Total Shoulder Replacement

What Is A Total Shoulder Replacement?

When the elements of your shoulder are beyond repair and have become too painful for daily movement, a total shoulder replacement may be your best option for recovery.

Osteoarthritis
Rotator Cuff Arthropathy
Severe Fractures

Anatomic Total Shoulder Replacement

Anatomic total shoulder replacement works best for people who have severe arthritis in the shoulder or injuries beyond repair but have rotator cuff tendons that are still intact.

Ligaments and tissue hold the joint and attach the bones and muscles together. A total shoulder replacement will replace your joint surfaces with a metal ball attached to a stem along with a plastic socket. These are fixed to your shoulder through either a press-fit or with the use of cement to keep the elements in place.

Reverse Total Shoulder Replacement

A reverse total shoulder replacement is best for individuals who suffer from torn rotator cuffs, arm weakness and/or severe arthritis.

In a reverse total shoulder replacement, the ball and socket are reversed. The ball is attached to the scapula and the plastic socket is attached to the stem which is affixed to the upper arm. This allows the utilization of the deltoid muscle as opposed to the rotator cuff to control movement of the arm at the shoulder joint.

Total Shoulder Replacement Diagnosis

Injuries that can be repaired through reconstruction surgeries share a common set of symptoms. You’ll likely feel severe pain, stiffness and swelling in the shoulder. If your injuries or symptoms are more severe, a total shoulder replacement may be your best option.

The shoulder experts at Adelphi will put you through a thorough physical evaluation, along with diagnostic tests such as an MRI, CT scan or X-ray, to identify the injury and the degree of

Total Shoulder Replacement Procedure

After the administration of anesthesia, an incision is made from the top of your shoulder, curving along with your deltoid and through the tissue, to access your shoulder joint. The upper arm bone (humeral head) is dislocated from the socket of your scapula and examined to determine if we need to remove any bone spurs that might have developed.

Total Shoulder Replacement Procedure

The humeral head is removed and prepared for the prosthetic stem. At this point, the shoulder socket is smoothed and shaped to fit the prosthetic socket. This socket is then adhered to your bone by cement or press-fit components. The prosthetic ball is then affixed to the stem on your humeral head and inserted into the socket. It is then moved and checked for ease of motion. Your muscle and soft tissue are repaired and the skin is stitched before you are sent to recovery.

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