Am I a Candidate for Revision Shoulder Replacement?
In order to determine if a patient is a candidate for revision, Dr. Verma will perform a thorough medical review, physical examination and diagnostic tests such as xrays and CT scans to determine the possible cause of replacement failure. Patients will be expected to provide Dr. Verma with specific information on the onset of discomfort or loss of function, any injuries to the joint since replacement and the physical therapy program followed after shoulder joint replacement. The physical examination will test shoulder weakness, stiffness and range of motion. Diagnostic tests, typically a series of X-rays, will help determine the position of the prosthetic components, as well as any wear or loosening.
Once a decision is made that the components have become loose, infected or failed, revision surgery is generally indicated. Revision may require removal and replacement of one or both implants depending on the specific situation. In many cases, revision surgery is accomplished using a reverse shoulder prosthesis to maximize function of the shoulder. In some cases, bone graft, either form a donor, or from the patients hip may be required to reconstitute missing bone from the prior surgery. In cases of infection, the components may be removed and the patient treated with antibiotics until the infection is resolved before the new components are implanted at a second stage procedure.
What is the Recovery After Revision Shoulder Replacement?
As the demand for shoulder joint replacement increases, the demand for revision shoulder arthroplasty is expected to increase. Dr. Verma has extensive experience in shoulder replacement including revision shoulder surgery. The surgery is generally performed with a one or two night hospital stay. Typically following surgery, patients can expect to be immobilized in a sling for four to six weeks. Physical therapy and home exercises are then used to maximize functional recovery and maximum improvement is expected six to twelve months following the procedure.
For more resources on shoulder joint replacement and revision shoulder arthroplasty, please contact the office of Dr. Nikhil Verma, shoulder surgeon in the Chicago, Westchester, Oak Brook and Hinsdale, Illinois area.