As your body ages, your bones and joints also age. Sometimes this results in
pain and the wearing of the bones and joints. As this happens, it can mean that
you will eventually have surgery to replace your joints and one of the joints
that is often replaced is the shoulder. When you have shoulder joint surgery new
surfaces are often created on the joint so that pain is reduced and movement is
restored.
When someone needs his shoulder joint replaced, the ends of
the humerus bone and the scapula will be cut off and be replaced with artificial
surfaces such as plastic, porcelain, or metal. These pieces are then held
together with surgical cement or a type or surgical material that will grow into
the bone and joint with time, making cement unnecessary.
During shoulder
replacement surgery the shoulder surgeon will replace the very tip of the upper
arm and replace it with a metal piece that they put into the bone of the upper
arm. It usually has a rounded head that fits into the cup-like surface of the
joint. It is then smoothed and capped and inserted into the joint.
Many
shoulder surgeons have been recently trying new ways of doing shoulder surgery
without doing a complete shoulder replacement when the patient suffers from
extreme pain in the joint due to arthritis. This is called a reverse shoulder
replacement and involves removing the bone that has been damaged by the wear and
tear of the arthritis, smoothing the ends, attaching the cup like piece so that
it will fit into the joint. So far, it has had good results in the test
patients.
When these joint replacement surgeries are being performed,
the patient is usually given general anesthetics, but if the patient prefers or
does not have complete coverage by their insurance, local anesthetic is used.
You may also be encouraged to take antibiotics both before and after surgery so
that you can lessen the chances of getting infection.
However, there are
some risks of joint replacement surgery that your shoulder surgeon will share
with you before your surgery is performed. These include blood clots if you are
inactive after surgery, infection in the wound or joint in people who have other
health problems, injury to the nerves in the surgery area, problems with
healing, difficulty getting the right motion out of the joint, dislocation and
instability of the new joint by too much activity too soon after the surgery,
and the risks that normally come with general anesthesia.
Any time after
you have joint replacement surgery, make sure that you get all the instructions
from your shoulder surgeon so that you know how to care for yourself
post-surgery and have the best healing and post surgical experience.
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