Revision of shoulder joint endoprosthesis

Shoulder realignment surgery is performed in four key cases:

– When there is loosening of part or all of the endoprosthesis
– When there are fractures in the area of the prosthesis
– When the prosthesis has shifted (feeling of dislocation)
– When there is infection as a result of implantation.

All of these situations can cause various types of pain for the patient, including pain around the shoulder, difficulties with movement, and problems with sitting and standing up. A patient who already has a shoulder endoprosthesis knows well which movements to perform and which to avoid. However, situations can occur where a patient with a prosthesis experiences an accident or injury, necessitating shoulder realignment surgery.

Revision of shoulder joint endoprosthesis offers a chance for a pain-free and comfortable life.

Revision of the shoulder joint is carried out without complications in 95% of cases and ends successfully for many patients. It can be expected that the replaced shoulder joint prosthesis will reduce pain and increase mobility and function of the shoulder joint. A well-executed procedure, and above all, rehabilitation after the surgery, can enable the patient to walk, swim, or comfortably ride a bike.

The choice of the best shoulder joint endoprosthesis for the patient primarily depends on the type and degree of prosthesis the patient has. The procedure at Medi Horizon Clinic is performed by experienced specialists in the field of orthopedics. Based on clinical assessment and examinations, along with an individual approach to each patient, they perform the surgery using the best implantation methods.

During the consultation, the orthopedic doctor will answer any questions you may have.

In the Orthopedic Clinic Medi Horizon Clinic, the patient is primarily directed to a consultation with a specialist orthopedic doctor. Therefore, we recommend undergoing radiological examination of the shoulder joint in two planes for a comprehensive diagnosis. During the consultation, the orthopedic surgeon thoroughly diagnoses the patient and guides them through the entire procedure of shoulder joint endoprosthesis replacement surgery. After qualification by the orthopedic surgeon for treatment or revision surgery of the shoulder joint, the patient is asked to undergo a full set of blood diagnostic tests, followed by a consultation with an anesthesiologist. Patients at Medi Horizon Clinic have the opportunity to undergo qualifying examinations for shoulder joint endoprosthesis surgery directly at the Clinic – learn more

The revision surgery of shoulder joint endoprosthesis is performed in the Operating Room.

Replacement of the shoulder joint prosthesis is a surgical procedure that involves replacing the damaged shoulder endoprosthesis, which the Patient already has, with a new prosthesis. This is a much more difficult and demanding procedure for the Orthopedist, due to the fact that it involves prosthesis replacement.  The surgery to replace the shoulder joint endoprosthesis is performed under general anesthesia and usually takes about 2 hours. On the day of the surgery, the Patient receives full antibiotic coverage and thromboprophylaxis is applied. After the surgery, the patient remains in the Clinic wunder the care of qualified medical staff and receives painkillers to comfortably recover from the procedure.

Recovery after the surgery is an individual matter for each patient.

This is an individual matter – for each patient, the time of recovery to full mobility may vary. This mainly depends on their motivation, completed rehabilitation, and overall health condition. After the surgery, the shoulder joint is immobilized with a special orthosis to provide optimal conditions for tendon healing and regeneration. During this time, the patient starts exercises under the supervision of a physiotherapist. The initial goal of physiotherapy is to reduce postoperative tissue swelling and alleviate pain. Physical therapy procedures such as local cryotherapy and laser therapy are applied. Gradually, exercises aimed at improving joint range of motion and muscle strength are introduced. Scar tissue therapy (after suture removal and healing) is also crucial in physiotherapy. Through proper mobilization and massage techniques, a physiotherapist can improve its flexibility, blood supply, and appearance. Medi Horizon Clinic collaborates with experienced physiotherapists specialized in postoperative rehabilitation. Rehabilitation after shoulder joint endoprosthesis revision surgery yields excellent results and is crucial for a faster return to full mobility.