PATIENT EDUCATION. Why Live with Chronic Shoulder Pain? Embrace life with SHOULDER REPLACEMENT
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1 PATIENT EDUCATION Why Live with Chronic Shoulder Pain? Embrace life with SHOULDER REPLACEMENT
2 Restore Your Quality of Life I couldn t reach cabinets in my kitchen. It was uncomfortable to drive a lot. I couldn t sleep on my right side. I really felt limited. Anita Age 79 Reversed Total Shoulder Replacement
3 You Don t Have to Suffer THERE IS A RELIABLE, EFFECTIVE SOLUTION Shoulder replacement (also called shoulder arthroplasty) can offer new hope for patients suffering from chronic shoulder pain. Shoulder replacement is the third most common type of joint replacement, after knees and hips. Today orthopedic surgeons who specialize in shoulders are using advanced techniques and materials to relieve pain and restore mobility in patients with compromised shoulder function. THERE IS A SOLUTION FOR YOUR SHOULDER PAIN I don t understand why people in pain don t do something to correct the pain. For me, this surgery was the answer. Anita Age 79 Reversed Total Shoulder Replacement
4 Restore Your Quality of Life Chronic shoulder pain can limit your activities, keep you from your everyday tasks and make it hard to sleep at night. With a shoulder replacement, you may be able to reduce or eliminate shoulder pain and regain range of motion, so you can return to your normal activities. How It Works The shoulder joint is a ball and socket that connects the upper arm to the body. Your shoulder joint consists of two bony structures, your humerus (upper arm bone) and your scapula (upper back bone). The humeral head (or ball ) articulates against the socket of the scapula, referred to as the glenoid, during movement. Cartilage is present between the humeral head and the glenoid in healthy shoulders, which is tissue that acts as a cushion between two bones and allows for pain-free movement of the joint. Conditions that can affect the bones include arthritis, fracture or shoulder dislocation. The shoulder joint is held in place by ligaments and muscles, including the rotator cuff group of muscles, which often are associated with shoulder problems. Anterior View (front of body) humeral head (ball) clavicle scapula humerus glenoid (socket) Normal Bony Shoulder Anatomy supraspinatus muscle subscapularis muscle Normal Rotator Cuff Muscles
5 Shoulder Replacement Options The two most common shoulder replacement procedures performed are, primary total shoulder replacement and reversed total shoulder replacement. There are different types of shoulder replacement implants available, your surgeon will evaluate you and your situation before choosing an implant that best meets your health needs. Primary Total Shoulder A primary total shoulder replacement procedure may be performed using a stemless implant. A stemless implant does not penetrate the shaft of the humerus (arm bone) thereby preserving precious bone stock while restoring natural anatomy, function and pain reduction. The humeral joint is replaced with a bone preserving nucleus to which a metal humeral head is attached. The glenoid (socket) is replaced with a rounded, specialized plastic implant. A primary total shoulder replacement procedure may be performed using a short stemmed implant when additional bone fixation is required to restore natural anatomy and function. Both sides of the shoulder joint are replaced. The humeral head (ball) is replaced with a stem and head prosthesis and the glenoid (socket) is replaced with a rounded, specialized plastic implant. Reversed Total Shoulder With a reversed total shoulder replacement, the normal structure of the shoulder is reversed. The ball portion of the implant is attached to the scapula (where the socket normally is) and the artificial socket is attached to the humeral head (where the ball normally is). This allows the stronger deltoid muscles of the shoulder to take over much of the work of moving the shoulder, increasing joint stability. A reversed procedure is often indicated for patients with compromised rotator cuff function.
6 What to Expect Shoulder replacement is performed in the hospital by an experienced, specialized surgical team. The procedure generally takes 1-3 hours, and a hospital stay of 1-3 days can be expected. Most people are able to return to normal everyday activities such as dressing themselves and grooming within the first two weeks after successful shoulder replacement surgery. Your physician will let you know when it is safe to drive (generally not until at least six weeks after surgery) and perform other tasks. Total recovery time is approximately 3-6 months, and physical therapy is required to gain range of motion with the new joint. As with any surgery, success will depend on your age, activity level and other factors. Your doctor will determine if you are a good candidate for shoulder replacement surgery, and can help you understand what to expect from the procedure and your recovery. SHOULDER REPLACEMENT CAN HELP REDUCE OR ELIMINATE SHOULDER PAIN AND CAN ALLOW YOU TO REGAIN RANGE OF MOTION. IT MAY HELP YOU RETURN TO NORMAL DAILY ACTIVITIES.
7 Making the Choice Shoulder replacement surgery may be an appropriate treatment for you if you: have limited arm and shoulder movement are unable to perform everyday tasks comfortably are losing sleep because of the pain have had x-ray or MRI tests showing arthritis or other chronic problems are not getting pain relief from medication, injections or physical therapy An orthopedic surgeon who is experienced in shoulder replacement can evaluate your particular situation and determine whether you are a candidate for the procedure. The performance of a prosthetic joint and how long it will last depend on many factors, including the type of implant used and your physical condition, activity level and lifestyle. I had pain that took my breath away from arthritis. Essentially, the day after surgery, that pain was gone. Greg Age 55 Reversed Total Shoulder Replacement
8 SHOULDER REPLACEMENT IMPLANTS SIMPLICITI Shoulder System AEQUALIS ASCEND FLEX Primary AEQUALIS ASCEND FLEX Reverse SHOULDER REPLACEMENT PLANNING SOFTWARE & PATIENT SPECIFIC INSTRUMENTATION BLUEPRINT 3D Planning + PSI This pamphlet contains general medical information and does not replace the medical advice of your physician. If you have questions about your medical condition or exercises, ask your doctor or health care provider. For more information and to find a shoulder surgeon near you, please visit: Cherry Road Memphis, TN Nesbitt Avenue South Bloomington, MN and denote Trademarks and Registered Trademarks of Wright Medical Group N.V., or its affiliates Wright Medical Group N.V. or its affiliates. All Rights Reserved. CAW-2154 REV B ECN May-2016
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