What is a Copeland Resurfacing Shoulder Replacement?
An arthritic or injured shoulder greatly affects activities of daily living by causing pain and limiting motion. When shoulder replacement is necessary, the surgeon may perform either a total shoulder replacement or a hemi (partial) shoulder replacement.
There are two main bones involved in shoulder motion: the humeral head (rounded portion at the top of the upper arm bone) and the glenoid (cup-like bone in front of the shoulder blade). In a hemi (partial) shoulder replacement, the humeral head is replaced with a metal implant with the same rounded shape. The glenoid, in this case, is healthy and does not need to be replaced.
In the Copeland Shoulder Replacement a resurfacing component is used. This implant is designed to “cap” only the top of the humerus. During your operation your surgeon will use a tiny camera to look inside your shoulder for other areas of damage. It may be necessary to do an additional procedure at the same time. This might include sub-acromial decompression, acromio-clavicular joint excision, excision lateral end of clavicle or rotator Cuff Repair.
What are the risks of having a Copeland Resurfacing Shoulder Replacement?
All operations involve an element of risk, these are very small but you need to be aware of them and can discuss them with your doctor at any time.
The risks are complications relating to the anaesthetic, infection, stiffness and or pain around the shoulder, damage to nerves or blood vessels around the shoulder, tear of the rotator cuff muscles, instability.
What can I do to aid the recovery process after my surgery?
Your shoulder is likely to be uncomfortable in the first few days post-surgery. This is normal but can be helped by using ice on your shoulder for 15 minutes, 2 times per day or after exercise and therapy. Gel packs, frozen peas or a plastic pack of ice can be used. These must be wrapped in a moist towel as direct contact with the skin can cause burns (cover your dressings with cling film or a plastic bag to prevent them getting wet).
Sleeping can be uncomfortable if you try and lie on your operated arm. We would recommend that initially you lie on your back or on the opposite side. You should wear your sling in bed for the first 3 weeks. If you lie on your back support the operated arm with a folded pillow under your lower arm. Make sure that your elbow is above your shoulder. If you are on your side then a folded pillow supports your operated arm from your elbow to your wrist. You should also have a pillow between your knees.
Your sling is to support your arm and allow the soft tissues to heal. You will have to wear the sling for three weeks following your surgery. The sling can be removed for washing and dressing only – the Physiotherapist will advise you how to do this safely before you go home.
Posture can make a significant difference to your pain post surgery. Avoid hitching your shoulder or holding it in an elevated position. Also try to avoid slumping or standing/sitting with round shoulders.
As you start to wear your sling less you will find it helps to support your arm on pillows with your elbow in front of your shoulder and slightly out to the side when you are sitting down (see picture above right).
When will I be fit enough to return to work?
You can self-certify for the first seven days of sickness. Before you are discharged, a medical certificate (sick note) may be issued by your consultant to cover the expected time off you will need. The time that you can return to work will depend on the nature of your work. If you are in a relatively sedentary job you may be able to return as early as 2-4 weeks after surgery. If your job involves heavy lifting or sustained overhead positions it may take up to 8-12 weeks before you can return. Your consultant and physiotherapist will discuss this with you and advise you accordingly.
How long will it be before I can start to resume my normal activities?
For specific guidance regarding sport or DIY please speak to your physiotherapist. If you feel comfortable and have good range of movement you can begin driving 6 weeks after your operation. It is advisable to check this with your consultant or physiotherapist if you are unsure. It is important to advise your Insurance Company that you have had shoulder surgery.
Will I need any follow up appointments?
You will be seen in outpatients clinic 1 to 2 weeks after your surgery. This appointment will be made and given to you before you are discharged from hospital.
If you are continuing with your physiotherapy at Spire Liverpool Hospital an outpatient physiotherapy appointment will normally be arranged within the following week. The amount of physiotherapy you require will depend on your individual progress.
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