Shoulder Replacement (Total)

Summary

A shoulder replacement is normally advised when pain and loss of function as a result of arthritis become too much. Two forms of arthritis commonly affect the shoulder:

  • Osteoarthritis as a result of general wear and tear of the joint, and sometimes of injury
  • Rheumatoid arthritis, which is an inflammation of the joint

Over a period of time the shoulder can become very painful and wear away the cartilage, which then leads to bone damage. Shoulder replacement is usually carried out only after you have received other treatments over a long period of time, such as physiotherapy, anti-inflammatory painkillers and steroid injections. The purpose is to relieve pain and assist you to regain a better quality of life.

  • Arranging your Treatment

    Before going ahead with this treatment, you will need to have an initial consultation with a specialist Consultant to go through your medical history and diagnosis. At this appointment, your consultant will confirm the exact treatment you require.

    If you would like to have an initial consultation, you can call us and we can help you find the consultant best for you.

    Alternatively, if you have already been diagnosed as needing a particular operation or treatment, our Reservations team can give you a guide price for this to be carried out at KIMS Hospital and book an appointment for you to meet a consultant.

    Call our Reservations team on +44 (0) 1622 237 727 or email reservations@kims.org.uk.

  • Paying for your Treatment

    You can be treated at KIMS by using your private medical insurance or by paying for yourself.

    If you have private medical insurance, you will need to contact your insurer to ensure you are covered for the initial consultation prior to making an appointment and obtain an authorisation number. The insurance company will then need to be advised if you require further treatment. The insurance company usually settles bills on your behalf.

    If you are paying for your own treatment, you will need to pay for an initial consultation. This will be confirmed at the time of booking but is typically £150-£250. You will also need to pay for any associated diagnostic tests your consultant recommends (for example x-rays and blood tests).

    Following this consultation, if you don’t need any further treatment or if you decide paying for yourself isn’t the right option, there is no commitment to proceed further.

    If you require the operation or procedure to be carried out, you will receive a quote for your treatment. This quote is also subject to pre-assessment checks prior to your admission to hospital.

    Payment is required 7 days prior to admission.

All treatment options and types of shoulder replacement, together with the potential risks and adverse effects of the procedure, will be discussed with you beforehand. A shoulder replacement procedure takes up to about 90 minutes.

Your consultant will make a large incision along the front of your shoulder, remove the damaged ball (head of the humerus) and examine the remaining socket. The socket may or may not need to be replaced, depending the extent of arthritic damage.

The damaged ball is usually replaced by a metal component and the socket by a plastic one. The replacement ball is fixed to the top the humerus using a special coating and the socket is fixed with acrylic cement bonding directly with the bones. The incision will be then closed with stitches or clips.

The KIMS anaesthetist will discuss with you the anaesthetic best suited to you. You will receive local anaesthetic to the shoulder area after the procedure to assist with pain relief. You will probably also be given regular anti-inflammatory pain-killers.

After the operation you will be x-rayed to ensure the replacement has been completely successful. You will be able to go home within three to five days depending on your recovery. The KIMS physiotherapy department will work closely with you, helping you move your arm whilst regaining your confidence. Your shoulder will be very stiff to begin with and you will need to use a sling to support your arm.

When you are ready to go home, you will need to arrange for someone to collect you and settle you back home. You will be given painkillers and a number to call in case of any concerns. It is recommended you leave your bandage in place for two to three days and try not to let your wound get wet for five days; we will provide you with waterproof dressing.

Do not drive a car or operate machinery until you are mobile and feel completely confident to do so. You should check with your insurance company before driving; insurance policies are all slightly different. Shoulder replacements can last for up to 15 years, but it is usually recommended that you have a shoulder x-ray every 5 years.

Our physiotherapy team will assess you and let you know what you can and can’t do immediately, and also give you exercises to do over the next few months to help you strengthen your shoulder. It is important that you keep doing them. While it will never feel quite the same as your real shoulder, the procedure should provide you with a pain free joint and a better quality of life.

To find out more:

If you would like to come to KIMS contact our Reservations team on +44 (0)1622 237 727 or email reservations@kims.org.uk

 

Our Consultants

  • Professor Bijayendra Singh

    FRCS (T&O) FRCS MS (Ortho) DNB (Ortho) PG Dip (Ortho)

    • Carpal Tunnel Syndrome
    • Elbow Replacement
    • Release of a Stiff Elbow
    • Rotator Cuff Surgery
    • Shockwave Therapy
    • Shoulder Arthroscopy
    • Shoulder Pain
    • Shoulder Replacement (Total)
    • Wrist Arthroscopy
  • Dimitri Yanni Orthopaedic Surgeon

    Mr Dimitri Yanni

    MB,BS London – Guy’s, FRCS (England), FRCS (Edinburgh), FRCS (Orthopaedics)

    • Carpal Tunnel Syndrome
    • Elbow Replacement
    • Release of a Stiff Elbow
    • Rotator Cuff Surgery
    • Shoulder Arthroscopy
    • Shoulder Pain
    • Shoulder Replacement (Total)
    • Wrist Arthroscopy
  • Mr Daniel Neen

    BSC (HONS), MB BS, MRCS, FRCS (TR & ORTH)

    • Carpal Tunnel Syndrome
    • Rotator Cuff Surgery
    • Shoulder Arthroscopy
    • Shoulder Pain
    • Shoulder Replacement (Total)
    • Wrist Arthroscopy
  • Mr Keith Borowsky

    MBBCh (Wits) FCS (SA) (Orth) MMed (Orth)

    • Carpal Tunnel Syndrome
    • Elbow Replacement
    • Release of a Stiff Elbow
    • Rotator Cuff Surgery
    • Shoulder Arthroscopy
    • Shoulder Pain
    • Shoulder Replacement (Total)
    • Wrist Arthroscopy
  • Mr Jai Relwani

    MB BS FRCS (Tr&Orth) FRCSG MS (Orth) DNB (Orth)

    • Elbow Replacement
    • Release of a Stiff Elbow
    • Rotator Cuff Surgery
    • Shoulder Arthroscopy
    • Shoulder Pain
    • Shoulder Replacement (Total)
  • Mr David Rose

    • Elbow Replacement
    • Release of a Stiff Elbow
    • Rotator Cuff Surgery
    • Shoulder Arthroscopy
    • Shoulder Pain
    • Shoulder Replacement (Total)
    • Wrist Arthroscopy
  • Prof Amit Tolat

    Professor Amit Tolat

    MB BS MS FRCS (Glasg) MCh Orth (Liverpool) D.Orth FCPS Orth (II),  European Dipl Hand Surgery Dip. Orthop. Engin.Cardiff

    • Carpal Tunnel Syndrome
    • Elbow Replacement
    • Release of a Stiff Elbow
    • Rotator Cuff Surgery
    • Shoulder Arthroscopy
    • Shoulder Pain
    • Shoulder Replacement (Total)
  • Dr Adrian Barnardo

    Dr Adrian Barnardo

    BMedSci (Hons) BM BS MD MRCP

    • Colonoscopy
    • Gastroscopy or Endoscopy
    • Shoulder Replacement (Total)