Shoulder Replacement

Introduction

Shoulder replacement surgery is a procedure that can help alleviate chronic pain and restore function for individuals with debilitating shoulder conditions. As physiotherapists, we play a vital role in helping patients navigate the journey from pre-operative preparation to post-operative rehabilitation.

Indications for Shoulder Replacement Surgery:

Shoulder replacement surgery may be recommended for individuals with advanced shoulder arthritis, rotator cuff tears, or traumatic injuries that have not responded to conservative treatments. Common indications include:

1. Osteoarthritis: Degenerative changes in the shoulder joint, such as cartilage breakdown and bone spurs, can cause pain, stiffness, and limited range of motion.

2. Post-Traumatic Arthritis: Previous shoulder injuries, such as fractures or dislocations, can lead to post-traumatic arthritis and chronic pain.

3. Fractures: Severe fractures that are unable to be splinted may require shoulder replacement

Surgical Procedure:

During surgery, the affected structures may be replaced with artificial implants. Surgery types can include:

1. Shoulder Arthroplasty:

In this procedure, the damaged humeral head is replaced with a metal ball and a long stem inserted and secured inside the humerus. Additionally, the glenoid surface is replaced and affixed to the scapula.

2. Reverse Shoulder Arthroplasty:

This technique reverses the joint's configuration, replacing the glenoid with a ball-like surface and the humerus with a concave, glenoid-like surface. It is typically indicated for individuals with a compromised rotator cuff.

3. Hemiarthroplasty:

With hemiarthroplasty, only the humeral head is replaced. A prosthetic metal implant is inserted into the humerus to form the new humeral head.

4. Joint Surface Replacement:

This procedure involves replacing only the surface of the humerus, usually performed in cases of arthritis to restore joint function.

Post-Operative Rehabilitation:

Physiotherapy plays a crucial role in the recovery process following shoulder replacement surgery. Our goals include:

1. Pain Management: Providing strategies for pain relief, including ice, compression and manual therapy techniques such as mobilisation and massage

2. Range of Motion Exercises: Guiding patients through gentle shoulder exercises to regain flexibility and mobility.

3. Strengthening Exercises: Gradually introducing strengthening exercises to rebuild muscle strength and stability around the shoulder joint  and upper limb.

4. Functional Training: Assisting patients in performing activities of daily living and gradually reintroducing sports-specific movements as appropriate.

5. Patient Education: Educating patients about proper shoulder mechanics, activity modifications, and strategies to prevent complications.

6. Taping and Bracing: Providing patients with supportive bracing and taping to help aid function and comfort

Conclusion:

Shoulder replacement surgery can offer significant relief for individuals struggling with chronic shoulder pain and dysfunction. As physiotherapists, we are committed to supporting patients throughout their surgical journey, from pre-operative education to post-operative rehabilitation. By working closely with patients and collaborating with surgeons, we can optimise outcomes and help individuals achieve their functional goals following shoulder replacement surgery. If you or someone you know is considering shoulder replacement surgery, don't hesitate to reach out to our physiotherapy team at Brisbane Physiotherapy and Rehabilitation for expert guidance and support.