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Shoulder Replacement: What You Need to Know

Shoulder replacement surgery (also called shoulder arthroplasty) involves replacing damaged parts of the shoulder joint with artificial components. It's commonly done for severe arthritis, rotator cuff tears, or serious fractures.

💡 When Is Shoulder Replacement Recommended?

You may be a candidate if you have:

  • Severe shoulder arthritis (osteoarthritis or rheumatoid arthritis)

  • Chronic shoulder pain that doesn’t improve with therapy or injections

  • Massive rotator cuff tears that cause arthritis (“cuff tear arthropathy”)

  • Serious shoulder fractures (often in older adults)

  • Failure of previous shoulder surgeries


🔧 Types of Shoulder Replacement

  1. Total Shoulder Replacement (Anatomic)

    • Both the ball (humeral head) and socket (glenoid) are replaced

    • Requires an intact rotator cuff

    • Best for arthritis with good rotator cuff function

  2. Reverse Shoulder Replacement

    • Ball and socket positions are reversed

    • Best for patients with a damaged or non-functioning rotator cuff

    • Allows other muscles (like the deltoid) to compensate for movement

  3. Partial Shoulder Replacement (Hemiarthroplasty)

    • Only the humeral head is replaced

    • Used in specific fracture cases or less severe arthritis


🏥 What Happens During Surgery?

  • Done under general anesthesia

  • Takes about 1.5–2.5 hours

  • Damaged joint surfaces are removed and replaced with metal and plastic implants

  • Usually a 1–2 day hospital stay, though some are outpatient

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