The surgery involves replacing the upper humerus with a polished metal ball, then replacing the shoulder socket also called a glenoid with a new plastic socket. More info on total shoulder replacement surgery. Hemiarthroplasty is a replacement of only the ball of your shoulder. If your socket is still healthy and has good cartilage left, your doctor might recommend a stemmed or resurfaced hemiarthroplasty. The stemmed version of the surgery involves a replacement of the ball and attached stem bone in the upper humerus.
In a resurfacing hemiarthroplasty, the surgeon only replaces the top of the humeral cap, leaving the remaining humerus bone intact. In a reverse total shoulder surgery, the shoulder socket and metal ball piece completely switch places. The metal ball is attached to the shoulder bone, and the socket piece is then attached to the stem of the humerus.
This surgery essentially changes the muscle groups used to gain range of motion. After reverse total shoulder surgery, the patient will use the deltoid muscles at the top of the shoulder instead of the rotator cuff, which is why this surgery is ideal for people with torn rotator cuff muscles.
More info on reverse total shoulder surgeries. In many cases, these shoulder replacements can relive a patient of pain and help them regain significant range of motion, but not every surgery is guaranteed to be an easy fix. Even after the surgery, you may experience complications such as infection, shoulder dislocation or nerve injuries.
The best person to consult about any possible drawbacks of the surgery is your doctor or your orthopaedic surgeon. After your surgery, your doctors will prescribe you with pain medication and antibiotics to help prevent infection. Shortly after your surgery, your doctors will start you on a physical therapy and exercise program, which is an extremely important step in your recovery.
General anesthesia puts you into a deep sleep. The nerve block numbs your shoulder so that pain control can continue after you wake up from general anesthesia. The surgery usually takes 1 to 2 hours. After surgery, you'll rest in a recovery area for a short time. X-rays will be obtained. Your shoulder will be in an immobilizer. Don't try to move your shoulder unless you're told to do so.
How long you stay after surgery depends on your individual needs. Many people can go home that same day. If you're planning to have shoulder replacement surgery at Mayo Clinic, the following resources will explain what to expect and how to prepare.
After shoulder replacement, most people have less pain than they did before surgery. Many have no pain. Most people also have improved range of motion and strength. Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions. Shoulder replacement surgery care at Mayo Clinic. Mayo Clinic does not endorse companies or products.
Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Overview Healthy shoulder joint Open pop-up dialog box Close. Healthy shoulder joint In a healthy joint, the round head ball of the upper arm bone fits into a shallow socket in the shoulder.
Anatomic total shoulder replacement Open pop-up dialog box Close. Anatomic total shoulder replacement In an anatomic total shoulder replacement, the ball and the socket are replaced with implants that resemble the natural shape of the bones. Reverse total shoulder replacement Open pop-up dialog box Close. Reverse total shoulder replacement In a reverse total shoulder replacement, the ball implant is attached to the shoulder blade and the socket is attached to the upper arm bone.
Your shoulder replacement surgery at Mayo Clinic If you're planning to have shoulder replacement surgery at Mayo Clinic, the following resources will explain what to expect and how to prepare. Patient education booklet PDF Video playlist. Share on: Facebook Twitter. Show references Office of Patient Education. Shoulder replacement surgery. Mayo Clinic; Azar FR, et al. Shoulder and elbow arthroplasty. In: Campbell's Operative Orthopaedics.
Elsevier; Accessed April 5, Khazzam MS, et al. Management of glenohumeral joint osteoarthritis. Journal of the American Academy of Orthopaedic Surgery. Have you visited Focus Shoulder Specialists recently? We'd love to hear about your experience visiting us. What are the treatment options for osteoarthritis? Your surgeon would refer you to a physiotherapist they trust. The benefit of this approach is that to a large degree, management is in your hands.
Pain relief and anti-inflammatory medication — To be considered within a broader treatment plan, pain relief and anti-inflammatory medication is helpful for providing relief of symptoms.
In no way curative, these drugs are not a long term solution for fixing the osteoarthritic condition. Steroid injections — Again, not a long term solution, steroid injections can be given to provide short term pain relief.
Be aware the effectiveness of steroid injections is unpredictable due to the wide variability in presentation of osteoarthritis in patients and they should not be repeatedly as they have been shown to cause further damage to the joint. I need shoulder replacement surgery. Are there different types of shoulder replacements to choose from?
In the past, there have been three forms of shoulder replacement used: Hemiarthroplasty , in which a prosthetic metal and now ceramic implant is placed into the upper bone of the arm the humerus — the ball.
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