Shoulder Replacement
Surgery Charlotte, NC
Total and reverse shoulder arthroplasty using the latest implant systems — restoring pain-free movement and shoulder function.
When is Shoulder Replacement Needed?
Shoulder replacement is considered when advanced arthritis, a severe fracture, or irreparable rotator cuff damage causes persistent pain and loss of function that no longer responds to conservative treatment. Patients typically describe grinding pain at rest and at night, significantly limited range of motion, and inability to perform even basic daily activities.
Dr. Vasileff evaluates each patient comprehensively — including X-rays, MRI, and a thorough physical examination — before recommending replacement. Non-surgical options are always discussed first.
Types of Shoulder Replacement
The ball (humeral head) and socket (glenoid) are both replaced with implants that replicate normal shoulder anatomy. Best for patients with intact rotator cuff tendons and standard glenohumeral arthritis.
Intact Rotator CuffThe ball and socket positions are switched — the ball is placed on the socket side, the socket on the arm side. Designed for patients with rotator cuff arthropathy (arthritis combined with irreparable rotator cuff tear). The deltoid muscle does the work the rotator cuff can no longer perform.
Rotator Cuff ArthropathyRecovery Timeline
Arm in a sling. Passive pendulum exercises only. Swelling and discomfort managed with medication.
Therapist-assisted passive stretching begins. Sling use decreasing by week 6.
Active-assisted exercises. Light daily activities resume. Strengthening begins gradually.
Progressive resistance exercises. Most daily activities unrestricted. Driving typically resumes.
Return to recreational activities, golf, swimming. Full recovery and maximum strength at 12 months.
Frequently Asked Questions
How long does a shoulder replacement last?
Modern shoulder implants typically last 15–20 years. Longevity depends on activity level, implant type, and individual factors. Dr. Vasileff uses well-proven implant systems with strong long-term outcome data.
What activities can I do after shoulder replacement?
Most patients return to golf, swimming, cycling, and light recreational tennis. Heavy lifting, overhead throwing sports, and contact sports are generally discouraged to protect implant longevity.
Is shoulder replacement covered by insurance?
Yes, shoulder replacement is typically covered by Medicare and most major insurance plans when conservative treatment has been appropriately tried and documented. Our team helps verify your coverage before your consultation.
Living with shoulder arthritis?
Dr. Vasileff will help you understand all your options — from injections to replacement — with no pressure and a clear plan.