Shoulder Replacement Surgery
Joint replacement for advanced shoulder arthritis and complex fractures.
Shoulder replacement is considered when the joint surfaces are severely worn, when arthritis is combined with a large rotator cuff tear, or after complex fractures of the upper arm bone. The aim is to relieve pain and restore functional movement.
Types and Decision-Making
Two main approaches are used and the choice depends on the condition of the rotator cuff tendons:
- Anatomical replacement: preferred when the rotator cuff is intact; the joint surfaces are replaced in their natural configuration
- Reverse replacement: used when the rotator cuff is deficient; the ball and socket positions are reversed so that the deltoid muscle can lift the arm
The decision is based on examination, X-rays and MRI, together with the patient's age and functional expectations.
Recovery
The arm is protected in a sling for a period after surgery, followed by a graded programme that first restores range of motion and later strength. Pain relief is often noticed early, while functional gains continue over several months.
Overhead loading and heavy lifting are avoided in the early phase. The rehabilitation plan is individual and reviewed at each follow-up visit.
If shoulder pain persists at night, your range of motion is decreasing and non-surgical treatment has not helped, an assessment is advisable.
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