Total Shoulder Replacement Surgery
What is a Total Shoulder Replacement
Total shoulder replacement surgery involves the replacement of the damaged portions of the humerus and scapula with artificial materials made of plastic or metal. This surgery is usually a result of damage from arthritis or trauma to the area. If you're expecting to undergo total shoulder replacement, here are some things you should know before your procedure.
During shoulder replacement surgery, your doctor will remove the damaged portions and replace them with a prosthesis. Your surgeon will either replace just the head of the humerus bone or both the ball and socket. The whole procedure typically takes about two hours. You will notice a scar later where the incision was made at your shoulder, and you may experience swelling and discomfort for a few weeks after the surgery. Physical therapy and pain medication, together or in combination, may be necessary following surgery to return the shoulder to full functionality.
Planning for Total Shoulder Replacement Surgery
Will my Insurance Pay for Total Shoulder Replacement?
Every insurance company and individual policy differs as to which specific procedures are covered and how much of the total cost of surgery the patient is responsible for paying. Learn what your total out-of-pocket expenses are and what is included in your coverage before the surgery. Make sure to take into account the rehabilitation and physical therapy you may require after the surgery is performed.
Do I Need to Provide Insurance Information to Kansas Surgery & Recovery Hospital Prior to My Surgery?
Much of your insurance information comes from your physician's office. Many times, this is all the information we need. Should we need anything further, our Business Office will contact you approximately a week before surgery. However, please bring your insurance card with you the day of surgery.
What Should I do if I Have Questions About Medicare/Insurance Coverage for My Total Shoulder Replacement Procedure?
If you have any questions about coverage for your procedure, please feel free to contact our Business Office Manager at 634-0090 and she will be happy to answer your questions or direct you to someone who can.
Does Kansas Surgery & Recovery Hospital accept Visa and Mastercard?
Yes we do.
Preparing for Total Shoulder Replacement Surgery
Should I Take My Medications the Morning of Surgery?
If you are taking heart or blood pressure medication, please take your regular morning dose on the morning of surgery unless otherwise instructed by your doctor. If you are taking insulin, normally we ask that you take one-half your regular dose on the morning of surgery. However, again, please check with your physician. Please discontinue any other medications two weeks before surgery, and certainly do not take them the morning of surgery, unless instructed by your doctor. Bring your home medications with you in their original, labeled bottles on the day of surgery because we refer to these bottles so we can accurately order these medications and resume their administration after your surgery.
Which Medications Can Interfere with Total Shoulder Replacement Surgery?
Avoiding infection is especially important when undergoing total shoulder replacement. Some drugs can increase the risk of developing infection. These include Enbrel and methotrexate, along with any drug that works by suppressing the immune system. Other medications that need to be stopped two weeks before the surgery are blood thinners, like aspirin or Coumadin, which can prevent clotting of the blood needed to heal after surgery. Your doctor will tell you when to stop any of your medications and which ones it is important for you to keep taking.
I'm Taking an Herbal Product, Do I Need to Discontinue It?
Yes. Some herbal products can cause major problems during total shoulder replacement surgery. We are learning more about these products as they become more widely used. St. John's wort and gingko biloba are two herbal products that can definitely cause major problems with blood pressure during surgery. Because herbal products are sold over-the-counter and are largely unregulated, it is difficult for us to know their dosage. We expect you to discontinue all herbal products two weeks before surgery, unless otherwise directed by your surgeon.
Should I Stop Taking my Vitamins?
Generally, you can continue taking your vitamins but if they contain additional herbal products, please discontinue them. Again, if you have questions, consult your physician's office.
I'm Diabetic, Should I Discontinue Insulin?
No. Please continue taking your insulin. We usually have diabetic patients take half their normal dose of insulin on the morning of their surgery. We then monitor your blood sugar preoperatively, during and after surgery, giving sugar supplements if needed.
Should I Keep Taking My Blood Pressure or Heart Medicine Before Total Shoulder Replacement Surgery?
Please continue your blood pressure and/or heart medication.
Can I Eat, Drink or Smoke the Day of My Surgery?
If you smoke, now is a good time to stop. Smoking slows the healing process, extending the recovery period. You should also refrain from drinking alcohol at least 48 hours prior to the surgery. You may also need to do some strengthening exercises to prepare for the surgery and for using crutches or a walker for support. Eat a well-balanced diet to help strengthen your body and make healing easier.
What Should I Do With My Suitcase When I Come In?
Leave your suitcase and belongings in the car when you come in to register. When we get you settled in your room after surgery, then your family or friends can bring your suitcases to your room. Please leave all valuables at home.
Anesthesia for Total Shoulder Replacement Surgery
What type of anesthesia will I have for my shoulder replacement?
General anesthesia is recommended for shoulder replacement surgery. Some surgeons will also recommend an arm block before or immediately after the surgery in addition to the general anesthesia. You should discuss this with your surgeon before surgery and with your anesthesiologist on the day of surgery.
Implants Used in Total Shoulder Replacement Surgery
What are the Implants Made of and How Much do They Weigh?
A shoulder replacement implant consists of: hemi-partial replacement ball - cobalt chrome total weight - 1.0 lbs.
Do the Shoulder Replacement Implants Set Off the Airport Alarms?
Shoulder replacement implants do not set off the metal detector alarms at most airports. Some international airports have more sensitive devices and the implant will cause an alarm.
Recovery from Total Shoulder Replacement Surgery
Will I Have Pain Medication After Total Shoulder Replacement Surgery?
Yes. After surgery, you will be kept on an IV solution to aid in your recovery for about a day, along with pain medication. A bandage will be placed on your shoulder and a fluid drain will collect excess fluid. A physical therapist will show you some exercises you can do to get your shoulder moving again and resume normal daily activities. Rehab is necessary to regain strength in your shoulder and get your flexibility back.
How Long Will I Take Pain Medication After Total Shoulder Replacement Surgery?
Most people go home on pain pills after a shoulder replacement procedure. Your doctor may also give you an anti-inflammatory medication such as aspirin or ibuprofen.
How Long Will I Be in the Hospital After Total Shoulder Replacement Surgery?
Average length of stay for patients who have had a total shoulder replacement is 1-2 nights.
What Type of Clothes Should I Bring?
Men should bring shorts and t-shirts and short pajamas. Women should bring shorts and t-shirts and short pajamas or gowns. No floor length gowns or long pajamas are recommended.
When Will I Start Getting Out of Bed After Total Shoulder Replacement Surgery?
This is dependent on your surgeon’s preference and what time you have surgery. Some patients will be getting out of bed in the afternoon the day of surgery. All other patients will be getting out of bed the next morning following a total shoulder procedure.
Can Children Visit?
Yes, but they must be well behaved, well supervised and they must be physically well.
Should I Bring My Home Medications With Me to the Hospital?
Yes. Bring them in their original pharmacy container.
Physical Therapy After Total Shoulder Replacement Surgery
What Kinds of Activities Will I Do in Physical Therapy?
We will work with you on getting out of bed safely, transferring, and of course, increasing movement in your new shoulder.
Will My Physical Therapy be in My Room?
Kansas Surgery & Recovery Hospital differs from a traditional hospital setting in that most of your physical therapy is done in your room.
Does the Therapist Decide When I Can Go Home After Total Shoulder Replacement Surgery?
The therapist and nurses will communicate and give recommendations to your doctor regarding your level of function and when it is safe for you to go home.
Going Home After Total Shoulder Replacement Surgery
What Should I Do to Prepare My Home?
Some good ideas include removing knick-knacks that might get knocked off of furniture, and removing throw rugs that could trip you up.
Where Can I Get Medical Supplies to Use When I Get Home?
You can purchase these items from any medical supply company. You can purchase these before surgery, or a family member or friend can get them before you go home.