Total shoulder arthroplasty or total shoulder replacement is
a treatment method for reducing stiffness and pain in the shoulder. The
fundamental goal of the procedure is to get relief from pain and improve
strength, motion, and function of the wounded region. After getting a full recovery,
a person can go back to playing swimming, golf, tennis, exercising and
performing daily activities normally.
Know about Shoulder Replacement
Surgeries
The surgeon focuses on replacing the bone in the socket and
the ball of the shoulder joint. In this course, a plastic or metal is chosen to
be used in the surgical procedure. As it is a major operation, the patients
need to stay at the hospital for a couple of days. Post surgery period requires
physical therapy for gaining the functionality again.
There are various types of shoulder replacement surgery and the medical professional only
chooses the appropriate one after assessing the health condition.
Stemmed Hemiarthroplasty
Based on the shoulder condition, the surgeon may advise
replacing the ball only and the procedure is known as a hemiarthroplasty. Here,
the top portion of the humerus restores with stem and metal ball. The method is
known as stemmed Hemiarthroplasty and it is applied when the head of the
humerus is fractured. However, it is to note that the socket needs to remain in
its regular position.
Arthritis, severely damaged rotator cuff tendons and weak
bone located in glenoid are the reasons for going with this surgery.
Nevertheless, the patients receive better relief for pain after undergoing
total shoulder arthroplasty than hemiarthroplasty.
Total Shoulder Replacement
This procedure requires the replacement of arthritic joint
surface along with metal (completely polished) ball added to plastic stock and
stem. The parts are available in different sizes and to cement in the bone.
Nonetheless, the good quality bone only needs press-fit or non-cemented part.
When the bone is a soft condition, the humeral part insert with bone cement.
But it is important to remember that insertion of the glenoid
part cannot be performed during,
- Glenoid
with decent cartilage
- Rotator
cuff tendons are beyond torn
Resurfacing Hemiarthroplasty
This shoulder replacement surgery includes the replacement
of joint surface of the top portion of the humerus without a stem. A cap-like
prosthesis is applied in the procedure and the patient is given the preserving
benefit. This procedure is applicable if the patient goes through these stages,
- Need
for preserving humeral bone
- No
new fracture of humeral head or neck
- Glenoid
has a decent cartilage surface
Resurfacing hemiarthroplasty is ideal for the people who are
young and active on a daily basis. There are lesser chances of facing loosening
and part wear. These risks have links to the total shoulder replacement.
Also, there is a reverse total shoulder replacement which is
suitable for a person going through a damaged rotator cuff. Only when the
shoulder replacement surgery does not work out, this is the option.
Complications in Shoulder
Replacement Surgery
Majority of the patients return to daily routine and gain
full motion after going through shoulder replacement surgery. However, there
are complications that overtake few of the surgical procedures. Before
undergoing the operation, it is important to gather knowledge of the
complications.
Prosthesis Issues
The surgical technique along with prosthesis materials and
designs are rapidly advancing, the prosthesis can wear down over the course of
time. Additionally, the components also may loosen with continuous use.
The parts of the shoulder replacement are susceptible to
dislocate. Therefore, beware of the signs of dislocation, loosening and excess
wear are needs to taken care of after the surgical procedure.
Growing Infection
Infection is one of the common risks of every infection and
the shoulder arthroplasty may develop deep wound surrounding the prosthesis.
This problem can occur at the hospital or after returning from the surgical
center. Furthermore, the problem may take place many years after the operation,
Antibiotics can treat the minor infections but the major or
deep infections need the elimination of prosthesis. You should never avoid the
infection because the infection may spread all over your body.
Nerve Injury
Nerves are located around the wounded shoulder joint and
during the shoulder replacement operation; there is a high chance of damaging
the nerves. This type of injury is not frequent but it can recover over the
course of time.
Damaged rotator cuff, a severe degree of arthritis and
critical shoulder wound or broken shoulder – these are the common reasons for
undergoing a shoulder replacement surgery. After going through the operation,
you are free of pain and can move the arm back and forward, circularly or up
and down with ease. The orthopaedic surgeon advises a set of tests such as
x-ray and MRI scan for evaluating how the surgery will be beneficial for your
health.
JaipurJoints is leading clinic in India for hip, knee and shoulder replacement surgery. Here you will get best orthopedic services and clinical facility.
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