What is a Shoulder Replacement (Shoulder Arthroplasty)?
Shoulder osteoarthritis is a prevalent ailment among the elderly that can result in severe symptoms, including persistent pain, stiffness, and weakness of the joint. This condition is attributed to the degeneration or erosion of cartilage due to long-term wear and tear on the shoulder joint. The cartilage in the shoulder joint serves a vital function, safeguarding the bones and providing a smooth surface for painless movement. In cases of severe osteoarthritis, a shoulder replacement surgery, also referred to as shoulder arthroplasty, may be recommended as a treatment option.
When to Have a Shoulder Replacement?
Shoulder replacement surgery is considered a viable option when conventional treatments have failed to provide relief from painful arthritis symptoms. Dr. Nawaid Ahmed, an experienced orthopedic surgeon, typically recommends this procedure for patients who have exhausted non-surgical and minimally invasive interventions, such as rest, medications, physical therapy, and arthroscopic shoulder surgery, without success.
During the surgery, Dr. Nawaid Ahmed will make a small incision at the front of the shoulder to gain access to the affected joint. He will then substitute the deteriorated bones and cartilage with medical-grade metal and plastic implants designed to allow smooth and painless shoulder motion. These implants are held in place by a combination of tight component coupling, medical bone cement, and the muscle-tendon units of the rotator cuff.
It is worth mentioning that shoulder replacement surgery is not suitable for all patients. The procedure is usually recommended for patients aged 50 and above, as the prosthetic components can wear out over time. For younger, more active patients, Dr. Nawaid Ahmed may suggest joint preservation and cartilage restoration techniques instead of shoulder arthroplasty.
Frequently Asked Questions(FAQ's)
Total shoulder replacement, also known as shoulder arthroplasty, involves removing the damaged parts of the shoulder joint and replacing them with artificial components made of metal and plastic. This procedure aims to alleviate pain and restore function in patients with severe shoulder arthritis or other joint issues.
Candidates typically include individuals suffering from chronic shoulder pain due to conditions like osteoarthritis, rheumatoid arthritis, or severe fractures. If non-surgical treatments such as medications, physical therapy, or injections have not provided relief, surgery may be considered.
Yes, partial replacement (hemiarthroplasty) is sometimes suitable when only one part of the joint is damaged, usually the humeral head, while the socket remains healthy.
Pain is managed with anesthesia during surgery and post-operative medications. Most patients experience significant pain relief within weeks, though initial discomfort is normal during recovery.