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Total shoulder replacement, also known as total shoulder arthroplasty, is the removal of portions of the shoulder joint, which are replaced with artificial implants to reduce pain and restore range of rotation and mobility. It is very successful for treating the severe pain and stiffness caused by end-stage arthritis.


Several conditions can cause shoulder pain and disability, and lead patients to consider shoulder joint replacement surgery.

  • Rheumatoid Arthritis

  • Post-traumatic Arthritis

  • Rotator Cuff Tear Arthropathy

  • Avascular Necrosis (Osteonecrosis)

  • Severe Fractures

  • Failed Previous Shoulder Replacement Surgery

There are several reasons why your doctor may recommend shoulder replacement surgery. People who benefit from surgery often have:

  • Severe shoulder pain that interferes with everyday activities, such as reaching into a cabinet, dressing, toileting, and washing.

  • Moderate to severe pain while resting. This pain may be severe enough to prevent a good night's sleep.

  • Loss of motion and/or weakness in the shoulder.

  • Failure to substantially improve with other treatments such as anti-inflammatory medications, cortisone injections, or physical therapy.

Dr. Bishai performing live shoulder arthoplasty via webcam


“Dr. Bishai is wonderful! Can't praise him enough. Had both shoulders done. He explained everything to me. Highly recommend him!!!” 

—  Pat P.

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