Anatomical Shoulder Replacement

Restoring smooth, stable shoulder movement with a natural joint design

Anatomical shoulder replacement (also known as total shoulder arthroplasty or anatomical total shoulder replacement) is a surgical procedure designed to replicate the natural structure and movement of your shoulder joint. It is typically recommended when the shoulder has become painful and stiff due to advanced osteoarthritis, rheumatoid arthritis, or certain types of fractures, but the rotator cuff muscles remain healthy and functional.

Unlike reverse shoulder replacement, which alters the mechanics of the joint, an anatomical shoulder replacement preserves the native orientation of the ball-and-socket design: the humeral head (ball) is replaced with a smooth metal implant, and the glenoid (socket) is fitted with a specially shaped polyethylene component. This allows the rotator cuff to continue controlling movement and stabilising the shoulder.

The following sections provide a detailed overview of the anatomical shoulder replacement journey with Dr Jason Hockings, including key symptoms, surgical details, recovery process, and how your care is personalised at each stage.

Common signs and symptoms that may point to shoulder arthritis or joint damage

You may benefit from anatomical shoulder replacement surgery if you experience:

Persistent shoulder pain that affects your daily life
Limited range of motion or stiffness when reaching overhead or behind your back
Night pain that disrupts sleep
Grinding, catching, or creaking sensations in the joint
Reduced function despite non-surgical treatment such as physiotherapy or injections

These symptoms are often associated with conditions such as primary osteoarthritis, post-traumatic arthritis, rheumatoid arthritis, or damage from earlier injuries.

Are you a candidate for anatomical shoulder replacement surgery?

Dr Jason Hockings will assess whether anatomical shoulder replacement is suitable for you based on:

Patients who are typically good candidates are those with arthritis and intact rotator cuff tendons who are looking to regain pain-free range of motion and return to normal function.

When anatomical shoulder replacement may not be the right option

This type of shoulder replacement may not be suitable if:

Your rotator cuff is torn or irreparable
You have rotator cuff arthropathy (arthritis with a dysfunctional rotator cuff)
There is significant bone loss in the glenoid (socket)
You have already had a failed shoulder replacement or complex prior surgeries

In these situations, reverse shoulder replacement may offer a better outcome.

The surgical approach Dr Hockings uses for anatomical shoulder replacement

Dr Hockings performs anatomical shoulder replacement using a deltopectoral approach, which provides access to the shoulder joint while preserving the deltoid muscle. This approach:

The procedure is performed under general anaesthetic and typically takes 1.5 to 2 hours. It may be done as an overnight stay or short hospital admission depending on your health status.

How personalised imaging and surgical planning guides your shoulder replacement

Dr Hockings uses advanced pre-operative imaging, including CT-based planning software, to tailor your procedure. This helps:

This level of planning supports more predictable recovery and long-term shoulder function.

The prosthetic implants used in anatomical shoulder replacement

The implants used in anatomical shoulder replacement include:

A metal ball component that replaces the humeral head
A high-grade polyethylene socket that fits into the glenoid cavity
A stem inserted into the upper arm bone for fixation and support
Improve outcomes by personalising the procedure to your anatomy

Dr Hockings selects implant systems that offer:

What are the potential risks of shoulder replacement surgery?

As with any major joint surgery, risks may include:

Dr Hockings will discuss these risks with you during the consent process and take steps to minimise complications through careful planning and post-operative care.

What to expect before, during, and after anatomical shoulder replacement surgery

Before surgery:

Your GP will refer you for specialist assessment
You will meet with Dr Hockings for a consultation, examination, and review of imaging
CT scans may be arranged for surgical planning
You may meet with a physiotherapist to begin prehabilitation exercises
A nurse-led pre-admission clinic will help prepare you for hospital

During surgery:

After surgery:

Pain management after shoulder replacement: what you can expect

Dr Hockings uses a multimodal pain management strategy including:

These methods help you stay comfortable and able to begin early rehabilitation.

Your recovery timeline after anatomical shoulder replacement surgery

Weeks 0–6: Sling support, passive range of motion exercises guided by physiotherapy
Weeks 6–12: Active range of motion exercises begin
3–6 months: Progressive strengthening and return to daily activities
6+ months: Return to work, recreational activity, and driving as strength improves

Your individual progress will depend on factors such as the underlying condition, surgical findings, and your adherence to physiotherapy.

Returning to work , sport and daily life after shoulder replacement

Most patients return to:

Heavy lifting or overhead sports may require longer recovery or may be discouraged depending on your situation.

Frequently asked questions about anatomical shoulder replacement

How long does the implant last?
Modern shoulder implants are designed to last 10–20 years or longer with appropriate care.

Will I regain full shoulder movement?
Most patients regain significant movement and strength, although the final range depends on your condition before surgery.

Is physiotherapy essential after surgery?
Yes, a structured rehabilitation program is critical to your recovery. Dr Hockings works closely with trusted physiotherapists to support your progress.

What if I need a revision in the future?
The implants Dr Hockings uses are designed to accommodate future revision if ever needed.

During your consultation, Dr Hockings will explain the most appropriate surgical approach based on your condition, anatomy, and individual needs. Many people experience a significant improvement in pain, function, and mobility following hip replacement surgery. Recovery timelines vary depending on the surgical approach and your overall health, but most patients gradually return to walking, driving, and normal activities over the course of several weeks to months.

If you’re living with hip pain or stiffness that’s affecting your quality of life, a thorough assessment can help determine the cause and guide the right treatment path.