Before Surgery

If you and your surgeon decide that shoulder replacement is right for you, a surgery date will be scheduled. Several things might be necessary to prepare for surgery. For example, your surgeon might ask you to have your primary care physician perform a physical examination.

During Surgery

On the day of surgery, a small tube (intravenous line) will be inserted into your arm. This tube will be used to administer fluids, antibiotics, and other medication during your surgery. Then you will be taken to the operating room and given anesthesia. After the anesthesia takes effect, your shoulder will be scrubbed and sterilized with a special solution.

The surgery will begin with an incision over your shoulder that will expose the joint. When the bones are fully visible to the surgeon, special precision guides and instruments will be used to remove the damaged parts of the bones and shape the remaining bones to accept the implants.

The implants are then secured to the bones, either by using a special cement or by setting the implants so tightly into the bone that they are held in place just by the fit. It might also be necessary to adjust the ligaments that surround the joint, in order to achieve the best possible shoulder function. When the surgeon is satisfied with the fit and function of the implants, the incision will be closed.

A tube may be inserted into the wound to drain the fluids that naturally develop at the surgical site. A sterile bandage and ice pack will then be applied, and you will be taken to the recovery room, where you will be closely monitored. Your surgery will likely take between two and three hours.

Immediately After Surgery

As your anesthesia wears off, you will slowly regain consciousness. A nurse will be with you and may encourage you to cough or breathe deeply to help clear your lungs. You also will be given pain medication. When you are fully awake and stable, you will be taken to your hospital room. Your shoulder will remain swollen and tender for a few days and, initially, may appear bruised.

What Can I Expect After Surgery?

When you are back in your hospital room, your nurses will check your bandages and give you pain medication as needed. Your arm will likely be in a sling or brace to help protect your shoulder and make you more comfortable. You may be asked to sit on the edge of your bed or even get out of bed and take a few steps.

Soon after your surgery, you will begin a gentle exercise program that will help you regain strength and range of movement in your shoulder. This program will be designed specifically for you and may begin with simple movements of your fingers, wrist, and elbow, building up to movement of your shoulder itself. You can expect to stay in the hospital anywhere from one to three days after surgery. Your bandages may be removed before you leave, but your stitches probably won’t be taken out for 10 to 14 days.

At home, you will need to continue your exercises. Your physical therapist will give you detailed instructions and may continue to work with you at home. In fact, your therapy may continue for several weeks after surgery. Your doctor or therapist will tell you when you can begin to drive and perform other activities.

Hopefully, you’ll be well on your way back to the life a healthier shoulder can help you enjoy.