Our Summary

This research paper discusses the evolution and advancements in shoulder replacement surgery, which was first introduced by Dr. Charles Neer. Nowadays, more surgeons and patients are aware of this surgery as a treatment option due to improved recognition and training. The major development in the field is the reverse shoulder replacement surgery, which is now performed more often than the traditional shoulder replacement. The paper also highlights that while the advanced techniques of shoulder replacement are mostly of interest to specialists, general bone doctors should also have knowledge and skills in basic shoulder replacement surgery.

FAQs

  1. Who first introduced shoulder replacement surgery?
  2. What is the major development in the field of shoulder replacement surgery?
  3. Why is it important for general bone doctors to have knowledge and skills in basic shoulder replacement surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about shoulder replacement is to follow the post-operative rehabilitation plan diligently. This typically includes physical therapy exercises to help improve strength, flexibility, and range of motion in the shoulder. Consistent adherence to the rehabilitation plan can greatly improve the success of the surgery and help the patient regain function in their shoulder.

Suitable For

Patients who are typically recommended for shoulder replacement surgery are those who have severe shoulder pain and limited range of motion due to conditions such as osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis. Other conditions that may warrant shoulder replacement include rotator cuff tears that cannot be repaired, failed previous shoulder surgeries, and fractures that have not healed properly. Additionally, patients who have tried conservative treatments such as physical therapy, medications, and injections without relief may also be candidates for shoulder replacement surgery. It is important for patients to be evaluated by a qualified orthopedic surgeon to determine if shoulder replacement is the best option for their specific condition.

Timeline

Before Shoulder Replacement:

  • Patient experiences chronic shoulder pain and limited range of motion
  • Patient consults with an orthopedic surgeon to discuss treatment options
  • Surgeon evaluates patient’s condition through physical examination, imaging tests, and medical history review
  • Surgeon recommends shoulder replacement surgery as a treatment option

During Shoulder Replacement:

  • Patient undergoes pre-operative preparation, which may include physical therapy and medical clearance
  • Surgery is performed under general anesthesia, and the damaged shoulder joint is replaced with prosthetic components
  • Recovery period in the hospital typically lasts 1-2 days, followed by a rehabilitation program to regain strength and mobility in the shoulder
  • Patient attends follow-up appointments with the surgeon to monitor progress and address any post-operative complications

After Shoulder Replacement:

  • Patient continues with physical therapy and exercises to strengthen the shoulder and improve range of motion
  • Patient gradually resumes daily activities and may return to work or sports as advised by the surgeon
  • Long-term follow-up appointments are scheduled to monitor the function and longevity of the shoulder replacement
  • Patient experiences reduced pain, improved mobility, and increased quality of life post-surgery

What to Ask Your Doctor

Some questions a patient should ask their doctor about shoulder replacement surgery include:

  1. What are the specific reasons for recommending shoulder replacement surgery for my condition?
  2. What are the potential risks and complications associated with shoulder replacement surgery?
  3. What is the success rate of shoulder replacement surgery for patients with my specific condition?
  4. How long is the recovery period after shoulder replacement surgery?
  5. What type of physical therapy or rehabilitation will be required after the surgery?
  6. Are there any alternative treatment options to consider before deciding on shoulder replacement surgery?
  7. How experienced are you in performing shoulder replacement surgeries, and how many have you performed?
  8. What type of shoulder replacement technique do you recommend for my condition, traditional or reverse shoulder replacement?
  9. What are the expected outcomes and limitations of shoulder replacement surgery for my specific condition?
  10. How long can I expect the shoulder replacement to last, and what factors can affect its longevity?

Reference

Authors: Groh GI, Kirsch JM, Williams GR Jr, Colley R, Levy JC, Serrano R, Frankle MA. Journal: Instr Course Lect. 2021;70:37-54. PMID: 33438903