Goal of Surgery
Shoulder arthritis involves long term damage to the shiny surface of the ball and socket of the shoulder joint causing increasing pain and loss of movement. When pain becomes too much, it's time for a shoulder joint replacement.
The goal of shoulder replacement surgery is to replace the damaged joint surfaces of the shoulder with prosthetic ones. The type of prosthesis selected will depend on the patients age and whether they have any additional conditions of concern like a rotator cuff tear or osteoporosis (brittle bone).
Dr Gupta will choose between a half, total or reverse total shoulder prosthesis according to your age and the activities important to you.
- Younger patients benefit most from a half or hemi shoulder replacement
- Older patients wishing to continue playing sports like golf, benefit most from a reverse total shoulder replacement
Hemi (half) arthroplasty (joint replacement) is the least traumatic of shoulder replacements, where only the joint surface of the upper arm is replaced with a small prosthesis. Bone quality of the upper arm and shoulder is generally very good and removing only the worse surface of the joint spares additional trauma from surgery.
Total Shoulder Replacement
Requires the surgeon to take away both sides of the shoulder joint, in preparation for the new prostheses. A Total Shoulder Replacement is a preferred procedure in patients with arthritis who still have an intact rotator cuff, however, it is quickly becoming less popular over reverse total shoulder replacements, which are achieving quicker recovery times and better longer term results.
Reverse Total Shoulder Replacement
Requires the surgeon to take away both sides of the shoulder joint, in preparation for a prosthesis which reverses the mechanism of the shoulder so that the ball becomes the socket and the socket becomes the ball. Patients do not require a rotator cuff for a reverse prosthesis and so in aging populations where rotator cuff injury is common, this is a good choice of prosthesis.
If you are suffering shoulder arthritis and don't know what to do, Dr Gupta can offer advice or a second opinion if you are uncertain. Contact Dr Gupta on 02 9687 8344 or make an online booking here.
There's no easy way to get to the shoulder joint without making an incision about the same size as your shoulder or a little larger. Dr Gupta is a specialist shoulder surgeon with a back ground in micro-surgery. You will have one of the best at your service to to manage the smallest scar possible, despite your condition.
You should expect the following after surgery;
- Drowsy and swollen
- Strong pain, decreasing over 6 weeks after the operation
- You will see Dr Gupta again about 2 weeks after your operation
- You will be in a sling for 6 weeks
- You should complete rehab with a Physiotherapist following Dr Gupta's Post-Op Total Shoulder Replacement Protocol
- You will see Dr Gupta again about 3 months after your operation
Dr Gupta has a proven track record of successful surgical outcome and will talk to you further about your condition at your initial consultation. To book an appointment with Dr Gupta, call 02 9687 8344 or make a priority booking online here.