total shoulder replacement in San Antonio

What are the Indications for Total Shoulder Replacement?

Total shoulder joint replacement surgery is indicated for conditions such as osteoarthritis or rheumatoid arthritis when medication, injections, physical therapy, and activity changes do not help relieve pain. Your orthopedic surgeon recommends surgery when you have the following symptoms:

• Severe shoulder pain that restricts daily activities

• Moderate to severe pain during rest

• Weakness and/or loss of motion

Preparation for Total Shoulder Replacement

To decide whether total shoulder replacement is a good option for you, your surgeon will evaluate your condition thoroughly.

Your orthopedic surgeon 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.

Total Shoulder Replacement Procedure

The surgery is done under regional or general anesthesia. An incision is made over the affected shoulder and the underlying muscles are separated to expose the shoulder joint. The surgery may be performed as open surgery, where a large incision is made, or minimally invasive, where small incisions are made to insert an arthroscope (a thin tube with a camera and light source) and surgical tools.

The upper arm bone (humerus) is separated from the glenoid socket of the shoulder bone. The arthritic or damaged humeral head is cut and the humerus bone is hollowed out and filled with cement. A metal ball with a stem is gently press- fit into the humerus.

Next, the arthritic part of the socket is prepared. The plastic glenoid component is fixed in the shoulder bone.

After the artificial components are implanted, the joint capsule is stitched and the wound is closed.

Postoperative Care for Total Shoulder Replacement

After the surgery, pain medications and antibiotics are prescribed to control pain and prevent infection. Your arm may be secured in a sling or cast. The rehabilitation program includes physical therapy, which is started soon after the surgery and is very important to strengthen and provide mobility to the shoulder. You may be able to perform gentle daily activities two to six weeks after surgery.

Risks and Complications of Total Shoulder Replacement

As with any major surgery, there may be potential risks involved:

• Anesthetic complications such as nausea, dizziness and vomiting

• Infection of the wound

• Dislocation, requiring repeat surgery

• Damage to blood vessels, nerves or muscles

• Failure to relieve pain

• Pulmonary embolism

• Wear and tear of prosthesis