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The primary purpose of the operation is to relieve pain. The secondary purpose is to increase range of motion. The extent of improvement in your range of motion will depend on the severity of your pre-operative condition, the length of time you have had the problem, the range of motion of your shoulder before the surgery and your commitment to the postoperative rehabilitation.
The glenoid (shoulder blade socket) prosthesis is made of a special polyethylene, and is designed to replace the socket part of the joint. This is inserted with cement.
There are two types of shoulder replacement procedures:
In the operation only one tendon needs to be cut for the surgeon to get to the shoulder joint. Your shoulder is dislocated at the time of surgery and the ball of the humerus is replaced by a ceramic head. The glenoid or scapula is replaced with a polyethylene prosthesis that is cemented into the bone. The surgeon will use the ones that best resemble your bones at the time of surgery. The joint will then be relocated and put through a series of movements to make sure it is stable. When the surgeon is happy the tendon at the front of your arm is stitched back in place. Your wound is then closed and you are placed in a sling. You will return to the ward in a sling and with a drain to remove any excess blood. After 24 hours the tubing is removed and we will start gentle movement of your arm.
Complications related to the surgery can occur but are quite rare. A general anaesthetic is used and there are risks related to this. Some of the risks include infection, nerve and blood vessel damage, loosening of the prosthesis, fracture at the time of surgery, dislocation, stiffness and ongoing pain, deep vein thrombosis or pulmonary embolism and the need for revision surgery.
Complications related to the surgery can occur but are quite rare. A general anaesthetic is used and there are risks related to this. Some of the risks include infection, nerve and blood vessel damage, loosening of the prosthesis, fracture at the time of surgery, dislocation, stiffness and ongoing pain, deep vein thrombosis or pulmonary embolism and the need for revision surgery.
You eventually will need to see a physiotherapist but initially you are considered the best physiotherapist. You will be encouraged to gently start using your arm the day after the operation and will be shown some very simple exercises to do yourself three times a day. You usually start to visit a physiotherapist about 6 weeks after your operation.
This is entirely up to you and always depends on how well you manage normally and whether you have help at home.
Usually two to three days but it always depends on how you are feeling.
The sling only needs to be worn for the first few days after the operation then we encourage you to come out of it as much as possible. It is a good idea though to wear the sling when going out of doors to avoid others from knocking or bumping your shoulder.
You will have some pain following the surgery but each day this will improve with regular pain relief and as the swelling settles down. It is worth noting that patients who have had this surgery regularly say that while it is painful after the surgery, it is often no where near as bad as that which they had before the operation!
Driving a motor vehicle is usually not recommended until two conditions are met:
We do not recommend soaking in a bath until your wound has healed completely. You will need some assistance with showering until you become more confident. To dress easily, always put your operated arm, through your sleeve first.
It is expected that the life-span for the prosthesis will be 10-20 years.
For appointments and enquiries, please phone (02) 9806 3333
8am to 5pm, Monday to Friday
Or send us a message on our Contact page.
02 9806 3333
drduckworth@specortho.com.au
SAN CLINIC
Suite 601B
185 Fox Valley Rd
Wahroonga, NSW 2076
NORWEST PRIVATE HOSPITAL
G18 -Ground Floor
11 Norbik Drive
Bella Vista, NSW 2153