfacing whereby a metal covering or cap is placed on your humeral joint surface and your humeral bone is preserved.
Shoulder replacement surgery will only be recommended if other treatments such as physiotherapy, non-steroid anti-inflammatory medicines, steroid injections and shoulder arthroscopy haven’t worked for you.
Possible complications of any operation include: wound infection, an unexpected reaction to the anaesthetic, excessive bleeding or a blood clot.
Complications specific to total shoulder replacement surgery:
• shoulder instability - the top of your upper arm moves out of its socket.
• accidental damage to your shoulder joint - nerves, muscles and blood vessels.
• joint infection.
• small bone cracks leading to a fractured shoulder bone.
A new shoulder joint should last for at least ten years. If necessary it can then be replaced again.
If you decide to pay for your treatment, Ramsay offer an all-inclusive Total Care package, where a single one-off payment at a pre-agreed price, delivering direct access to all the treatment you need for complete reassurance. You can also spread the cost of your treatment with finance options available.
A total shoulder replacement may be covered by your medical insurance policy. We advise you to check directly with your insurance provider and get written confirmation before commencing treatment.
Following your shoulder replacement surgery, you will stay in hospital for up to four days.
One of our physiotherapists will offer support and advise on a physiotherapy and exercise plan the day after your surgery until you leave hospital. You should continue with these exercises for many months to aid your recovery and ensure you regain maximum movement, strength and power.
Your arm will be kept in a sling for around four weeks.
Most patients can drive again after six to eight weeks when they have regained good use of their shoulder.
It usually takes at least three months to make a full recovery from total shoulder replacement surgery, but this does vary from patient to patient, so make sure you follow your surgeon’s advice. You should ask their advice on lifting, returning to work and other activities.
Many patients return to the sports and lifestyle they love following shoulder replacement surgery.
Ramsay Health Care Hospitals provide you the very best of care and all the support you need before, during and after your shoulder surgery. Our leading shoulder surgeons, orthopaedic nursing staff, consultant radiologists and chartered physiotherapists will develop and plan your individual treatment plan.
Our aim is to manage your shoulder pain and provide fast, efficient and appropriate diagnosis and treatment to alleviate your pain and improve your mobility, allowing you to quickly return to the activities you love and, regain a better quality of life.
Contact us to book your appointment now.
Mr Robert Boyd
Mr Robert Boyd is a Consultant Orthopaedic Surgeon in Wiltshire specialising in Foot and Ankle.Read more
Mr David Cox
Mr David Cox is a Consultant Orthopaedic Surgeon at New Hall Hospital in Salisbury, Wiltshire who specialises in hip, knee and shoulder surgery. He has undertaken many thousands of hip and knee replacements and is able to undertake patient specific knee replacements. These bespoke replacements use 3D imaging to tailor the replacement to the individual. He also has a special interest in the management of sports injuries, utilising minimal access surgical techniques when indicated.Read more
Mr Ahmed Elmorsy
Mr A Elmorsy is a Consultant Orthopaedic Shoulder Surgeon at New Hall Hospital, in Salisbury, Wiltshire. He specialises in all types of shoulder surgery.Read more
Mr Nick Evans
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Mr Neal Jacobs
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Mr Ivar Kask
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Mr Erman Melikyan
Mr Erman Melikyan is a Consultant Orthopaedic Surgeon who specialises in hand and wrist surgery.Read more
Mr Phil Pettit
Mr Phil Pettit is a Consultant Orthopaedic Surgeon at New Hall Hospital in Salisbury, Wiltshire who specialises in hip and knee surgery.Read more
Mr Makarahalli Prabhakar
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Mr Jonathan Quayle
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Mr Peter Rauh
Mr Peter Rauh is a Consultant Orthopaedic Surgeon at New Hall Hospital who specialises in foot, ankle and knee surgery.Read more
Mr Sridhar Sampalli
Mr Sridhar Sampalli is an Associate Trauma and Orthopaedic Surgeon at New Hall Hospital in Salisbury, who specialises in hip and knee surgeryRead more
Mr Jeremy Southgate
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Mr Leonidas Vachtsevanos
Mr Leo Vachtsevanos is a Consultant Trauma and Orthopaedic Surgeon in Salisbury, specialising in joint preserving knee operations and hip and knee replacement surgery.Read more
Mr Ivor Vanhegan
Mr Ivor Vanhegan is a Consultant Trauma & Orthopaedic Surgeon in Salisbury who specialises in Hip & Knee surgeryRead more
Mr Stephen Veitch
Mr Stephen Veitch is a Consultant Orthopaedic Surgeon in Salisbury, Wiltshire who specialises in hip and knee surgery.Read more
Mr Rakesh Choudhary
Mr Rakesh Choudhary is a Consultant Orthopaedic Surgeon at the New Hall Hospital, Salisbury and the Cherwell Hospital, Banbury who specialises in hip and knee surgery.Read more
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