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During Shoulder Replacement Surgery

What to Expect During Your Shoulder Replacement Surgery

What Happens During Shoulder Replacement Surgery?

Shoulder replacement surgery is a carefully planned procedure aimed at relieving chronic pain and restoring mobility to your shoulder joint. If you have been experiencing persistent shoulder pain due to arthritis, fractures, or other joint disorders, shoulder replacement can significantly improve your quality of life.

While preparing for shoulder replacement surgery is essential, understanding the steps involved during the actual procedure can help alleviate any fears or uncertainties you may have. This page provides a comprehensive guide to what happens during shoulder replacement surgery so that you know exactly what to expect.

What Happens Before the Surgery Begins?

  • Preoperative Preparation
  • Positioning
  • Anesthesia Administration

The Surgical Procedure:

Accessing the Shoulder Joint
  • Incision Location: The incision is typically made on the front or side of the shoulder, depending on the surgical approach.
  • Muscle and Tissue Relocation: Once the incision is made, muscles and tissues around the shoulder joint are carefully moved aside, allowing the surgeon to access the shoulder joint.
Removal of the Damaged Shoulder Joint
  • Removal of the Ball (Humeral Head): In total shoulder replacement, the ball portion of the upper arm (humerus) is removed. In a reverse shoulder replacement, this may involve reshaping or removing the humeral head.
  • Removal of the Glenoid (Socket): If necessary, the glenoid (the shallow socket of the shoulder blade) may be removed or restructured to accommodate the prosthesis.
Implanting the Prosthesis
  • Humeral Component: The surgeon will insert a metal or ceramic ball at the top of your humerus (upper arm bone) to replace the damaged ball of the joint.
  • Glenoid Component: The glenoid socket is replaced with a prosthetic component. Depending on the type of shoulder replacement (anatomic or reverse), this part may be made of metal, plastic, or a combination of materials.
  • Positioning the Components: The prosthetic parts are carefully positioned to mimic the natural movement of a healthy shoulder joint. The goal is to ensure optimal alignment and functionality, allowing the shoulder to move freely and with minimal pain post-surgery.
Checking Joint Movement and Stability
  • Range of Motion: The surgeon will test the joint’s range of motion to ensure that it moves freely and smoothly.
  • Stability: The surgeon will verify that the components are well-positioned and stable, without any risk of dislocation.
  • Correct Alignment: The alignment of the prosthetic components will be checked under fluoroscopy (real-time X-ray) to confirm proper positioning.
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