Charleston Orthopaedic Charleston Orthopaedic Charleston Orthopaedic
Charleston Orthopaedic
Charleston Orthopaedic
Charleston Orthopaedic
Charleston Orthopaedic Charleston Orthopaedic Charleston Orthopaedic
Charleston Orthopaedic Charleston Orthopaedic Charleston Orthopaedic
Charleston Orthopaedic
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Procedures >> Shoulder Replacement

What is a total shoulder replacement?

A total shoulder replacement will replace the worn and damaged portions of the shoulder joint with smooth metal and plastic parts. 

How long will a shoulder replacement last?

A new shoulder can last 20 years or more pending no complications.

Are there different types of shoulder replacement prostheses?

The type of prosthesis needed will depend on the condition of the patient’s shoulder.  Some patients have conditions other than osteoarthritis, the most common reason for shoulder replacements, that require the use of a reverse type shoulder prosthesis.  Dr. Friedman is one of a few surgeons in the Southeast using this particular prosthesis.

Why do shoulder replacements sometimes fail?

The most common reason for failure of a shoulder replacement is wearing of the plastic liner, which creates debris particles that weakens the bone and leads to loosening of the components from the bone. Old components can be replaced with new ones.

What are the results of total shoulder replacements?

The goal of shoulder replacement surgery is to decrease your pain and increase your abilities to carry out your activities of daily living. Over 95% of patients achieve good to excellent results with relief of pain and significantly increased mobility and function.  

Is it possible it could be made worse?

Yes, but this is uncommon. There are risks with any type of surgery, but they are far outweighed by the potential benefits. Potential complications, such as infection and blood clots, occur in less than 0.1% of patients.

What are the major risks?

Most surgeries go well without any complications. Infection is the main complication that concerns us the most. To avoid this we give antibiotics before and after the surgery. We also wear special enclosed suits in the operating room to reduce the risk of infection.  

When should I have this type of surgery?

Dr. Friedman will decide if you are a candidate for this surgery, based on your history, exam and x- rays. He will ask you to decide if your pain, stiffness and disability justify undergoing surgery. There is no harm in waiting if conservative, non-operative methods are controlling your pain.

What should I expect from surgery?

Successful shoulder replacement surgery can allow patients to improve the quality of their life. Benefits of a new joint include reducing or eliminating pain, restoring lost range of motion, regaining the enjoyment and ability to perform normal daily activities, and improving the appearance of deformed joints.  Recovery from surgery starts after your operation is over with physical therapy.  Full recovery also depends on the patient following the doctor’s instructions after surgery.

What should I expect before surgery?

Once surgery time is reserved, the pre-operative process starts.  Our office will work with you to make sure you have all the required tests, medical visits, and administrative work done.  Patients are typically required to have lab work done as well as an EKG.  These can be done in our office for your convenience.  Patients are also required to visit with their medical doctor prior to surgery to ensure there are no other medical issues that may impede surgery or recovery after surgery.  Some patients will require a visit to their cardiologist and we are more than happy to help facilitate that appointment.  Additionally, some insurance companies require prior authorization of the surgical procedure.  Our office will contact the insurance carrier and provide the needed information so that the surgery may be approved.  Sometimes, the insurance carrier may require additional information from the patient before they will approve services.  Should that be the case, the patient will be notified and asked to follow up with our office after they speak with their carrier.

What should I expect after surgery?

Patients remain in a sling at all times for approximately 1 week after surgery.  They will return to our office to have their sutures removed and x-rays taken to ensure the joint is recovering.  At that time, Dr. Friedman will determine if it is appropriate to start physical therapy and if the patient must continue using their sling.  Each patient recovers differently and the postoperative care is tailored to what best suits their needs for the desired outcome.

Charleston Orthopaedic
Charleston Orthopaedic
Charleston Orthopaedic
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Shoulder & Knee Anthroscopy
Shoulder Replacement
Hip & Knee Replacement
Reverse Total Shoulder Replacement
Hip Resurfacing Replacement
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