Shoulder replacement surgery might be recommended in severe stages of shoulder arthritis when your joint is badly damaged. Other conditions that may require shoulder replacement for treatment include:
- Rotator cuff arthropathy, which is a form of arthritis that develops as a result of an untreated rotator cuff tear
- Osteonecrosis, which occurs when there is a lack of blood supply to your bone
- Severe fractures
What happens during shoulder replacement surgery?
Before your shoulder replacement, you will receive a general anaesthetic. During the surgery, your consultant will use artificial prostheses to replace the damaged parts of your joint. The entire shoulder replacement procedure takes around two to three hours.
The types of shoulder replacements offered at the Beaumont are:
- Total shoulder replacement: when the top of your upper arm bone, as well as the socket of your shoulder, are replaced
- Reverse total shoulder replacement: when both your upper arm bone and the socket of your shoulder are replaced, but the positions of these prosthetics are reversed
Benefits and risks of shoulder replacement surgery
There are many benefits of the surgery. Shoulder replacements vastly improve:
- Function and strength of the shoulder
- Your ability to do daily tasks
- Your pain levels
- Your overall quality of life
However, there are also risks associated with shoulder replacement surgery. It is important to remember that these are rare and can occur during any surgery, no matter how minimally invasive. These include:
- Anaesthesia risks
- Infection
- Prosthesis problems
- Excessive bleeding
- Blood clots
- Nerve damage (very rare)
- Blood vessel damage (very rare)
- A shoulder dislocation (very rare)
Recovery from shoulder replacement surgery
You will be in hospital for a few days after surgery. After the surgery, you will have your arm in a brace. Your surgeon will prescribe strong pain relief and antibiotics to prevent infection.
You will also have to ice your shoulder to reduce the pain. You will begin a course of physiotherapy on the next day after surgery. The physio program will last a few weeks. You will likely not be able to drive for four to six weeks.
Most people see the most improvement from their shoulder replacement six months after surgery, but you may continue to see improvement for up to 12 months after surgery.