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Who is a candidate for shoulder resurfacing? The shoulder surgeon explains this here

Shoulder resurfacing is a surgical procedure designed to treat shoulder joint problems, primarily arthritis, by replacing the damaged surfaces of the shoulder joint rather than the entire joint. Unlike total shoulder replacement, which involves removing the head of the humerus (the bone of the upper arm) and replacing it with a metal prosthesis, shoulder resurfacing preserves more of the patient’s natural bone and involves placing a metal cap over the head of the humerus. Shoulder resurfacing can be a good option for younger, more active patients with arthritis or other shoulder joint issues who want to maintain more of their natural bone and possibly delay the need for a total shoulder replacement. Patients need to discuss their individual conditions and treatment options with an orthopaedic surgeon to determine the best approach for their needs.

Who is a candidate for shoulder resurfacing?

Shoulder resurfacing is typically considered in the following situations:

  1. Arthritis: It is often used for patients with shoulder arthritis, especially when the arthritis affects only the surface of the shoulder joint rather than the underlying bone structure. It can be an option for individuals with osteoarthritis or rheumatoid arthritis who have not found relief from non-surgical treatments.
  2. Young, Active Patients: It’s generally recommended for younger, more active patients who are likely to benefit from preserving their natural bone structure. Since the procedure involves less bone removal compared to total shoulder replacement, it can be a good choice for those who may eventually need a different type of shoulder surgery later in life.
  3. Failed Conservative Treatments: When conservative treatments such as physical therapy, medications, or corticosteroid injections have failed to relieve pain or improve function, shoulder resurfacing may be considered as an alternative to more invasive procedures.
  4. Specific Joint Damage: Shoulder resurfacing is suitable when the damage is primarily on the surface of the humeral head (the top part of the arm bone) and the socket (glenoid) is relatively intact. It is not typically used when there is significant damage to the socket or if the rotator cuff muscles are severely damaged.
  5. Avoiding Total Shoulder Replacement: For patients who wish to avoid or delay a total shoulder replacement, resurfacing can be a viable option, as it involves less bone removal and may provide a good outcome with a shorter recovery time.

The decision to undergo shoulder resurfacing is based on a thorough evaluation by an orthopaedic surgeon, who will assess the extent of joint damage, the patient’s activity level, and overall health to determine if this procedure is appropriate.

Why should one opt for shoulder resurfacing?

Shoulder resurfacing offers several advantages, particularly for certain groups of patients. Here are some of the key benefits:

  1. Bone Preservation: One of the primary advantages is that shoulder resurfacing preserves more of the patient’s natural bone compared to total shoulder replacement. This can be especially beneficial for younger patients or those who might need additional surgeries in the future.
  2. Reduced Risk of Bone Loss: Since less bone is removed during resurfacing, there is generally a lower risk of complications related to bone loss. This can make future revisions or additional surgeries less complex.
  3. Less Invasive: Shoulder resurfacing is considered less invasive than total shoulder replacement because it involves placing a metal cap over the humeral head rather than replacing the entire joint. This can result in a shorter recovery time and potentially fewer postoperative complications.
  4. Improved Range of Motion: Many patients experience improved range of motion and function following shoulder resurfacing, as the procedure helps restore smooth movement at the joint.
  5. Less Impact on Rotator Cuff: Since shoulder resurfacing is less likely to interfere with the rotator cuff tendons, it can be a good option for patients with intact rotator cuff muscles. This can help in maintaining shoulder strength and function post-surgery.
  6. Faster Recovery: The recovery period for shoulder resurfacing is often shorter compared to total shoulder replacement. Patients may be able to return to their daily activities and rehabilitation exercises more quickly.
  7. Reduced Pain: The procedure can provide significant pain relief for patients with shoulder arthritis or other joint issues, improving overall quality of life.
  8. Possibility of Future Surgery: If the resurfacing eventually wears out or fails, the preserved bone structure can make it easier to transition to a total shoulder replacement or other surgical options later.

Shoulder Resurfacing Procedure

Here’s a brief overview of the process:

  1. Preparation: The damaged cartilage and bone on the surface of the shoulder joint are removed.
  2. Resurfacing: A metal cap is placed over the head of the humerus. This cap helps reduce pain and improve joint function by providing a smooth, durable surface for the joint to move against.
  3. Recovery: Post-surgery, patients usually undergo a period of rehabilitation to regain strength and mobility in the shoulder.

A word from Hyderabad Shoulder Clinic

Overall, shoulder resurfacing can be an effective option for specific patients, offering benefits that may align well with their health goals and lifestyle. As always, the decision to undergo this procedure should be made in consultation with an orthopaedic surgeon who can evaluate individual needs and conditions.For more information, please visit our website https://hyderabadshoulderclinic.com/ or contact us at +91 9959588389 or shoulderandsportsclinic@gmail.com.

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