What is total shoulder replacement surgery?When a patient suffers from severe arthritis (i.e. the cartilage lining hascompletely worn away) excruciatingly painful bone-on-bone arthritis occurs.Motion is restricted and the pain can be tolerated with some medication (suchas cortisone and non-steroidal anti-inflammatory medicines) which is administeredvia localised injections. Surgery is a recommended and often inevitableoutcome, even if the medication has a modicum of success. If you experience anyof the following symptoms, you may be at risk from severe arthritis and it maybe time to address your shoulder problem:basic activities cause pain, motion is limited, shoulder stiffness, jointswelling and tenderness.
So howdoes total shoulder replacementwork? Pain is permanently alleviated with an artificial replacement ? in theform of either a metal- or plastic implant. The shoulder is a rotating joint thathas many features in common with the hip joint. Thanks to this socket joint, amassive range of motion is allowed within a health joint. Therefore whenshoulder surgery is performed, the ball is removed from the top of the humerusand reinstated with a new metal or plastic implant. A half-moon shape isattached to a stem which is inserted straight down the middle of the arm bone.Then the socket portion is shaved clean, to be replaced with a plastic socketwhich is permanently affixed into the scapula. The goal of this surgery is toalleviate pain, not to improve general movement. Patients should understandthis before undertaking this lengthy and often complicated surgery.
Alsounderstand that you must undergo a pre-operative health screening exam toensure that any potential patient is ready for total shoulder replacement surgery. Do not eat or drink anything onthe day of the surgery, as surgeons require the system to be clean beforeattempting any invasive procedure. Your surgery may range from anywhere betweentwo to three hours, which is of course wholly dependent on the amount ofpreparation and anaesthesia required. Surgeons operate through a four to eightinch-long incision which is generally performed under local anaesthesia.Recovery extends the time with a further hour.
Expectyour hospital stay to be between two or three days, depending on the length anddifficulty of the surgery. The doctor will send you home with a sling, and patientmust of course follow the instructions of the doctor. Many surgeons willattempt to test the motion of your arm immediately following surgery, as ithelps to gauge the level of success. It takes a period of three months or moreto return to normal activities. The emphasis during this time period is onstrengthening the muscle and increasing the active scope of rotationalmovement.
Somerisks are of course associated with the surgery; these are minimal but rangefrom:
?A possible infection around the implant, which is a highly seriouscomplication. In the event of this occurring the entire joint would have to beremoved to wipe out the infected area.
?If the surgeon does not balance the soft tissues around the shouldercorrectly, the implanted joint may pull out of its socket.
?Damage to the blood vessels or nerve. It must be noted that the shoulderjoint is a tightly packed area and any damaged blood vessel can potentially cutoff circulation, causing the entire arm to lose function and reach a state ofpossible gangrene if not immediately addressed. This is a shoulder problem that can be avoided by choosing the best possiblesurgeon.
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