Shoulder Implants

HemiCAP® & GlenoidThe Shoulder HemiCAP® system is indicated for the treatment of patients with the following clinical conditions: avascular necrosis and post-traumatic degenerative disease. The HemiCAP® joint restoration procedure is designed to match the shape and contour of the individual patient’s cartilage surface. The implants not only match the diameter of the damaged area but also the precise radius of both curvatures on the patient’s joint surface, superior to inferior (top to bottom) and medial to lateral (side to side). Once the mapping points are defined, the appropriate implant is chosen and is then implanted into the patient.

Arthrosurface® also offers a Stemless Total Shoulder HemiCAP® solution. This product helps preserve most of the bone in your shoulder while also fixing any damage to your glenoid. Unlike a total shoulder replacement, our stemless total shoulder does not limit any future weight bearing activities such as lifting your children.

Your surgeon expects the device to last as long as similar metallic devices. However, it will depend on your general health, activity level, and adherence to your doctor’s orders following surgery. Currently over 40,000 patients have been treated with Arthrosurface® implants and some have been in place for as long as 10 years already

How is the HemiCAP® different than other existing devices?

  • Little to no activity restrictions making the Arthrosurface implants an active alternative to shoulder replacement
  • It is custom matched and fit to a patient’s joint size and shape
  • Significantly less cartilage and bone is removed than traditional joint replacements
  • It is placed into the surface rather than on top, leaving the joint less surgically altered
  • Joint motion and the native structures are preserved so no bridges are burned

With the Arthrosurface® Joint Restoration System, the surgeon only resurfaces the damaged area, similar to the way a dentist fills in a cavity. This leaves the rest of the structures in your joint intact so your native anatomy is preserved. The exposed and painful bone is covered while all the structures in your joint help you move and function properly are left in place. This differs from a total joint replacement which removes the entire head of the humerus, the rotator cuff and significant amounts of bone from the glenoid resulting in compromised supporting tissues.

Surgery and Recovery Expectations

PowerLifterHemiCAP® technology was designed for patients who want to continue working, have more active lifestyles and have a need for joint preserving treatments. Many of these patients are looking for a treatment option that “bridges the gap” between microfracture and total joint replacement.

Patients report outstanding pain relief, rapid recovery times and significant range of motion improvements in multi-center studies and the procedure may be performed on outpatient basis.

Every surgery has risks and your prospects for a safe and successful surgery must be evaluated with your surgeon. If you are affected by osteonecrosis or cartilage damage caused by a previous injury, a successful joint restoration procedure may significantly improve your quality of life by reducing pain and restoring function. Many patients return to full activity after rehabilitation and go back to doing things that they had given up on in the years before surgery.

After the surgical repair of a joint, your surgeon will provide you with specific post-operative instructions which you need to follow carefully. Post-operative rehabilitation recommendations will vary depending on the invasiveness of your surgery and your individual recovery patterns.  The immediate focus in all surgeries will be on swelling and pain management.  In some cases you may wear a brace for a few weeks and will be prescribed exercises and activities to strengthen your muscles.

SurgeonPatientHere are a few helpful suggestions as you recover and rehabilitate from your surgery:

  • Follow the recommendations of your surgeon and physical therapist.
  • Keep a log to track your progress as you recover and increase activity.
  • Ask for assistance from family and friends to help with chores and errands during your recovery.
  • Wear loose, comfortable clothing during your recovery period.
  • Eliminate possible tripping hazards in your home – wires, cables, rugs, etc.
  • Return to any moderate or demanding activities should be guided by your tolerance for weight bearing.

We wish you good luck with your decision and your treatment.



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