Shoulder replacement surgery, also known as shoulder arthroplasty, is performed to relieve pain and restore movement in a damaged shoulder joint. It involves removing the damaged portions of the joint and replacing them with artificial parts, typically made from metal and plastic. This procedure is often recommended when nonsurgical treatments such as medication or physical therapy have not provided relief. There are different types of shoulder replacements depending on the condition of the joint. In a total shoulder replacement, both the ball (humeral head) and the socket (glenoid) are replaced. In a partial replacement, only the ball is replaced. A reverse shoulder replacement may be recommended when the rotator cuff is severely damaged, using a different design that relies on the deltoid muscle for movement. This procedure can be performed as an inpatient or outpatient surgery depending on the patient's condition and the surgeon’s recommendation. After surgery, patients typically wear a sling for a few weeks and begin a structured physical therapy program to regain strength and mobility in the shoulder. Most people experience significant pain relief and improved function after recovery, which usually takes several months. Shoulder replacement has become a reliable option for individuals with severe arthritis, fractures, or joint degeneration, offering a better quality of life through restored shoulder use.

What is a Shoulder Replacement (Shoulder Arthroplasty)?

Shoulder osteoarthritis is a common condition among older individuals, causing chronic pain, stiffness, and weakness in the joint. Osteoarthritis occurs due to the wear and tear of cartilage, which normally protects the bones and enables smooth, pain-free movement.

In severe cases where non-surgical treatments fail, shoulder replacement surgery (shoulder arthroplasty) is a viable solution. The procedure replaces damaged bone and cartilage with medical-grade implants to restore shoulder mobility and function.

Dr. Khaleel, Senior Consultant Arthroscopic Shoulder and Sports Surgeon at Kims Alshifa, Perintalmanna, Kerala, India, specializes in shoulder replacement surgery for patients who have exhausted other treatment options.

When Should You Consider a Shoulder Replacement?

Shoulder replacement may be recommended when:

1. Chronic shoulder pain persists despite medication, therapy, and other treatments.
2. Loss of mobility and difficulty in performing daily activities.
3. Severe shoulder joint degeneration diagnosed through X-rays and MRI scans.
4. Failed previous treatments, including arthroscopic surgery.

Dr. Khaleel recommends shoulder arthroplasty only for patients who have already tried conservative treatments such as medications, physical therapy, and minimally invasive surgeries.

The Shoulder Replacement Procedure

The procedure involves the following steps:

1. A small incision is made at the front of the shoulder.
2. Damaged bone and cartilage are removed.
3. Artificial metal and plastic implants replace the joint structure.
4. Components are secured with medical bone cement and reinforced by rotator cuff muscles.

Who is a Candidate for Shoulder Arthroplasty?

Shoulder replacement surgery is generally recommended for patients over 50 years old as the implants have a limited lifespan. For younger, more active patients, joint preservation techniques may be a better alternative.

Benefits of Shoulder Replacement Surgery

1. Pain Relief: Eliminates chronic shoulder pain caused by arthritis.
2. Improved Mobility: Restores shoulder function and range of motion.
3. Enhanced Quality of Life: Allows patients to return to daily activities comfortably.

Dr. Khaleel provides personalized treatment plans to ensure optimal results for patients undergoing shoulder replacement surgery. His expertise helps patients regain mobility, strength, and a pain-free lifestyle.