Total Shoulder Replacement

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. 

What is a shoulder replacement used to treat?

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.

What is Arthritis of the shoulder?

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.

What does Total Shoulder Replacement involve?

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. 

What complication can happen after a Total Shoulder Replacement surgery?

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.

Cost of a Total Shoulder Replacement surgery

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. 

How soon will I recover after the Total Shoulder Replacement surgery?

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.


Total Shoulder Replacement with Ramsay

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. 


Find your nearest hospital that provides this treatment

or use my current location

Related Content

Image of plate with fish and vegetables

7 Tips to Keep Your Heart Healthy

Keeping your heart as healthy as possible is all about living a healthy lifestyle. There are little things you can do every day and bigger decisions that can all help with maintaining a healthy heart.

Continue Reading

The Benefits of Walking

Going for a walk is one of the most accessible, most straightforward and most enjoyable ways of exercising. Whether you’re just taking a stroll through your local park, or taking a hike up a mountain trail, you’ll be working your muscles and improving your health with every step you take.

Continue Reading

What to expect from a stay in a private hospital

If you’re considering private treatment then you may be wondering what it’s like to stay in a private hospital.

Continue Reading
7 ways to manage stress

7 Ways to Manage Stress

Most of us are exposed to stress at one time or another in our lives, whether from work, family, or other responsibilities and circumstances. A little stress can often be beneficial, but when we’re put under too much pressure it has the potential to quickly become a problem.

Continue Reading
burn calories hero

Fun Ways to Burn Calories

Here are some more accessible and fun ways to exercise and burn calories at home.

Continue Reading
10 minute workout hero

10-Minute Workouts for Exercising at Home

Finding the time to workout can be tough, so here are some 10-minute exercises that can be fitted into your daily schedule at any time

Continue Reading

Best Short Workouts to Keep Fit at Home

We’ve chosen some of the best workouts to do at home so you can get back to being active and improve your fitness levels.

Continue Reading

How to Get a Good Night's Sleep

Here are some tips which might help you achieve easier sleep and a deeper slumber.

Continue Reading
Boost Immune System Ramsay

How To Boost Your Immune System

To help you boost your immune system, we’ve come up with five handy ways to keep things running at their maximum capacity.

Continue Reading

Sitting vs Standing at Work

The debate between whether standing is better than sitting at work has been going on for years, so we wanted to break things down and look at both objectively to see what truly makes a difference

Continue Reading

Paying for yourself?

Get in touch

Need some advice on a treatment price or booking an initial appointment?

We're here to help.

Or send us a message...