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.

What are the possible side effects of general anesthesia?

Some of the possible side effects include nausea and vomiting, dry mouth, sore throat, muscle aches, headache, bruising (from the IV), itching, shivering and feeling cold, difficulty urinating, and sleepiness. In older patients, memory loss and temporary confusion are possible.

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 The Leapfrog Group, a national nonprofit health care watchdog organization; and was named the safest hospital in Indiana on the Lown Institute Hospital Index.

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?

 General anesthesia is most common for this procedure.

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.

Will the surgical team know my health history?

Your health history will be compiled and available to the team before, during, and after surgery. If you’re a Hancock Health patient, we will be able to access your records within our system. If you aren’t, we will work with your doctors to get the necessary information.

How should I decide which surgeon’s advice to follow?

You should work with the surgeon with whom you feel comfortable, whether that’s one of our surgeons or not.

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

You can always get a second or third opinion, but it isn’t required.

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

• Insurance information  
• 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 Gateway Hancock Health, where you’ll be able to get in and out quickly and pay, on average, 70% less than you’ll pay at a 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.

How long does it take the anesthesia to wear off?

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.

Why am I asked for my name and date of birth every time I get medicine?

It’s a safety precaution to make sure you’re receiving the medication that’s prescribed for you.

Why are there so many people on my surgery team?

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?

For your safety and the safety of other motorists, you will need someone to drive you home. If you don’t have a ride, we’ll help you arrange one.

What should I expect right before total shoulder replacement surgery?

• You’ll arrive several hours before your surgery and be escorted to the preoperative waiting area.
• You’ll remove all of your clothing and jewelry, and put on a hospital gown. (Your valuables will be placed in a secure area or may be given to a family member.) 
• You’ll sign any necessary paperwork and a preoperative nurse will take your vital signs, review your medications, and answer any questions.
• You’ll meet your anesthesiologist and the members of your surgery team. They will mark the location of your surgery on your body. 
• An I.V. (intravenous line) will be placed in your hand or arm, so medications—including general anesthesia—can be administered. If you’re using a different kind of anesthesia, you’ll receive an injection.
• When it’s time for your surgery, you will be wheeled into the operating suite on a stretcher.

Why can’t I eat before surgery?

There’s a risk of aspiration, which means breathing foreign objects, like food or saliva, into your lungs. This can occur because the anesthetic for surgery can impair your body’s ability to stop the contents of your stomach from entering your lungs.

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?

You will be anesthetized during the entire procedure and a few minutes afterward.

How long will the total shoulder replacement procedure take?

Total shoulder replacement surgery typically takes around three hours.

When will my family be informed about how I’m doing?

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?

You may not be able to eat or drink right away and you may be asked to follow a clear fluid diet for one to three days. After that, you may return to solid foods—but easy-to-digest items, including soups, pudding, and yogurt, are recommended.

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

In most cases, patients receive pain medication immediately following surgery.

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.

When will I get to talk to my surgeon after surgery?

You’ll be able to talk to your surgeon immediately after your procedure, while you’re in the recovery room.

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 is committed to helping make great care affordable for all patients. To find out more about payment options, please visit the billing and insurance FAQ page at 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 Price Estimator Tool.

How much does total shoulder replacement surgery cost?

Consult the Price Transparency Tool at HancockRegionalHospital.org for an idea of how much total shoulder replacement surgery might cost.