Shoulder joint arthroplasty

Shoulder joint arthroplasty is a surgical procedure during which the damaged parts of the humeral head and the glenoid cavity of the scapula are replaced with artificial implants. The operation helps eliminate pain and restore mobility. In most cases, it restores a normal quality of life. This method is indicated when conservative treatment does not provide results or when the joint structure is irreversibly altered.

Advantages of shoulder joint arthroplasty

Arthroplasty is considered an effective way to restore shoulder function in cases of severe injuries or chronic degenerative conditions. The main advantages of the method include:

• significant reduction of pain, which often accompanies osteoarthritis or rheumatoid arthritis;
• restoration of the anatomical shape and mobility of the shoulder joint;
• durability of prostheses — modern models last 10–20 years or more;
• reduced risk of further damage and faster return to normal activities;
• improvement in quality of life within a few weeks after surgery.

Shoulder joint arthroplasty is performed under strict sterile conditions and under the supervision of an experienced orthopedic surgeon. Modern implants are used and adapted to the anatomical features of the human body. They ensure accurate restoration of the relationship between the humeral head and the glenoid cavity.

Indications for shoulder joint replacement

 The decision to perform surgery is made by an orthopedic surgeon after clinical examination and instrumental diagnostics. The main indications include:

• cartilage destruction in osteoarthritis or arthritis;
• complex fractures of the humerus that cannot be treated by other methods;
• consequences of rheumatoid arthritis with deformity of the articular surfaces;
• joint dysplasia or congenital anatomical abnormalities;
• severe rotator cuff damage with loss of stability and limited mobility.

If conservative treatment is ineffective and pain and limited movement persist, shoulder joint replacement becomes the optimal solution to restore arm function.

In arthroplasty practice, several types of implants are used. Their choice depends on anatomy and tissue condition:

1. Anatomical prostheses restore the natural geometry of the shoulder. They are mainly used for fractures of the humeral head when the rotator cuff is intact.
2. Reverse prostheses are selected in cases of significant rotator cuff damage. They provide stability and compensate for the loss of muscle function.
3. Partial prostheses replace only the humeral head. They are used for certain types of fractures or localized lesions.

When selecting the optimal option, the doctor considers bone quality, expected load, and examination results.

Contraindications for shoulder arthroplasty

Shoulder arthroplasty may not be appropriate for all patients. Surgery is contraindicated in the presence of active infections, severe circulatory disorders, or significant general health impairment. Contraindications also include:

• severe bone loss that prevents proper implant fixation;
• purulent inflammation in the shoulder region;
• conditions that make postoperative rehabilitation impossible;
• allergic reactions to implant materials.

The decision regarding surgery is made individually after a comprehensive evaluation of the patient’s condition.

Preoperative preparation for shoulder arthroplasty

 Before surgery, thorough preparation is carried out:

• general blood and urine tests;
• X-ray or CT scan to assess the condition of the shoulder joint;
• adjustment of medications taken before surgery;
• consultation with an orthopedic surgeon to determine the type of implant and surgical technique.

All examinations allow the doctor to accurately plan the procedure and reduce anesthesia-related risks. After the preparatory stage, the patient attends a final consultation to confirm the surgery date and discuss the recovery plan.

How shoulder joint replacement is performed

 Shoulder arthroplasty is performed under general or regional anesthesia. After preparing the surgical field, an incision is made to access the joint. Damaged bone and cartilage tissues are removed, and an artificial implant is placed.

The prosthesis is implanted into the humerus and the glenoid cavity under the guidance of specialized equipment, ensuring accurate restoration of joint anatomy.

Fixation may be cemented or cementless, depending on the patient’s age, bone quality, and underlying condition. The procedure typically lasts 1.5–2 hours, after which the patient is transferred to the postoperative unit for monitoring.

Recovery and rehabilitation after surgery

 After surgery, the doctor monitors the patient’s condition, performs wound care, and prescribes pain relief. Passive arm movements usually begin the next day.

Rehabilitation takes place in several stages:

• first 7–10 days — control of swelling and gradual restoration of range of motion;
• after 2–3 weeks — supervised physiotherapy exercises;
• after 6–8 weeks — gradual muscle strengthening and return to daily activities.

Recovery duration depends on the type of implant, the patient’s age, and adherence to medical recommendations. Full shoulder mobility typically returns within 3–12 months, depending on the procedure and comorbidities.

Return to daily activities is gradual and only with the doctor’s approval. Driving is usually possible after 4–6 weeks. Strength training and sports should be resumed cautiously, depending on the type of prosthesis, muscle stability, and physiotherapy outcomes.

Regular exercise helps prevent compensatory movement patterns and supports optimal functional recovery.

Possible complications of shoulder arthroplasty

 Like any surgical procedure, arthroplasty carries certain risks. The most common are temporary pain or limited mobility after surgery. Complications such as infection or implant instability are less common.

To prevent complications, strict sterile protocols are followed, and the patient remains under continuous medical supervision. Proper preparation, timely diagnosis, and well-managed rehabilitation significantly reduce risks and ensure long-term implant function.

Why choose Mashtaler Clinic

1.  Experience of doctors. Shoulder joint replacement in Lviv is performed by a team of orthopedic surgeons with over 20 years of experience. Each specialist is trained in working with different implant systems and regularly updates their knowledge according to international standards.
2. Precision of procedures. Implant placement is performed using modern visualization systems, ensuring accurate restoration of joint anatomy.
3. Modern equipment. The clinic uses high-quality biocompatible implants that provide stability and reduce complication risks.
4. Structured rehabilitation. Patients receive individualized recovery programs — from early passive motion to guided strengthening exercises.
5. Transparency of treatment. Each stage of preparation, treatment, and recovery is clearly explained so the patient understands their condition and prognosis. The cost of shoulder arthroplasty is discussed in detail, including benefits and potential risks.
6. International partnerships. The clinic collaborates with leading European specialists to manage complex clinical cases.

Mashtaler Ortho&Trauma specializes in complex arthroplasty cases, offering high-precision surgery and long-term follow-up care. Patients receive comprehensive support from diagnosis to full functional recovery.

Price for shoulder joint arthroplasty in Lviv

The cost of surgery depends on its complexity, the type of implant, and the duration of rehabilitation. The exact price is determined after consultation and individual assessment.