Shoulder replacement surgery: what are my options?

What is shoulder replacement surgery?

Shoulder replacement surgery, also known as shoulder arthroplasty, is a medical procedure designed to alleviate pain and improve the function of a damaged or arthritic shoulder joint. This surgery involves replacing the damaged parts of the shoulder joint with artificial components, much like how a hip or knee replacement is performed.

Experienced shoulder and elbow consultant Miss Dimitra Leivadiotou explains more about the surgery, including when it is necessary and the various options available.

When is shoulder replacement surgery necessary?

Shoulder replacement surgery is typically recommended when conservative treatments like physical therapy, medication, and lifestyle modifications no longer provide relief from chronic shoulder pain or loss of function. It is commonly indicated for individuals suffering from conditions such as osteoarthritis, rheumatoid arthritis, rotator cuff tears, or severe fractures of the shoulder joint. These conditions often lead to debilitating pain, limited range of motion, and a decreased quality of life.

What are the various types of shoulder replacement surgeries available?

There are several types of shoulder replacement surgeries, with the most common being:

Total Shoulder Replacement: in this procedure, both the ball and socket of the shoulder joint are replaced with artificial components.

Partial Shoulder Replacement (Hemiarthroplasty): only the damaged ball of the joint is replaced, leaving the natural socket intact.

Reverse Shoulder Replacement: this surgery is recommended when there is a significant rotator cuff tear. It reverses the position of the ball and socket components, allowing the deltoid muscle to take over the function of the damaged rotator cuff.

What are the risks and complications associated with shoulder replacement surgery?

While shoulder replacement surgery is generally safe and effective, it does come with potential risks and complications. These can include:

• infection
• blood clots
• nerve injury
• instability of the joint
• complications related to anaesthesia

Patients are encouraged to discuss these risks with their surgeon and carefully follow post-operative instructions to minimise them.

Post-Surgery rehabilitation

Physical therapy is a crucial component of the recovery process after shoulder replacement surgery. Patients typically require physical therapy to regain strength, improve range of motion, and restore function. The duration of physical therapy varies but may last several weeks to several months, depending on the individual's progress and the type of surgery performed.

What are the alternatives to shoulder replacement surgery?

While shoulder replacement surgery can provide significant relief for many patients, it is not the only option. Alternative treatments may include corticosteroid injections, hyaluronic acid injections, platelet-rich plasma (PRP) therapy and lifestyle modifications. However, the effectiveness of these alternatives depends on the individual's specific condition and should be discussed with a healthcare professional.

If you require shoulder replacement surgery and would like to book a consultation with Miss Leivadiotou, simply visit her Top Doctors profile today.