SHOULDER

Shoulder Replacement

Shoulder replacement is designed to relieve pain and restore function in a damaged shoulder joint.

Overview

In shoulder replacement surgery, damaged parts of the shoulder joint are removed and replaced with a new implant system. The system is designed to replace the ball-and-socket construction of the shoulder.

There are two main types of shoulder replacement:

Anatomic Total Shoulder Replacement
In anatomic shoulder replacement, a metal stem is inserted at the top of the arm bone with a metal head to serve as the new ball. A matching component is implanted in the shoulder blade to serve as the new socket.

Reverse Shoulder Replacement
In reverse shoulder replacement, the ball and socket are replaced, but the structure is reversed. A new ball is attached to the shoulder blade. A matching socket component is attached to the top of the arm bone. This reverse procedure is often done when the rotator cuff is damaged and the joint requires support from other muscles.

Is shoulder replacement right for me?

To find out if shoulder replacement is a treatment option, make an appointment with an orthopaedic surgeon. The surgeon will examine your shoulder and review your health situation in determining if shoulder replacement is recommended. Conditions which may lead to shoulder replacement include:¹

Products

The procedure

What is the recovery like?

Each patient’s recovery is different and depends on several factors, including shoulder anatomy, treatment needs, and medical history. Ask your surgeon what you should expect for your recovery period, and be sure to follow recovery guidelines closely.

Typically, the recovery process for shoulder replacement includes:

Use of a sling for 2-6 weeks after surgery¹
A program of physical therapy and home exercises, as directed by the surgeon
Limitations on certain activities (such as lifting objects or playing sports) until approved by the surgeon

What are the risks involved?

All surgery has risks and the potential for complications. Talk to your surgeon about any concerns you may have before you decide on treatment. Some of the possible risks and complications for shoulder replacement include:

Blood clotting
Blood clotting problems – such as deep vein thrombosis (DVT) or pulmonary embolism (PE) – may occur after surgery and interrupt normal blood flow. Your medical team may recommend medications and exercises to reduce the risk.

Infection
Infection may occur at the surgical site or elsewhere in the body. If a serious infection occurs, additional surgery or removal of the implant may be needed.

Pneumonia
After surgery, pneumonia or other breathing problems may develop. Your medical team may recommend measures to reduce the risk.

Nerve problems
Though uncommon, nerves or blood vessels in the shoulder area may be damaged during surgery.

Long-term pain and stiffness in the shoulder
Most patients experience pain relief after shoulder replacement, but a small number continue to have pain. Similarly, a small number may develop joint stiffness. Following the recovery guidelines provided by your medical team may help reduce this risk.

Implant wear or failure
The shoulder implant may become worn, loose, or damaged. It may not perform as expected. In some cases, another surgery may be needed to correct or replace the implant.

This is not a complete list of complications. Talk to your surgeon about the possible risks for your specific health situation.

Disclaimers

All information provided on this website is for information purposes only and is not meant as medical advice. Not everyone is a candidate for shoulder replacement, and individual results of joint replacement will vary. Implants are intended to relieve shoulder pain and improve function but may not produce the same feel or function as your original joint. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Potential risks include loosening, wear, and infection that may result in the need for additional surgery. Discuss your implant options with your surgeon. Please discuss nutrition, medication, and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency, please call 911 and seek emergency help. 46954 4/2025