Revision Shoulder Replacement Surgery

Fortunately, revision surgery after prosthetic shoulder arthroplasty is rarely required. However, various complications or combinations of complications can lead to the need for revision surgery. For many of these, several treatment options are possible. Recognizing all the problems that contributed to failure in an individual patient may be difficult before revision surgery. Understanding the abnormality present at the time of surgery requires considerable experience. For example, glenoid loosening, in addition to being accompanied by scapular bone loss, may be associated with rotator-cuff tearing, instability, or joint contracture. In addition to the component loosening, all of these must also be treated if the revision procedure is to be successful. When addressing glenoid loosening, it seems to be best to revise the component, if possible. If there is extreme bone loss, one may have to bone graft the deficiencies and not replace the glenoid component. Fortunately, clinically significant humeral loosening is rare. When it occurs, revision of the component is justified and almost always possible. In hemiarthroplasties with pain, conversion to a total shoulder arthroplasty by placing a glenoid component is highly effective. In instability after shoulder arthroplasty, soft-tissue repair does not always create stability.

Treatments

Unfortunately, for most patients, component revision is a necessary part of the revision surgery. When rotator-cuff tearing is acute, repair is indicated; for chronic rotator-cuff tearing, repair depends on the severity of the symptoms. When infection develops after shoulder arthroplasty, implant removal is almost always necessary, but occasionally, in low-grade infections, a primary or secondary exchange procedure may be possible.

Shoulder Conditions

  • Bankart Lesion
  • Biceps Tendon Rupture
  • Broken Collarbone
  • Burners & Stinger
  • Bursitis
  • Chronic Shoulder Instability
  • Fracture of the Shoulder Blade
  • Frozen Shoulder
  • Labral Tear
  • Rotator Cuff Tear
  • Shoulder Arthritis
  • Shoulder Dislocation
  • Shoulder Impingement Syndrome
  • Shoulder Pain
  • Shoulder Separation
  • Superior Labrum Anterior to Posterior (SLAP)
  • Throwing Injuries[/li_item|

Shoulder Treatments

  • Acromioplasty
  • Arthroscopic Bankart Repair
  • Biceps Tendon Rupture Surgery
  • Biceps Tenodesis
  • Broken Collarbone Surgery
  • Bursitis/Shoulder Impingement Surgery
  • Closed Reduction Shoulder Surgery
  • Labrum Surgery
  • Instability Shoulder Surgery
  • Reverse Shoulder Replacement Surgery
  • Revision Shoulder Replacement Surgery
  • Rotator Cuff Repair
  • Shoulder Arthritis Surgery
  • Shoulder Arthroscopy Surgery
  • Shoulder Impingement Syndrome Treatment
  • Shoulder Separation Surgery
  • Total Shoulder Replacement Surgery
  • Throwing Injury Surgeries

Conservative Treatments

The Orthopedic physicians at Peninsula Bone & Joint Clinic provide conservative treatment options for Shoulder conditions and injuries.

Shoulder Treatment Highlights

Reverse Total Shoulder Replacement by Dr. Todd Kim

Dr. Todd Kim provides innovative shoulder replacement options to patients with shoulder joint compromise.

A standard total shoulder replacement is designed to work only if the rotator cuff muscles and tendons are in tact and working properly. If the rotator cuff muscles are not working properly, a Reverse Total Shoulder replacement is needed.

In a Reverse Total Shoulder replacement, the glenoid component is shaped like a ball and anchored to the scapula by screws. The humeral component then becomes the new socket of the joint and attaches to the upper end of the humerus.

The joint configuration of a Reverse Total shoulder replacement allows the patient to now us the deltoid muscle instead of the torn rotator cuff to lift the arm.

Total Shoulder Replacement by Dr. Todd Kim

Dr. Todd Kim provides innovative shoulder replacement options to patients with shoulder joint compromise.

Total shoulder replacement arthroplasty is a well-established surgery for restoring comfort and function to the arthritic shoulder.

In this procedure the arthritic ball is replaced by a smooth metal ball fixed to the arm bone (humerus) by a stem that fits within it.

The arthritic socket (glenoid) is resurfaced with high-density polyethylene prosthesis. Among the different surgical options this procedure appears to provide the most rapid and complete improvement in comfort and function for shoulders with arthritis.

Success requires technical excellence of the surgery and a commitment to the exercise program until the desired range of motion can be achieved comfortably.

Peninsula Bone & Joint Clinic

The Orthopaedic physicians at Peninsula Bone & Joint Clinic provide comprehensive services to all members of the family.
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