Total Shoulder Replacement

What are the risks of not having total shoulder replacement surgery?

If you need total shoulder replacement surgery and you don’t have it, pain from the damaged shoulder could continue to decrease your movement, affecting your ability to move and exercise. That will impact your overall health, making your hip problem worse. And the longer you wait the more your hip joint is likely to deteriorate.

What are the alternatives to total shoulder replacement surgery?

Before deciding on a surgical solution to your shoulder problems, you might want to consider the alternatives. They include arthroscopic biologic total shoulder resurfacing, humeral head resurfacing with a metal cap or partial implant, glenoid resurfacing, or some combination of these procedures. Each procedure has its own benefits and drawbacks and depends on the patient’s age, activity level, and expectations.

¿Cuáles son los posibles efectos secundarios de la anestesia general?

Algunos de los posibles efectos secundarios incluyen náuseas y vómitos, sequedad de boca, dolor de garganta, dolores musculares, dolor de cabeza, hematomas (por la vía intravenosa), picazón, escalofríos y sensación de frío, dificultad para orinar y somnolencia. En pacientes mayores, es posible que se produzca pérdida de memoria y confusión temporal.

What are possible side effects and complications of total shoulder replacement surgery?

While they’re rare, some of the possible complications of this procedure include infection at the site of the incision, dislocation, and nerve injury. There is an increased risk of complications if you have diabetes.

How safe is total shoulder replacement surgery?

In general, severe complications from total shoulder replacement surgery are rare. You should also know that Hancock Regional Hospital has been rated one of the safest hospitals in America by El grupo Leapfrog, una organización nacional de vigilancia de la atención médica sin fines de lucro; y fue nombrado el hospital más seguro de Indiana en el Índice de hospitales del Lown Institute.

How do I know total shoulder replacement surgery is right for me?

You might be a good candidate for total shoulder replacement surgery if you’ve tried nonsurgical alternatives and nothing’s working to resolve your pain or restore your function.

Do I have options for anesthesia for total shoulder replacement surgery?

 La anestesia general es la más común para este procedimiento.

What issue does total shoulder replacement surgery solve?

If you suffer from extreme shoulder pain and joint dysfunction that interferes with daily activities such as washing, getting dressed, or reaching into a cabinet, you might be a good candidate for total shoulder replacement surgery. This procedure often relieves pain and restores function for people who suffer from osteoarthritis, rotator cuff tear, arthropathy, or rheumatoid arthritis.

How is a total shoulder replacement done?

During shoulder replacement surgery, a surgeon removes the damaged parts of the shoulder joint and replaces them with artificial components called prostheses.

What happens if my symptoms get worse while I wait for total shoulder replacement surgery?

Your surgical team will evaluate the situation and help you make a choice that’s right for you and your health. Temporary treatments might be used if your surgery is rescheduled. 

Why might I have to wait to schedule total shoulder replacement surgery?

In some cases, it takes time for a patient’s body to be ready for surgery. For example, if you have another medical issue including another surgical procedure or an illness, we might wait to schedule surgery. Your health and safety are our top priorities, so we schedule surgeries when they’re best for our patients.

¿El equipo quirúrgico conocerá mi historial médico?

Su historial médico se compilará y estará disponible para el equipo antes, durante y después de la cirugía. Si es paciente de Hancock Health, podremos acceder a sus registros dentro de nuestro sistema. Si no es así, trabajaremos con sus médicos para obtener la información necesaria.

¿Cómo debo decidir qué consejo del cirujano seguir?

Debe trabajar con el cirujano con el que se sienta cómodo, ya sea uno de nuestros cirujanos o no.

Do I have to get a second or third opinion for total shoulder replacement surgery?

Siempre puede obtener una segunda o tercera opinión, pero no es obligatoria.

What should I bring to my first appointment with a surgeon to talk about total shoulder replacement surgery?

• Información del seguro  
• Medical records, including your medical history, from your primary care physician.
• The most recent MRI image of your shoulder (Not sure where to go to get an MRI? Check out Salud Hancock, donde podrá entrar y salir rápidamente y pagar, en promedio, 70% menos de lo que pagaría en un hospital).

Do I need a referral to see a surgeon about total shoulder replacement surgery?

Your health insurance provider may require you to get a referral from your primary care provider to see a surgeon about total shoulder replacement surgery.

¿Cuánto tiempo tarda en desaparecer el efecto de la anestesia?

It takes about an hour for general anesthesia to wear off, but you may notice the effects for a day or so. It usually takes 30 minutes to an hour for local anesthesia to wear off, though the effects can last a few hours.

What do I need to bring to the hospital the day of my total shoulder replacement surgery?

Anything you’ll need for an overnight stay, including a change of underwear, a sweatshirt, glasses or contacts, headphones, and your medications.

¿Por qué me preguntan mi nombre y fecha de nacimiento cada vez que recibo medicamentos?

Es una medida de seguridad asegurarse de que está recibiendo el medicamento que le recetaron.

¿Por qué hay tanta gente en mi equipo quirúrgico?

In addition to the surgeon, you have an anesthesiologist, who handles your anesthesia, nurses—some of them specialize in working with patients and others assist the surgeon—and support staff, who get you checked in and out, compile your records, and more. They all work together, performing their individual jobs, so the procedure is as successful as possible.

Will I need someone to take me home after total shoulder replacement surgery?

Por su seguridad y la de otros conductores, deberá Necesito que alguien te lleve a casa. Si no tiene transporte, lo ayudaremos a organizar uno.

What should I expect right before total shoulder replacement surgery?

• Llegará varias horas antes de la cirugía y lo acompañarán a la sala de espera preoperatoria.
• Te quitarás toda la ropa y las joyas y te pondrás una bata de hospital. (Sus objetos de valor se colocarán en un área segura o se los entregarán a un miembro de la familia). 
• Firmará todos los documentos necesarios y una enfermera preoperatoria tomará sus signos vitales, revisará sus medicamentos y responderá cualquier pregunta.
• Conocerá a su anestesiólogo y a los miembros de su equipo quirúrgico. Marcarán la ubicación de su cirugía en su cuerpo. 
• Se le colocará una vía intravenosa en la mano o el brazo para que se puedan administrar medicamentos, incluida la anestesia general. Si usa un tipo diferente de anestesia, recibirá una inyección.
• Cuando llegue el momento de la cirugía, lo trasladarán al quirófano en una camilla.

¿Por qué no puedo comer antes de la cirugía?

Existe el riesgo de aspiración, lo que significa inhalar objetos extraños, como comida o saliva, en los pulmones. Esto puede ocurrir porque el anestésico para la cirugía puede afectar la capacidad del cuerpo para impedir que el contenido del estómago ingrese a los pulmones.

How should I prepare for this total shoulder replacement surgery?

You’ll probably be instructed not to eat anything after midnight on the day of your surgery, and you might also be told to stop taking certain medications or dietary supplements.

How long will I be in the hospital after total shoulder replacement surgery?

While the length of a hospital stay depends on each patient’s individual needs, patients typically leave within one to two days.

How long will I be under for a total shoulder replacement?

Lo anestesiarán durante todo el procedimiento y unos minutos después.

How long will the total shoulder replacement procedure take?

Total shoulder replacement surgery typically takes around three hours.

¿Cuándo se informará a mi familia sobre cómo estoy?

Our associates will get information from the surgical team in the operating room during your surgery and keep them updated. Following the procedure, your surgeon will talk with them in person.

What will happen during total shoulder replacement surgery?

You’ll breathe oxygen through a mask and our team will track your vital signs as the surgery is performed.

Will I need to fill any prescriptions or take medication after total shoulder replacement surgery?

You may be prescribed pain medication, anticoagulants, or other symptom-reducing medications.

How soon after total shoulder replacement surgery can I eat or drink?

Es posible que no pueda comer ni beber de inmediato y es posible que le pidan que siga una dieta de líquidos claros durante uno a tres días. Después de eso, puede volver a consumir alimentos sólidos, pero se recomiendan productos fáciles de digerir, como sopas, pudines y yogur.

Will I receive pain medication right after total shoulder replacement surgery?

En la mayoría de los casos, los pacientes reciben analgésicos inmediatamente después de la cirugía.

How soon after total shoulder replacement surgery will I be up and moving around?

Within 24 hours of the procedure, you’ll likely be asked to stand up and walk with the help of medical staff. Follow your team’s instructions regarding the use of your arm and shoulder during the first few weeks after surgery.

¿Cuándo podré hablar con mi cirujano después de la cirugía?

Podrá hablar con su cirujano inmediatamente después del procedimiento, mientras esté en la sala de recuperación.

How will I know if total shoulder replacement surgery worked?

Your surgeon will discuss your procedure with you. It can take up to three months for people who have shoulder replacement surgeries to return to most of their normal activities and as much as a year to fully recover.

What can I expect right after total shoulder replacement surgery?

You’ll wake up from surgery in the recovery room and, as you start to regain feeling in your body, you’ll receive pain medication. After leaving the recovery room, you’ll be taken to your hospital room where you will be able to see friends or family who came with you.

What are payment options like for total shoulder replacement surgery at Hancock Health?

Hancock Health se compromete a ayudar a que una atención excelente sea asequible para todos los pacientes. Para obtener más información sobre las opciones de pago, visite la página de preguntas frecuentes sobre facturación y seguros en HancockRegionalHospital.org.

Will Medicare cover total shoulder replacement surgery?

Medicare parts A and B will cover the cost of shoulder replacement surgery, but it’s important for your doctor to indicate that the surgery is medically necessary.

Will insurance cover total shoulder replacement surgery?

In most cases, insurance will cover most of the costs associated with total shoulder replacement surgery. To obtain your possible out-of-pocket expenses, use our Herramienta de estimación de precios.

How much does total shoulder replacement surgery cost?

Consulta el Herramienta de transparencia de precios at HancockRegionalHospital.org for an idea of how much total shoulder replacement surgery might cost.