Summer Fun in RecoveryShoulder arthroplasty, often referred to as shoulder replacement surgery, entails the removal of worn-out sections of your shoulder and substituting them with prosthetic components. The primary objective of this operation is to mitigate discomfort and enhance movement. As you approach the possibility of this procedure, it's important to understand the stages and potential outcomes of the surgery.

In this article, we'll talk about what happens during a shoulder replacement. We'll focus on how Dr. Kaminsky performs the surgery using the Enovis SMR Shoulder.

Many people have a great deal of pain and can't move their shoulders well, causing them to consider surgery. Ultimately, when more conservative treatments have failed, some patients choose a shoulder replacement to help with this pain.

Dr. Kaminsky and his team at Pinnacle Surgical Orthopedics stand at the forefront of orthopedic care, offering a blend of experienced surgical hands, cutting-edge techniques, and a patient-first approach. Our mission is to guide you through the surgical journey with the utmost care and expertise.

Questions such as, “How extensive is the procedure?” or “How does one technique differ from another?” may arise along the way. Let's go deeper to provide clarity.

Understanding Shoulder Replacement Surgery

Before focusing on Dr. K's innovative technique and the SMR Shoulder, let's first establish a basic understanding of shoulder replacement surgery. This surgery aims to alleviate pain and improve function by replacing the damaged parts of the shoulder joint with artificial components.

Shoulder replacement surgery is often the final solution for individuals experiencing intense shoulder pain that traditional treatment methods haven't relieved. Several conditions might necessitate this surgical intervention:

  1. Osteoarthritis: Predominantly seen in the elderly, osteoarthritis results from the gradual degeneration of the cartilage cushioning the bones. As the cartilage wears down, bones may rub against each other, causing discomfort.
  2. Rheumatoid Arthritis (RA): Unlike osteoarthritis, RA is an autoimmune disorder where the body's immune system mistakenly targets and damages its joints. This leads to inflammation and pain.
  3. Avascular Necrosis: This condition arises when there's an interruption in the blood supply to a bone. This lack of adequate blood flow can lead to bone damage and consequent pain within the shoulder joint.
  4. Severe Shoulder Fractures: In instances where the shoulder bone suffers a significant fracture, a shoulder replacement might be recommended to restore its structure and function.

It's crucial to understand that while these conditions may lead to the consideration of shoulder replacement surgery, comprehensive consultation with a healthcare professional is essential before making any decisions.

How Long Does Shoulder Replacement Surgery Typically Take?

Shoulder replacement surgery under Dr. Kaminsky's expert guidance at Pinnacle Surgical Orthopedics typically takes between 1 to 2 hours. The efficiency and shorter duration of the surgery are a testament to Dr. K's specialized method, which prominently features the SMR shoulder replacement system.

The SMR shoulder, a leading-edge implant, has a unique design that offers a bone-conserving alternative to traditional stemmed implants prevalent in most shoulder arthroplasties. Instead of employing a regular stem within the humeral shaft, this implant uses a compact framework that attaches the metallic ball to the upper arm bone. This design not only ensures enhanced shoulder function but also negates the need for the humeral shaft, leading to quicker surgeries and better outcomes.

The SMR's innovative design and Dr. K's surgical approach combine to deliver unmatched benefits for patients. An impressive 95% of patients opting for anatomic shoulder arthroplasty can leverage the advantages of this stemless shoulder replacement. Its design ensures a minimal rate of loosening.

Supporting this claim, a significant study monitoring patients for over two years showcased a 100% success rate in radiographic evaluations. The chance of necessitating follow-up surgeries is a mere 1% per year. Moreover, should there be a need for corrective surgeries later on, the stemless SMR design streamlines the procedure. This not only facilitates a smoother surgical process but also aids in a more comfortable recovery for patients.

Types of Shoulder Replacement Procedures

Your physician might recommend different shoulder replacement options depending on the extent and type of joint damage you're experiencing:

  1. Anatomic Total Shoulder Replacement: This involves substituting both the ball and socket with implants that mimic the natural bone shapes.
  2. Reverse Full Shoulder Replacement: In this variation, both the ball and socket are also replaced, but their roles are switched. The ball gets affixed to the shoulder blade, while the socket connects to the upper arm bone. This is often the choice when the rotator cuff has substantial damage.
  3. Partial Shoulder Replacement: Only the joint's ball (or head) is replaced. This might be the suggested approach if the damage is primarily on the ball side of the joint.

Before undergoing an SMR Shoulder replacement, Dr. K will conduct a comprehensive health evaluation. This will include blood and urine tests and may also entail a chest X-ray or EKG to confirm your suitability for the procedure and identify any potential risks.

Getting Ready for Surgery

  • Medication Guidelines: Considering the potential for bleeding during surgery, it might be necessary to discontinue certain medications temporarily. These can include blood thinners, NSAIDs, and specific supplements. Dr. K will provide precise instructions about which medications to cease and the ideal timing.
  • Surgery Day Preparations: On the day of your operation, choose comfortable attire, ideally a front-button shirt, to minimize strain on your shoulder post-surgery. Please ensure you arrive at the surgical center ahead of time to complete any necessary paperwork and undergo pre-surgical preparations.

During the Surgery

Shoulder replacement surgery usually takes 1-2 hours. Traditional shoulder implants often come with stems that go into the humerus. However, the SMR Shoulder employs a unique design where a compact 'peg' or 'framework' is directly attached to the upper arm bone, thus eliminating the need for a stem.

Advantages of this design Include:

  • Bone Conservation: The stemless nature means less bone is removed during surgery. This can lead to a quicker recovery and reduced post-operative discomfort.
  • Enhanced Mobility: Without the interference of a stem in the humeral shaft, the shoulder can achieve a more natural range of motion. This results in improved function after the surgery.

Factors like overall health, shoulder condition, and personal needs dictate suitability. Consult with Dr. K first for tailored advice.

After the Surgery

Following the surgery using the SMR Shoulder method, patients typically need a shorter hospital stay due to the efficient design of the implant and minimal bone removal. During this period, patients might initiate gentle exercises under the guidance of Pinnacle’s physical therapists to promote optimal shoulder movement.

Key recovery points:

  • Therapy and Movement: Daily exercises are crucial, as the SMR Shoulder allows for enhanced shoulder motion post-surgery. These exercises, supervised by therapists, counteract stiffness and help to maximize shoulder flexibility. It's essential to follow the prescribed regimens for the best outcomes strictly.
  • Pain Management: Although the procedure aims to reduce post-operative pain due to less bone removal, managing discomfort using cold compresses or ice packs on the shoulder for 15-20 minutes several times a day is still recommended.
  • Wound Care: Ensure the surgical area remains dry to facilitate proper healing. Refrain from full baths and swimming for a minimum of three weeks post-surgery. While showering, the area can get slightly wet, but it should be patted dry immediately and gently.
  • Suture Removal: With the advanced surgical techniques associated with the SMR Shoulder, sutures might be ready for removal during a follow-up visit around a week post-operation.

Individual recovery experiences can differ based on overall health, the specifics of the surgery, and commitment to rehabilitation. Always follow the specific instructions provided by the healthcare team.

Discover Pinnacle Surgical Orthopedics in Nashville 

Shoulder replacement surgery offers a life-changing solution for those battling severe shoulder pain. Like any surgery, it's crucial to understand the procedure, its benefits, and potential risks. Always consult with your healthcare expert to determine the best treatment plan tailored for you. 

Dr. K utilizes advanced pre-operative computerized analysis to customize each shoulder replacement procedure. Specialized pre-operative scans are taken and then fused with state-of-the-art software engineering to develop patient-specific instrumentation, aiming for optimal surgical outcomes.

At Pinnacle Surgical Orthopedics, our priority is you. Under the guidance of Dr. Kaminsky, a respected shoulder and sports medicine specialist, we commit to providing exceptional care from surgery to recovery. Our team is dedicated to improving your life with cutting-edge methods and in-house rehabilitation services. Come visit or book an appointment for top-tier orthopedic care. 

Don't let pain control your life. Contact us today and step into a brighter, pain-free tomorrow.