Shoulder Replacement Surgery
Shoulder joints are spherical and socket-shaped. As part of shoulder replacement surgery, the affected sides of the upper arm bone (humerus) and the shoulder arm bone (scapula) are restored and capped with an artificial surface. It is a successful procedure in alleviating pain however it is not as similar to hip or knee replacement. Complete shoulder replacement, requiring open surgery, with a cut beside the anterior part of the shoulder and upper arm. In some cases, a minimum forward shoulder arthroscopy procedure is usually suggested and is one of the most common and frequently specified shoulder procedures.
Recommended: Stemless Total Shoulder Replacement for the First time at Global Hospital
Indications for shoulder replacement
- Chronic shoulder pain that interferes with day-to-day activities.
- Mediate to acute pain while resting.
- Loss of movement or imperfection in the shoulder.
- No sign of development with other medications such as anti-inflammatory medications, cortisone injections, or physical therapy.
Causes of Shoulder Replacement
Osteoarthritis – It is an age-related degenerative form of arthritis. It generally arises in people 50 years of age and above, and the cartilage that protects the sides of the bones becomes damaged. It can cause rubbing on bone and create painful bone spurs.
Rheumatoid Arthritis – the synovial membrane is swollen and bulky that causes damage to the cartilage and ultimately leads to loss of cartilage, pain, and inflexibility.
Post-traumatic Arthritis – It consists of severe damage to the shoulder Rotator Cuff Tear Arthropathy.
Avascular Necrosis – It happens when the blood circulation to the bone is damaged.
Severe fractures – It is one of the other common reasons for shoulder replacement for people. An earlier shoulder replacement surgery failed.
You may be interested in: Surgical techniques for Shoulder replacement.
- Shoulder pain
- Loss of motion
Tests and diagnosis
- Symptoms are reported by the patient.
- Physical tests estimate shoulder movement, stability, and strength.
- X-ray images help determine the extent of shoulder damage.
- A magnetic resonance imaging (MRI) scan or a bone scan may be required to determine the condition of the bone and soft tissues of your shoulder.
- Blood tests.
Types of Shoulder Replacement
Complete Shoulder Replacement – Complete shoulder replacement includes replacing arthritic joint surfaces with a metal ball connected to a stem and plastic socket.
Partial Shoulder Replacement – Only balls are replaced.
Reverse total Replacement – In reverse total shoulder replacement, the socket and the metal ball are controlled. It is used in the cases of totally torn rotator cuffs with acute arm weakness and earlier shoulder replacement that is unsuccessful.
- The orthopedic surgeon will assess and consider the risks and benefits of shoulder joint replacement.
- Total physical analysis before surgery.
- Blood tests to examine normal parameters.
- Some medications may be required to be stopped before surgery. Non-steroidal anti-inflammatory medications, such as aspirin, ibuprofen, and blood thinners.
Numerous procedures are carried out by shoulder arthroscopy. Acute cases are treated with partial or total shoulder replacement surgery. The recovery period for shoulder surgery usually varies between 6 and 12 months.
- The procedure of replacing your shoulder joint with an artificial device. It normally takes about 2 – 3 hours.
- It is carried out under General Anesthesia.
- The surgeon either joined only part of the shoulder or completed the shoulder replacement.
- A cut is made above the anterior shoulder. The surgeon examined the damaged cartilage.
- The damaged upper arm bone (humerus) is extracted and arranged for transplant.
- Bone sockets were revealed and damaged cartilage was removed. For implantation, an incision is made.
- Stitching or staples were used to close the opening after the surgeon placed the transplant socket, ball, and stem elements.
- For short-term coverage of operating areas, a bandage is applied.
- Antibiotics are given to prevent infections.
- Painkillers are prescribed to relieve pain.
- Injury areas may be staples. These staples will be removed some weeks after surgery.
- You will require the string to provide support and preserve your shoulder for the first 2 to 4 weeks after surgery.
- Do not soak the wound in water.
- Physical therapy begins the day before the operation. It is followed by X-rays to ensure that the implant is done properly.
- A shoulder replacement should be completed with a full recovery following a major surgical operation.
Complications of surgery
Every surgical procedure has some risks and complications. It includes:
- Unattached is the replacement part.
- Fracture of the bone throughout the surgery.
- Slow healing of the wound.
- Wound hematoma.
- Nerve damage in close proximity.
Factors affecting the Cost Of Treatment Of Shoulder Replacement
The cost of the treatment varies depending on different factors, including:
- Hospital preferences of the patient.
- Fees of the surgeon.
- Price of the prosthesis.
- Price of test and diagnosis.
- Price of surgery.
- The cost of maintenance throughout the surgery.
- Price of physiotherapy.