Shoulder pain and arthritis can significantly impact your daily life, making it difficult to perform even the most basic tasks. For those with end-stage shoulder arthritis, a shoulder arthroplasty may be necessary.
What is Shoulder Arthroplasty?
Shoulder arthroplasty, also known as shoulder replacement surgery, is a procedure in which a damaged or arthritic shoulder joint is replaced with an artificial joint.
This procedure is typically recommended as a last resort when conservative treatments, such as physical therapy, medication, and corticosteroid injections have failed.
Types of Shoulder Arthroplasty
There are two main types of shoulder arthroplasty: total shoulder arthroplasty and reverse shoulder arthroplasty.
Total Shoulder Arthroplasty
In total shoulder arthroplasty, both the ball and socket of the shoulder joint are replaced with artificial components.
This type of surgery is typically recommended for those with severe osteoarthritis, rheumatoid arthritis, or other degenerative joint diseases.
Reverse Shoulder Arthroplasty
Reverse shoulder arthroplasty is a newer procedure in which the ball and socket of the shoulder joint are switched. The ball is placed on the scapula and the socket is placed on the humerus.
This type of surgery is typically recommended for those with rotator cuff tears, severe shoulder fractures, or other complex shoulder problems.
Who is a Candidate for Shoulder Arthroplasty?
Shoulder arthroplasty may be recommended for those with severe osteoarthritis, rheumatoid arthritis, or other degenerative joint diseases.
It may also be recommended for those with rotator cuff tears, severe shoulder fractures, or other complex shoulder problems.
Preparing for Shoulder Arthroplasty
If you are scheduled for shoulder arthroplasty, it is important to prepare for the surgery in advance. Your surgeon will provide you with specific instructions, but here are some general tips:.
- Quit smoking
- Lose weight if necessary
- Stop taking blood-thinning medication
- Arrange for someone to help you at home after the surgery
- Prepare your home for your return. Ensure that you have a comfortable chair, grab bars in the bathroom, and a clear pathway from the bedroom to the bathroom.
What to Expect During Shoulder Arthroplasty
Shoulder arthroplasty is typically performed under general anesthesia and takes about 2 to 3 hours.
The surgery is performed through an incision in the shoulder, and the damaged joint is replaced with an artificial joint. After the surgery, you will be moved to a recovery area and monitored for a few hours before being discharged.
Recovery After Shoulder Arthroplasty
Recovery after shoulder arthroplasty can take anywhere from a few weeks to several months depending on the type of surgery and individual factors.
Your surgeon will provide you with specific instructions for recovery, but here are some general tips:.
- Take pain medication as prescribed
- Participate in physical therapy to regain strength and mobility in your shoulder
- Avoid heavy lifting or strenuous activity for several weeks
- Use ice packs to reduce swelling and pain
- Follow a healthy diet to promote healing
Complications of Shoulder Arthroplasty
As with any surgery, there is a risk of complications with shoulder arthroplasty. Some of the most common complications include:.
- Blood clots
- Infection
- Implant failure
- Nerve damage
- Shoulder dislocation
Your surgeon will discuss these risks with you before the surgery, and will take steps to minimize the risk of complications.
Conclusion
Shoulder arthroplasty can be a life-changing procedure for those with severe shoulder pain and arthritis. If you are considering this procedure, talk to your doctor to determine whether it is right for you.