A procedure to replace the damaged shoulder joint with an artificial joint.
Through an open incision, the damaged joint surfaces on both the ball and socket sides are removed and replaced with prosthetic components, closely matching the shoulder's natural anatomy. The procedure typically takes one to two hours, with patients usually staying in hospital for a few days.
Assessment includes examination and imaging, usually X-rays and an MRI, to confirm the degree of arthritis and that the rotator cuff is healthy enough to support this specific type of replacement. Preoperative preparation may include specific exercises alongside standard fasting and medication review, and arranging support at home during early recovery is recommended.
A sling supports the arm for the initial weeks, with physiotherapy introduced once the surgical team confirms it is safe. Pain is managed with appropriate analgesia in the early days. Recovery is gradual, with meaningful improvement in strength and comfort continuing over several months.
Rehabilitation begins with gentle, guided movement, progressing to strengthening exercises as healing allows. Regular physiotherapy sessions and follow-up with the surgeon support steady progress over the following months.
Risks include infection, which is a significant concern with any joint replacement, blood clots, loosening of the components over time, and stiffness, along with the general risks of anaesthesia. Some patients experience a degree of persistent stiffness or reduced range of motion compared with a healthy shoulder.
The goal is significant pain relief and restored shoulder function for severe arthritis with an intact, functioning rotator cuff. Most patients experience good pain relief and meaningful improvement in daily activities, with strength and comfort continuing to improve over several months.
Total shoulder replacement replaces both sides of a severely arthritic joint, aiming to relieve pain and restore functional movement. Most patients experience significant improvement in quality of life, provided the surrounding rotator cuff is healthy enough to support this type of replacement.
