Total Shoulder Replacement in Kennewick, WA

March 27, 2025

Understanding Total Shoulder Replacement: A Comprehensive Guide by Benton Franklin Orthopedic Associates

Total shoulder replacement, also known as shoulder arthroplasty, is a surgical procedure designed to relieve pain and restore function in the shoulder joint. This surgery is often recommended for individuals suffering from severe arthritis, rotator cuff injuries, fractures, or other debilitating shoulder conditions.

What is Total Shoulder Replacement?

In a total shoulder replacement, both the ball (head of the humerus) and the socket (glenoid) of the shoulder joint are replaced with artificial components. These components are typically made of metal and plastic, designed to mimic the natural movement of the shoulder.

Types of Shoulder Replacement:

Anatomic Total Shoulder Replacement: This procedure involves replacing the damaged ball and socket with implants that resemble the natural shape of the bones.

Reverse Total Shoulder Replacement: In this approach, the ball and socket are reversed. The ball is attached to the shoulder blade, and the socket is attached to the upper arm bone. This method is often used when the rotator cuff is severely damaged.

Why Undergo Shoulder Replacement?

Shoulder replacement surgery is typically recommended when non-surgical treatments fail to alleviate symptoms such as pain, stiffness, and limited mobility. Conditions that may necessitate this surgery include:

Osteoarthritis
Rheumatoid arthritis
Severe rotator cuff injuries
Fractures
Osteonecrosis
Trauma
Overuse

When to See a Medical Provider

Shoulder pain is fairly common and is sometimes caused by a problem in another area of the body, but felt in the shoulder and upper back. It's important to see a medical provider if you're experiencing shoulder pain and any of the following symptoms:

Fever lasting longer than 48 hours
Heat around the shoulder joint
Inability to move your shoulder, especially raising your arm above your head
Lasting bruising and tenderness at/around the shoulder joint
Pain lasting for more than a few weeks that does not improve with home remedies

The Role of Sports Medicine

Sports medicine plays a crucial role in diagnosing, treating, and preventing shoulder injuries, especially for athletes and active individuals. Specialists in sports medicine are trained to handle a wide range of shoulder conditions, from acute injuries to chronic issues like rotator cuff tears and shoulder instability. They work closely with patients to develop personalized treatment plans that may include physical therapy, minimally invasive procedures, and surgical interventions when necessary.

The Importance of a Shoulder Fellowship Surgeon

A shoulder fellowship is an advanced training program that orthopedic surgeons can pursue after completing their residency, typically a year of specific and expert training. This specialized fellowship focuses on the complexities of shoulder and elbow surgery, providing surgeons with in-depth knowledge and hands-on experience in treating a wide range of shoulder conditions.

Here are some reasons why a shoulder fellowship is important from Benton Franklin Orthopedic Associates:

Expertise: Surgeons gain specialized skills in both surgical and non-surgical treatments for shoulder conditions.
Advanced Techniques: Fellows learn the latest surgical techniques and technologies, improving patient outcomes.
Research Opportunities: Fellowship programs often include research components, allowing surgeons to contribute to advancements in shoulder surgery.
Comprehensive Training: Surgeons receive extensive training in diagnosing and managing complex shoulder issues, ensuring high-quality care for patients.

The Procedure:

The surgery usually involves the following steps:

Preparation: Pre-surgical tests such as X-rays, CT scans, or MRIs are conducted to assess the extent of joint damage.
Anesthesia: General anesthesia is administered to ensure the patient is asleep and pain-free during the procedure.
Incision: A surgical incision is made to access the shoulder joint.
Replacement: The damaged parts of the shoulder are removed and replaced with the artificial components.
Closure: The incision is closed with sutures or staples, and a bandage is applied.

Recovery and Rehabilitation

Recovery from shoulder replacement surgery involves several stages:

Hospital Stay: Patients typically stay in the hospital for a few days post-surgery.
Physical Therapy: A crucial part of recovery, physical therapy helps restore movement and strength to the shoulder.
Home Care: Patients need to follow specific instructions regarding wound care, medication, and activity restrictions.

Risks and Complications

As with any surgery, shoulder replacement carries potential risks, including infection, blood clots, and implant loosening or dislocation. However, these risks are relatively low, and most patients experience significant pain relief and improved function.

Total shoulder replacement can be a life-changing procedure for those suffering from severe shoulder conditions. By understanding the process, benefits, and risks, patients can make informed decisions and work closely with their healthcare providers to achieve the best possible outcomes.

If you have any questions or concerns about shoulder replacement surgery, feel free to call us Benton Franklin Orthopedic Associates at 509.586.2828 for more personalized information.

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