Frequently Asked Questions (FAQs) - Total Shoulder Replacement Surgery

Total shoulder replacement surgery is usually recommended for patients who:
✔ Have severe shoulder arthritis (osteoarthritis or rheumatoid arthritis)
✔ Suffer from chronic shoulder pain that limits daily activities
✔ Have significant damage to the shoulder joint (e.g., rotator cuff tears, fractures)
✔ Have not found relief from non-surgical treatments like physical therapy, medication, or injections

🔹 A small incision is made near the knee.
🔹 A tiny camera (arthroscop

During the surgery:

1. General anesthesia or regional anesthesia is administered to ensure you are pain-free during the procedure.

2. The surgeon will remove the damaged parts of the shoulder joint, including the head of the humerus (upper arm bone) and the glenoid (part of the shoulder blade).

3. The surgeon will then insert the artificial components made from metal and plastic to recreate the function of the natural joint.

4. The procedure typically takes 2 to 3 hours.

e) is inserted to visualize the joint.
🔹 Specialized instruments are used to repair or remove damaged tissue.
🔹 The incisions are closed with sutures, and the knee is bandaged.

🕒 Surgery Duration: 30 minutes to 1.5 hours, depending on complexity.

Total shoulder replacement surgery can offer numerous benefits, including:
✔ Pain relief from arthritis or joint degeneration
✔ Improved range of motion and shoulder strength
✔ Enhanced quality of life, allowing for better performance of daily tasks and activities
✔ Restoration of shoulder function, particularly for those suffering from stiffness or loss of mobility

Recovery from total shoulder replacement surgery typically involves:

• Hospital stay: Most patients stay in the hospital for 1-2 days post-surgery.

• Initial recovery: You will wear a sling for 4-6 weeks to protect the shoulder while healing.

• Physical therapy: Rehabilitation starts soon after surgery, focusing on gentle movements, followed by strengthening exercises.

• Full recovery: It may take 4-6 months to regain full strength and motion. Complete recovery can take up to 1 year depending on the patient’s age, overall health, and adherence to rehabilitation.

During the surgery itself, general anesthesia ensures that there is no pain. After the surgery, it is normal to experience some pain and discomfort as the shoulder heals, but this can be managed with prescribed pain medications. Most patients report that the pain diminishes significantly within the first few weeks following surgery.

Like any surgery, total shoulder replacement comes with risks, including:
✔ Infection at the incision site
✔ Blood clots in the arm or lungs (deep vein thrombosis or pulmonary embolism)
✔ Nerve or blood vessel injury during surgery
✔ Implant failure or loosening over time
✔ Stiffness or limited range of motion if rehabilitation is not followed properly
✔ Dislocation of the shoulder joint in rare cases

Most modern shoulder implants last between 15 to 20 years. However, the lifespan of the implant depends on factors such as:

• The patient’s age

• Activity level

• Whether there are complications

• How well the patient follows the rehabilitation plan

In some cases, a revision surgery may be necessary if the implant becomes loose or wears out over time.

Before your surgery, you’ll undergo a thorough assessment which includes:
✔ Physical exam and medical history review to ensure you’re fit for surgery.
✔ Pre-surgery imaging, such as X-rays or MRI scans, to assess the condition of your shoulder joint.
✔ Instructions on fasting: You’ll be advised not to eat or drink for several hours before the surgery.
✔ Medications: Discuss any medications you’re currently taking with your surgeon, as some might need to be adjusted.
✔ Post-surgery plan: You’ll be instructed on what to expect during recovery, including the use of a sling and physical therapy.

• Light activities (e.g., walking) can generally be resumed within 2-4 weeks after surgery.

• Driving is typically allowed after 4-6 weeks, depending on your recovery progress and whether you feel confident in your ability to control the vehicle.

• Sports and heavy lifting may take 6 months to 1 year before resuming, depending on your recovery and the type of activity.

• Most insurance providers cover total shoulder replacement surgery, as it is often deemed medically necessary for patients with severe arthritis or joint damage. It’s best to check with your insurance provider in advance to understand coverage and any potential out-of-pocket costs.