Shoulder Joint The structure of the shoulder joint is a ball-nest joint like the hip joint. It is a joint formed between the head at the upper end of the humerus (upper arm bone) and the socket part of the scapula (scapula) called the glenoid.
It has a wider range of motion than any other joint in our body. Muscle, ligament tendons surrounding the shoulder joint support the joint and move the joint Shoulder prosthesis, reducing or ending pain, restoring joint range of motion and increasing the quality of life in patients with high level of pain and movement restriction due to arthrosis (cartilage wear, calcification) in the shoulder joint It is a type of prosthesis made for The shoulder joint is one of the most frequently moving joints in the human body. Intended with shoulder surgery; It is the patient's ability to get rid of pain and return to daily life activities without any problems. Usually the first treatment methods used in shoulder problems are drug therapy, intra-articular needle treatments and physical therapy.
Surgical treatment is a treatment technique that comes into play when the pain of patients who have to live with this disease increases greatly. Patients needing treatment should not be responding to all other treatments. While the pain usually appears with movement at first, it can also occur during the rest period in the later period, and even it can be seen as pain that wakes up from sleep. As the damage progresses to the shoulder, swelling and loss of function occur in the joint. In advanced cases, the range of motion of the shoulder joint may be completely lost. In this case, the type of prosthesis that the doctor deems appropriate should be determined and the surgery should be performed. What are the Types of Shoulder Prosthesis? Complete Shoulder Prosthesis In this shoulder prosthesis, a plastic polyethylene socket (socket) is attached to the joint socket with a special adhesive (cement) used in prosthetic surgeries. On the lower side, the metal head is placed on the handle part, which is placed inside the humerus (upper arm) bone canal. In order to make this prosthesis, the fibers surrounding the patient's shoulder joint (rotator cuff) must be strong and function. Inverted Shoulder Prosthesis In this type of prosthesis, the prosthesis parts are metal and plastic, but they are reversed. The metal head is attached to the joint slot. A plastic polyethylene socket is attached to the metal handle on the upper end of the humerus bone. In cases where the shoulder fibers are torn and not functional in elderly patients, the prosthesis provides movement and function to the joint with the strength of the muscles around the shoulder. The design logic of the reverse shoulder prosthesis is as follows; With the reverse shoulder prosthesis, the orientation of the shoulder is changed. It is the reverse of normal anatomy. In this way, the working mechanism of the shoulder is changed and the muscles become more functional and advantageous. The patient can move his arm much higher.
How Does the Process Proceed in the Post-Prosthesis Period?
For 2 to 4 weeks after prosthetic surgery, the patient must wear a sling to protect and support the shoulder. The stitches will be removed a few weeks after the procedure. Until then, the wound should be protected from water and irritation prevented. It is important to keep the suture scar bandaged in order to avoid infection. Most patients can perform simple activities such as eating and dressing within 2 weeks of surgery. Shoulder pain, which can be relieved with painkillers, is common for a few weeks after surgery. It is recommended not to drive for 2 to 4 weeks after surgery. Post-operative exercise is a critical part of home care, especially during the first few weeks after surgery. It is necessary to strengthen the muscles again by following the exercise plan recommended by the surgeon in the presence of a physiotherapist.