If injury or damage occurs to any part of the shoulder joint, pain, stiffness, and inflammation may occur, resulting in numerous shoulder ailments. There are multiple treatment options for shoulder injuries, one of which is a total shoulder arthroplasty.
Total shoulder arthroplasty, also known as total shoulder replacement, is a type of surgery that involves replacing injured or damaged parts of the shoulder with prostheses or artificial components.
A total shoulder arthroplasty is recommended when the shoulder joint or rotator cuff cannot rotate smoothly without stiffness or pain,usually as a result of injury or damage. This surgery is typically recommended when patients have moderate to severe pain and joint stiffness or instability that does not improve after treatment methods such as painkillers, exercises, and other minor surgeries.
Shoulder joint injuries can occur due to falls, accidents, overuse, wear and tear, or repetitive activity. It can also happen due to conditions that weaken the bones and muscles, such as osteoarthritis.
The surgery is done via an arthroscope inserted through small openings in the shoulder. The arthroscope is connected to a video monitor, so that the orthopaedic surgeon can see and perform the procedure without needing to make large incisions.
Total shoulder arthroplasty procedures are done under general anaesthesia, and are often conducted as an outpatient procedure, which may require an overnight stay at the hospital or clinic.
But in general, it will take some time to recover fully from a total shoulder arthroplasty. You may experience swelling and bruising in the shoulder joint and entire arm for the first few days, which is normal. During the first few weeks of recovery, you will be required to attend physiotherapy sessions to strengthen your arm and shoulder.
The exact results of a total shoulder arthroplasty depend on the individual, their medical history, and the complexity of their shoulder injury. However, in general, most patients experience a greater range of motion and significantly less pain and stiffness after recovering fully.
Work closely with your orthopaedist and follow their recommendations for exercises and activities for the best results.
However, several physiotherapy sessions and follow-up appointments with your orthopaedist may be required.
Dr Puah KL is our Senior Consultant Orthopaedic Surgeon at Artisan Sports & Orthopaedic Surgery. He used to serve the sports service of Singapore General Hospital - the highest volume trauma centre for orthopaedics in Singapore.
