Total shoulder arthroplasty (TSA) is a surgical procedure often considered for individuals with severe shoulder pain and limited function due to conditions such as:
Osteoarthritis: This is the most common reason for total shoulder replacement. It occurs when the cartilage covering the bones in the shoulder joint degenerates over time, leading to pain, stiffness, and loss of function.
Rheumatoid arthritis: An autoimmune condition that causes inflammation of the joint lining (synovium) leading to pain, swelling, and eventually joint damage.
Post-traumatic arthritis: Arthritis that develops after an injury to the shoulder joint, such as a fracture or dislocation.
Rotator cuff tear arthropathy: This occurs when a massive rotator cuff tear leads to the deterioration of the joint surfaces and subsequent arthritis.
Avascular necrosis: Death of bone tissue due to a lack of blood supply, which can lead to collapse of the joint surface and arthritis.
Severe fractures of the shoulder joint: Fractures that cannot be adequately treated with other methods may require total shoulder replacement.
Failed previous shoulder surgery: Individuals who have had previous shoulder surgeries that were unsuccessful in relieving pain or restoring function may be candidates for TSA.
Before recommending TSA, a thorough evaluation by an orthopedic surgeon is necessary to determine if the procedure is appropriate based on the individual's specific condition, symptoms, overall health, and lifestyle. It's important to note that TSA is a major surgical procedure, and the decision to undergo it should be made in consultation with a healthcare provider after considering all possible treatment options.
