SHOULDER REPLACEMENT
Shoulder Replacement
Complications
Shoulder replacement is one of the most successful reconstructive procedures in orthopaedic surgery, but every operation has potential risks. Understanding complications helps patients make informed decisions and recognize problems early.
But Important
Recognition Matters
Sometimes Needed
Reduces Risk
Most Patients Do Very Well
Most patients experience major pain relief, better sleep, improved motion, and better shoulder function after shoulder replacement. Complications are uncommon, but they are important to understand because early recognition and appropriate treatment can make a major difference.
Dr. Streit's Clinical Perspective
The goal is not simply to replace the shoulder joint. The goal is to choose the correct operation, position the implants well, protect healing tissues, guide recovery appropriately, and recognize problems early if they occur.
Possible Complications
Stiffness
Some patients develop stiffness after surgery. Physical therapy, early motion when appropriate, and individualized recovery planning help reduce this risk.
Infection
Infection is uncommon but serious. It may require antibiotics, additional surgery, or revision reconstruction depending on severity.
Instability
The shoulder replacement can rarely feel unstable or dislocate, especially after reverse shoulder replacement or revision surgery.
Fracture
Fractures can occur during surgery, after a fall, or around an implant later in life.
Nerve Injury
Temporary nerve irritation is uncommon but possible. Permanent nerve injury is rare.
Implant Problems
Implants can loosen, wear, shift, or fail over time, sometimes requiring revision surgery.
Complications Differ By Procedure
Total Shoulder Replacement
- Subscapularis healing problems
- Glenoid component loosening
- Stiffness
- Rotator cuff failure over time
- Persistent pain
Reverse Shoulder Replacement
- Instability or dislocation
- Scapular notching
- Acromial or scapular spine fracture
- Infection
- Revision surgery in complex cases
When To Call After Surgery
Patients should contact the office if symptoms are worsening instead of improving, or if they notice signs that may suggest a complication.
Fever
Especially with increasing shoulder pain or wound drainage.
Drainage
Persistent or worsening drainage from the incision.
New Deformity
Sudden change in shoulder shape, position, or function.
Sudden Pain
Especially after a fall, injury, or lifting event.
When Revision Surgery Is Needed
Revision shoulder surgery may be considered when a shoulder replacement fails because of loosening, instability, infection, fracture, stiffness, implant wear, or persistent pain. Revision surgery is more complex than primary replacement and requires careful evaluation of implants, bone, soft tissue, infection risk, and patient goals.
Revision Requires A Plan
Successful revision shoulder surgery depends on understanding why the first operation failed. The best solution may involve implant exchange, bone reconstruction, infection treatment, soft tissue balancing, or conversion to reverse shoulder replacement.
Revision Shoulder Surgery →Related Resources
Concerned About A Shoulder Replacement Problem?
Persistent pain, instability, infection concern, stiffness, fracture, or failed prior shoulder replacement may benefit from focused evaluation by a shoulder specialist.
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