Total shoulder replacement is a procedure in which the damaged articulating parts of the shoulder joint are removed and replaced with artificial prostheses. Replacement of both the humeral head and the socket is called a total shoulder replacement.
Total shoulder joint replacement surgery is indicated for conditions such as osteoarthritis, rheumatoid arthritis or severe shoulder injuries which are not adequately treated by conservative measures such as medications, injections, physical therapy, and activity changes. Dr. Jay recommends surgery when you have the following symptoms:
To decide whether total shoulder replacement is a good option for you, Dr. Jay will evaluate your condition thoroughly.
Dr. Jay reviews your medical history and performs a physical examination of your shoulder to assess the extent of mobility and pain. Imaging tests such as X-ray or MRI (magnetic resonance imaging) are ordered.
You will be admitted one day before or on the day of surgery. After a general anaesthetic you will be positioned in a reclining beach chair position. Dr Jay makes an incision in front of your shoulder. After exposure and removal of the arthritic/injured parts, the bone ends are prepared with state of the art, precision instruments and the new modular components of the shoulder are implanted. The wound is then closed. You will remain in the hospital for 2-3 days and will be instructed on your post-operative rehabilitation program.
After allowing a few days for soft tissue healing exercises will be initiated. This will progress in a graduated manner under the guidance of Dr Jay Shah and the shoulder physiotherapy expert. You will also receive instructions on commencing activities of daily living as and when appropriate.