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Shoulder pain can result from injury or arthritis. Total shoulder replacement removes damaged parts of the shoulder joint, and the surgeon replaces them with artificial components to improve movement and comfort. This process is also called shoulder arthroplasty. Its purpose is to relieve pain and restore function. If pain is severe, shoulder replacement may be recommended, but a doctor reviews your medical history before suggesting surgery.
Procedure Overview
A conventional total shoulder replacement uses prosthetic components to copy the natural structure of the shoulder. The surgeon replaces the socket (glenoid) with a plastic cup and the top of the upper arm bone (humerus) with a metal ball. These parts work together to support joint movement, but they depend on a functioning rotator cuff. The procedure is used when this group of tendons still works. Surgeons decide on this approach based on the anatomy of your joint.
Reverse total shoulder replacement swaps the positions of the ball and socket. The metal ball is attached to the glenoid, and a plastic cup goes on top of the humerus. Patients with large rotator cuff tears, or those with cuff tear arthropathy, may receive this surgery. This technique allows different muscles to move the arm when the rotator cuff fails. The choice between procedures depends on shoulder structure and tendon health.
Conditions Treated
Advanced arthritis in the shoulder is the leading reason for replacement. Common forms include osteoarthritis and rheumatoid arthritis. These cause loss of cartilage, and the resulting pain and stiffness may continue without surgery. Arthritis restricts normal movement. As damage worsens, daily tasks may become more difficult and uncomfortable.
Avascular necrosis or severe fractures may require replacement. Deteriorating or broken bone can prevent healing, so surgery removes the damaged area and restores the joint’s function. Pain that interferes with routine life and does not improve with other options leads to evaluation for replacement. A healthcare provider reviews your joint and medical history before recommending the procedure.
Procedure for Shoulder Replacement
Surgeons assess your pain, medical history, and physical exam findings to decide if replacement is suitable. They develop a plan that fits your needs, and if non-surgical care does not work, surgery may be suggested. The process and timeline are discussed with you, and staff members provide information on what to expect. These steps help clarify treatment options.
The operation takes about two hours. The surgery is usually completed in a single session, and an overnight stay lets your care team monitor early recovery. While every patient is different, the process is similar for most people. Your surgeon will answer questions and support you through the first stages. Your care is guided by a customized medical plan.
Find a Clinic
Shoulder replacement surgery relieves pain caused by severe joint problems. It is performed to help improve movement and allow better participation in regular activities. Candidates include those who have not responded to non-surgical care, but a specialist must evaluate each situation. Recommendations depend on the provider’s clinical assessment. Those seeking more information are encouraged to contact an orthopedic practice for a thorough evaluation.
