Surgery
Shoulder Replacement
A shoulder replacement replaces a worn or damaged shoulder joint with an artificial one to relieve pain and improve movement, usually for severe arthritis.
Quick answer
Shoulder Replacement: what it is, why it's done and what happens
A shoulder replacement removes the damaged surfaces of the ball-and-socket shoulder joint and replaces them with metal and plastic components. There are different types, including reverse replacements for certain tendon problems.
- Why it is done: It is used for severe shoulder arthritis, damage after a serious fracture, or joints worn out by long-standing rotator cuff problems, when pain and stiffness limit daily life despite other treatments.
- What happens: Under general or regional anaesthetic, the surgeon replaces the joint surfaces through a cut at the front of the shoulder.
What it is
A shoulder replacement removes the damaged surfaces of the ball-and-socket shoulder joint and replaces them with metal and plastic components. There are different types, including reverse replacements for certain tendon problems.
Why it is done
It is used for severe shoulder arthritis, damage after a serious fracture, or joints worn out by long-standing rotator cuff problems, when pain and stiffness limit daily life despite other treatments.
What happens
Under general or regional anaesthetic, the surgeon replaces the joint surfaces through a cut at the front of the shoulder. The operation usually takes 1–2 hours, with a hospital stay of one to a few days.
Recovery
The arm is rested in a sling at first, followed by a gradual physiotherapy programme. It commonly takes several months to regain strength and movement, with improvement continuing for up to a year.
Good to know
Risks and things to consider
Risks include infection, nerve or blood vessel injury, dislocation, loosening over time and the possible need for future revision. Physiotherapy is essential to get the best result.
Education and reference only. This explains the procedure in general terms and is not medical advice. Your own care, risks and recovery will be explained by the team looking after you.
Answers
Shoulder Replacement: frequently asked questions
How long does recovery take after a shoulder replacement?
Early movement starts within weeks, but regaining full strength and function usually takes several months of physiotherapy, with gains continuing for up to a year.
What is a reverse shoulder replacement?
A reverse replacement swaps the positions of the ball and socket, which allows other muscles to power the arm. It is used when the rotator cuff tendons are badly damaged.
Related
Other surgery
Sources
Where this is drawn from
- NHS — Tests and treatments
- NICE — procedure and treatment guidance
- British Orthopaedic Association / relevant professional body
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