Revision Total Shoulder Replacement

When complications occur in the shoulder joint after total shoulder replacement surgery, sometimes a revision total shoulder arthroplasty is needed to reduce painful symptoms and help a patient regain mobility. In revision surgery, your doctor may repair any damage and remove some or all of the parts of the original prosthesis and replace them with new ones.

At OrthoBethesda, our team of highly trained surgeons provide quality care to the Bethesda, MD, community and offer both surgical and conservative treatments for a variety of musculoskeletal issues, including any problems you may be experiencing with your shoulder joint.

What Is Total Shoulder Replacement?

When a total shoulder replacement is needed, expert surgeons replace the head of the upper arm bone (humerus) as well as the cavity of the shoulder blade into which the humerus fits with artificial prosthetics. Once the total shoulder replacement is complete, it should relieve any pain, swelling or stiffness caused by damage to the cartilage and joint.

When Do We Recommend a Revision Shoulder Replacement?

In general, total shoulder replacement has great results, allowing patients to move their shoulder joint freely without pain. However, over time, revision surgery may be necessary for a variety of reasons, such as:

  • Persistent pain
  • Difficulty performing everyday activities
  • Infection
  • Stiffness
  • Instability
  • Weakness
  • Hardware loosening
  • Malposition
  • Fracture

These complications may occur for several different reasons, any of which can cause the failure of a total shoulder replacement, including:

  • Formation of bone spurs
  • Scar tissue
  • Deficits in supporting muscles
  • Nerve injuries during surgery
  • Imbalance in the soft tissue
  • Loose bodies
  • Overly large components
  • Components that become loose or misplaced
  • Lack of participation in a rehab program
  • Overstraining of repaired tendons too early

Considerations Before Revision Shoulder Replacement

When you come to OrthoBethesda, we'll perform a thorough physical examination and review your medical history. This process will help us identify what caused your total shoulder replacement to fail. Only then will we consider the best treatment approach, which could include revision total shoulder arthroplasty.

How Is Revision Shoulder Replacement Performed?

If your OrthoBethesda orthopedic surgeon determines that revision surgery is the best option, we'll work with you throughout the entire process. Revision surgery is performed under general anesthesia with the use of an arthroscope, which is a small, fiber-optic viewing instrument. This tool allows us to make smaller incisions while still gaining optimal access to the problem area. We'll also strive to follow the previous incisions, making extensions only when necessary.

Revision shoulder surgery usually involves the following:

  • Removal of scar tissue and other impeding structures
  • The release of stiff muscles, tendons and ligaments to improve range of motion
  • Repair of injured parts using tendon grafts
  • Replacement or alteration of ill-fitting components
  • Stabilization of fractures using screws, plates or wires
  • Treatment of any infections
  • Removal of dead or infected tissue

Throughout the procedure, great care is taken to protect all muscular and neurovascular structures. However, their positions may be altered due to the failed previous surgery.

Let OrthoBethesda Treat Your Failed Total Shoulder Replacement

If you're experiencing pain or loss of mobility after a total shoulder replacement, it's time to contact OrthoBethesda to determine if you need revision surgery to correct potential problems. Our highly trained orthopedic surgeons offer thorough examinations and will work with you to develop a treatment plan so that you can continue living an active lifestyle and doing the things you love.

Call us today at (301) 530-1010 to make an appointment.

  • American Medical Association
  • American Society for Surgery of the Hand - ASSH
  • American Academy of Orthopaedic Surgeons - AAOS
  • American Board of Orthopaedic Surgery
  • North American Spine Society - NASS
  • American Association of Hip & Knee Surgeons - AAHKS