Total, reverse, and partial shoulder replacement options using the INHANCE™ Shoulder System from Johnson & Johnson for proven, reliable outcomes.
"Had a total reverse shoulder replacement surgery done on February 8th 2025. Overall I have been extremely pleased with the speed and professionalism throughout the entire process. I am happy to be on the road to recovery."
— Chris Heckel
Reverse Shoulder Replacement
"I would like to thank Dr. Dessouki for the wonderful experience I recently had for my reverse shoulder replacement. It far exceeded my expectations. Everyone involved were efficient, caring and so helpful."
— Dave McNeill
Reverse Shoulder Replacement
"I was a very complex shoulder case that many surgeons turned away. Dr. Alolabi took my shoulder on with no hesitation, explaining the surgery well. Three days post-op I feel better than I did before surgery. Highly recommend."
— Steven King
Complex Shoulder Surgery
The right procedure depends on your specific condition, rotator cuff health, and functional goals
Anatomic Arthroplasty
This procedure replaces both the ball (humeral head) and socket (glenoid) of the shoulder joint. It is typically used for patients with shoulder arthritis who have a healthy, functioning rotator cuff.
Rotator Cuff Deficient Solution
In a reverse shoulder replacement, the normal ball-and-socket anatomy is reversed. This design allows the shoulder to function even when the rotator cuff is severely damaged or absent.
Most commonly performed shoulder replacement.
Hemiarthroplasty
This procedure replaces only the ball of the shoulder joint while leaving the socket intact. It may be used in selected cases, such as certain shoulder fractures or when the socket cartilage is relatively healthy.
Advanced shoulder replacement technology from Johnson & Johnson
The INHANCE Shoulder System provides a comprehensive platform for anatomic and reverse total shoulder arthroplasty, designed with advanced instrumentation for surgical precision.
Our surgeons use the INHANCE Shoulder System from Johnson & Johnson—a modern implant platform designed to restore shoulder function with proven reliability.
Technology by Johnson & Johnson MedTech
Shoulder replacement may be recommended when conservative treatments—such as medications, injections, and physical therapy—no longer provide adequate relief. Common conditions treated with shoulder replacement include:
Osteoarthritis
Progressive wear-and-tear arthritis causing pain and stiffness
Rotator Cuff Tear Arthropathy
Arthritis combined with a massive, irreparable rotator cuff tear
Complex Shoulder Fractures
Severe fractures that cannot be reconstructed with internal fixation
Failed Previous Shoulder Surgery
Revision cases where prior surgery requires conversion to replacement
Consultation
Review of imaging, physical exam, and discussion of treatment options
Pre-operative Planning
CT scan for detailed bone anatomy; implant selection
Surgery
Typically 1-2 hours; outpatient or one-night stay
Recovery & Rehabilitation
Sling for 4-6 weeks; structured physical therapy program
Fellowship-trained surgeon with expertise in complex shoulder reconstruction
What to expect after shoulder replacement surgery
Weeks 0-6
Sling wear, passive motion begins
Weeks 6-12
Sling off, active exercises
Months 3-4
Progressive resistance training
Months 4-6+
Return to most activities
Sling Off
Begin active motion
Driving Resumes
With surgeon clearance
Significant Improvement
Continued gains up to 12 months
Total shoulder replacement replaces both the ball and socket with components that mirror normal anatomy—this works well when the rotator cuff is healthy. Reverse shoulder replacement switches the position of the ball and socket, allowing the deltoid muscle to power arm movement. This is ideal for patients with rotator cuff damage, complex fractures, or revision surgery.
Modern shoulder implants are designed for longevity. Studies show that 90% or more of shoulder replacements are still functioning well at 10-15 years. Factors like activity level, bone quality, and implant type can influence long-term durability. Avoiding high-impact activities helps preserve the implant.
You'll wear a sling for 4-6 weeks and begin physical therapy early. Most patients see significant improvement in pain and function by 3 months, with continued gains up to 12 months. Driving typically resumes around 6-8 weeks (automatic transmission) with surgeon clearance.
Most patients achieve excellent pain relief and functional range of motion. Total shoulder replacement typically provides the most natural motion. Reverse shoulder replacement may have some motion limitations (especially rotation) but excels at restoring overhead reaching ability when the rotator cuff is damaged.
No referral is required. You can book a consultation directly with Pathway. Having recent X-rays or MRI is helpful but not mandatory—we can arrange imaging if needed.
Schedule a consultation to discuss your shoulder condition and replacement options with our specialist.