In this procedure, both the ball (humeral head) and the socket (glenoid) are replaced with artificial components. The ball is replaced with a metal implant, and the socket is resurfaced with a plastic component. This is the most common form of shoulder replacement and is recommended for patients with osteoarthritis or other degenerative joint diseases affecting both the ball and socket.
Partial Shoulder Replacement (Hemiarthroplasty)
In this procedure, only the ball of the shoulder joint is replaced. The socket is left intact. Partial shoulder replacement is typically recommended for patients with fractures that only affect the humeral head or in cases where the socket remains healthy. It may also be an option for younger patients with less extensive joint damage.
Reverse Shoulder Replacement
This specialized procedure is used for patients with severe rotator cuff damage or those who have had failed previous shoulder surgeries. In reverse shoulder replacement, the natural positions of the ball and socket are reversed—the ball component is attached to the shoulder blade, and the socket is placed at the top of the humerus. This allows the deltoid muscle to take over the function of the damaged rotator cuff, improving stability and motion.
Hospital Stay: Most patients stay in the hospital for 1-3 days following the surgery. Pain and swelling are managed with medications, and the arm is usually placed in a sling to protect the joint.
Pain Management: Pain is controlled with prescribed medications, and ice packs are used to reduce swelling and discomfort.
First Few Weeks: Physical therapy usually begins shortly after surgery. Initially, the focus is on gentle range-of-motion exercises to prevent stiffness. The therapist will gradually introduce strengthening exercises as healing progresses.
2-4 Weeks: The patient may start using the arm for light activities, such as eating or dressing, depending on their progress. Driving is generally permitted after 4-6 weeks, once sufficient strength and mobility have returned.
3 Months: By this stage, most patients regain the ability to perform daily activities with minimal discomfort. Full range of motion and strength typically return over several months.
6-12 Months: Full recovery, including complete function, strength, and endurance, typically takes up to a year. However, many patients notice significant improvements within 6 months.