Total shoulder replacement—also called shoulder arthroplasty—is a surgical procedure in which damaged parts of the shoulder joint are replaced with artificial implants. This surgery is designed to reduce chronic pain, restore function, and improve quality of life for patients with severe shoulder arthritis, complex fractures, or irreparable tendon damage.
At American Orthopedics, Dr. Drew Ratner performs both anatomic and reverse shoulder replacements using advanced technology, including computer navigation, to ensure precise results and better outcomes.
- Dr. Drew Ratner, MD, Board-Certified Orthopedic Surgeon
Choosing the right surgeon for shoulder replacement can make all the difference. Dr. Ratner’s advanced training, technology, and personal approach provide patients with confidence and results they can feel.
If shoulder pain is limiting your life, total shoulder replacement may be the solution. With advanced surgical planning and compassionate care, Dr. Drew Ratner helps patients regain strength, motion, and confidence.
Dr. Ratner is highly experienced in both TSA and rTSA procedures, allowing him to tailor the approach to your specific condition and goals.
Dr. Ratner uses computer navigation on most shoulder replacements to maximize precision and improve the long-term success of your surgery.
At American Orthopedics, you’ll be cared for by Dr. Ratner throughout your journey—from consultation through post-op recovery—with no handoffs or impersonal treatment.
The shoulder joint is a ball-and-socket structure made up of the humeral head (ball) and the glenoid (socket). In total shoulder arthroplasty, these components are replaced with prosthetic parts designed to mimic natural movement. Depending on your condition, Dr. Ratner will perform one of two procedures:
Using advanced imaging and real-time guidance, Dr. Ratner carefully plans each case to ensure the best implant type, positioning, and fit for your anatomy.
Shoulder replacement surgery is typically recommended when conservative treatments have failed and shoulder pain or dysfunction is affecting your quality of life. You may be a candidate if you have:
Shoulder arthroplasty can offer dramatic improvements in comfort and function. Some of the key benefits include:
ADvanced 3D Techniques
Dr. Ratner uses computer-assisted planning and navigation on most total shoulder replacements. This advanced technology improves surgical accuracy, enhances implant longevity, and is especially helpful for patients with complex anatomy or severe bone loss.
What It Is:
Computer navigation uses detailed 3D imaging from a CT scan to create a virtual model of your shoulder. Dr. Ratner uses this model to plan the surgery in advance—deciding on the best implant size, position, and angle. During the operation, navigation tools guide the placement of the implants in real time, increasing precision down to the millimeter.
Benefits of Computer-Navigated Shoulder Replacement:
Computer navigation is particularly beneficial for reverse shoulder replacements, where accurate glenoid (socket) positioning and screw fixation are crucial.
At your consultation with Dr. Ratner, you'll receive a comprehensive evaluation that includes:
- Review of your symptoms and history
- Physical examination of shoulder motion and strength
-Imaging such as X-rays or a CT scan to assess joint damage
- A detailed explanation of your diagnosis and treatment options
If shoulder replacement is appropriate, Dr. Ratner will guide you through your surgical plan, explain the difference between anatomic and reverse replacements, and answer all your questions.
Total shoulder replacement is performed under general anesthesia or a regional nerve block. The procedure typically takes about 90–120 minutes and is done at a surgical center or hospital.
After the incision is made, Dr. Ratner removes the damaged parts of the joint and implants custom-selected prosthetic components. If computer navigation is used, it provides real-time feedback to ensure ideal positioning of the implants.
Most patients go home the next day and begin recovery with a tailored plan for healing and rehabilitation.
- Day 1–2: Your arm will be in a sling, and pain is managed with medications and/or a nerve block.
- Week 1–3: Gentle range-of-motion exercises begin, guided by your therapy plan.
- Week 4–8: Progressive strengthening and stretching exercises are introduced.
- 3–6 Months: Most patients return to work, sports, or physical activity with improved comfort and function.
Recovery timelines vary based on your procedure type (TSA vs. rTSA) and your personal goals.
Advanced care for maxium results & comfort
Wear your sling as directed, especially during sleep or activities that could strain the joint.
Avoid pushing, lifting, or rotating the arm until cleared by Dr. Ratner.
Keep your surgical incision clean and monitor for signs of infection.
Stay mobile with walking and light exercise to promote healing.
Recovery is a gradual process—but with Dr. Ratner’s guidance, most patients return to a high level of function and comfort.