Total Shoulder Replacement, also called as Total Shoulder Arthroplasty (TSA), is a hugely successful surgery for restoring comfort and function to the arthritic shoulder joint.
In this procedure the arthritic ball is replaced by a smooth metal ball fixed to the arm bone (humerus) by a stem that fits within it. The arthritic socket (glenoid) is resurfaced with high-density polyethylene prosthesis. Among all the different surgical options this shoulder replacement procedure appears to provide the most rapid and complete improvement in comfort and function for shoulders with arthritis.
WHAT IS SHOULDER ARTHRITIS?
Shoulder arthritis is a condition in which degeneration, injury, inflammation or previous surgery destroys the normally smooth cartilage on the socket (glenoid) and ball (humeral head).
HOW IS SHOULDER JOINT ARTHRITIS DIAGNOSED?
Carefully standardized X-rays reveal the loss of the space between the glenoid and humeral head that is normally covered by cartilage, leaving bone on bone contact.
WHEN IS A SHOULDER JOINT REPLACEMENT SURGERY RECOMMENDED?
After doctors’ review the patient, the decision to undergo shoulder replacement surgery should be a cooperative one between you and your orthopedic surgeon. There are several reasons why your doctor may recommend shoulder replacement surgery.
People who benefits from surgery often have:
- Severe shoulder joint pain that interferes with everyday activities, such as reaching into a dressing, cabinet, toileting and washing.
- Normal to severe joint pain while resting. This pain may be severe enough to prevent a good sleep during night time.
- Loss of motion or weakness in the shoulder.
- Failure to substantially improve with other treatments such as cortisone injections, anti-inflammatory medications, or physiotheraphy.
On the day of your surgery:
- If you have diabetes, heart disease, or any other medical problems, your surgeon will ask you to see your doctor who treats you for these clinical conditions.
- Take the medicines your doctor told you to take with a small sip of water.
- You will likely be asked not to drink or eat anything for 6 to 12 hours before the procedure.
- Your doctor or nurse will tell you when to arrive at the hospital. Be sure to arrive on time.
Shoulder replacement surgery is highly technical. It should be performed by a orthopedic surgical team with experience in this surgical procedure. There are different types of shoulder joint replacements. Our Orthopedic surgeon will evaluate patient situation carefully before makingany decisions.
- Total Shoulder Replacement
- Reverse Total Shoulder Replacement
- Resurfacing Hemiarthroplasty
- Stemmed Hemiarthroplasty
- You may stay in the hospital for 1 to 3 days after your shoulder replacement surgery.
- While there, you may receive physiotherapy to help keep the muscles around your shoulder joint from getting stiff.
- Before patient goes home, the physiotherapist will teach you how to move your arm around by using your other (good) arm.
- Follow any instructions you are given about how to care for your shoulder at home. This includes activities that you should not do.
- Your shoulder arm will need to be in a sling for 2 to 6 weeks with no active movement and 3 months before strengthening. It will take around 4 to 6 months for complete recovery.
- You will be given instructions on shoulder exercises to do at home.
- Follow instructions given by the physiotherapist or doctor on how to take care of your wound and shoulder after you go home.
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