Dr. Scorpie, shoulder specialist

Shoulder surgery

Dr. Scorpie is highly specialized in shoulder surgery, treating conditions such as rotator cuff injuries, instability, arthritis, and fractures. He provides advanced surgical and minimally invasive techniques, always focusing on restoring mobility, reducing pain, and improving each patient’s quality of life with personalized care.

When shoulder pain becomes more than just discomfort…

In my practice, I have met hundreds of patients who told me: “I have tried everything, but my shoulder still hurts..”. And very often, they were right.” ✅

Severe shoulder pain, combined with stiffness and significant limitation of movement, is not just a local problem. It disrupts sleep, reduces independence, affects mood, and profoundly impacts quality of life.

When conservative treatments—such as injections, physical therapy, and medication—no longer provide lasting relief, it becomes necessary to consider a long-term solution. For patients suffering from advanced glenohumeral osteoarthritis, severe rheumatoid arthritis, or irreparable rotator cuff tears, shoulder replacement may offer this solution.

Shoulder replacement surgery is never a simple or routine procedure.. It is a personalized decision, made after a thorough evaluation: high-resolution medical imaging, mobility analysis, functional assessment, and—most importantly—an honest discussion with the patient about their expectations and goals.

Today, we have state-of-the-art prosthetic systems—whether anatomical or reverse—that not only restore joint function but also help patients regain confidence in their bodies. The goal is not just the absence of pain, but the recovery of movement, freedom, and a normal life.

The decision for shoulder replacement is guided by patient symptoms, imaging results, and the degree to which daily life is affected. Each procedure is performed with precision, according to strict protocols and adapted to the specific needs of every individual.
For me and for the medical team involved in treating complex shoulder conditions, surgery goes far beyond the technical act: it is about offering a clear and lasting solution where previously there may have seemed to be none. My orthopedic expertise, continuously enriched by modern techniques, ensures a safe and effective treatment.

Preoperative Assessment
Thorough preoperative evaluation is essential for planning. It includes:
1. Detailed clinical examination
2. Imaging studies (X-rays, MRI, CT scan)
3. Laboratory tests (blood count, inflammation markers, liver/kidney function)
4. Multidisciplinary consultations if needed

Postoperative Care
Recovery is managed through a multidisciplinary approach—rehabilitation specialists, physiotherapists, anesthesiologists, and internal medicine physicians—working together to achieve the best possible outcome in the shortest time.
When performed with accuracy and care, shoulder replacement transforms from a medical solution into a renewed reality: a functional shoulder, freedom of movement, and a life regained with confidence.

Have Questions ?

What is shoulder replacement surgery?

Shoulder replacement surgery, also called shoulder arthroplasty, is a procedure where the damaged parts of the shoulder joint (the humeral head and/or the glenoid) are replaced with an artificial prosthesis. This operation is usually recommended when the shoulder is severely affected by arthritis, fractures, or degeneration, and when pain or loss of mobility no longer respond to medication or physiotherapy.

Is this a standard procedure?

Yes and No ! Every surgery is tailored to the patient’s needs after a comprehensive evaluation including imaging, mobility analysis, functional assessment, and discussion of goals. But shoulder replacement is a well-established procedure that has been performed for decades. It is less frequent than hip or knee replacements, but it is considered safe and reliable, with thousands of patients operated on every year worldwide. Advances in surgical techniques and prosthesis design make it a common option when conservative treatments are no longer effective.

What types of prostheses are available?

There are several types of prostheses depending on the patient’s condition:

1. Anatomic prosthesis: reproduces the natural anatomy of the shoulder.
2. Reverse prosthesis: used when the rotator cuff is damaged; it allows other muscles to take over shoulder movement.
3. Partial replacement: only part of the joint (often the humeral head) is replaced.
The choice depends on factors such as the age, activity level, bone quality, and the state of the muscles and tendons.

Why is preparation important?

Good preparation reduces the risk of complications and helps recovery. This includes medical tests (blood work, imaging), reviewing current medications, and preparing the home for post-operative support. Stopping smoking and maintaining good physical condition also improve healing. Sometimes, pre-surgery physiotherapy is recommended to strengthen the shoulder muscles and make rehabilitation easier.

Will it be painful?

Some pain and discomfort are normal after surgery, especially during the first days. However, modern anesthesia techniques, pain management protocols, and early physiotherapy help keep pain under control. Most patients notice that the post-operative pain is very different from the chronic pain they felt before, and it gradually improves as the shoulder heals.

What type of anesthesia is used?

Shoulder replacement surgery is usually performed under general anesthesia combined with a regional nerve block. The nerve block numbs the arm and shoulder for several hours after surgery, reducing post-operative pain. Your anesthesiologist will explain the options and choose the safest method based on your health condition.

What happens after surgery?

After surgery, you will spend a few hours in the recovery room before returning to your hospital room. The arm is often placed in a sling to protect the shoulder. Pain is managed with medications and sometimes a continuous nerve block. The medical team will monitor your vital signs, healing, and mobility. Early rehabilitation is usually started within the first day or two to avoid stiffness.

When can I move my shoulder or return to activities?

Gentle movements guided by a physiotherapist usually start within the first days after surgery. Most patients keep the arm in a sling for a few weeks. Everyday activities such as dressing or eating can be resumed progressively. Driving is usually possible after 4 to 6 weeks, and more demanding activities like sports or lifting heavy objects may take 3 to 6 months. Full recovery depends on the type of prosthesis and your rehabilitation program.

How long does a prosthesis last? Will I need another surgery in the future?

Modern shoulder prostheses are designed to last a long time. On average, they function well for 15 to 20 years, sometimes longer if well maintained. The need for a second surgery, called revision surgery, depends on factors like activity level, bone quality, and wear of the prosthesis. Younger and more active patients may require revision earlier than older patients.

Are there risks or complications?

As with any surgery, there are potential risks: infection, bleeding, nerve injury, or blood clots. Specific to shoulder replacement, complications can include prosthesis loosening, dislocation, or stiffness. Fortunately, serious complications are rare, and most patients recover without major issues. Your surgeon takes measures to minimize these risks.

What are the main benefits?

The main benefits are a significant reduction in pain, improved mobility, and a better quality of life. Most patients regain the ability to perform daily activities that were previously limited, such as combing hair, dressing, or reaching overhead. In many cases, patients also return to light sports or recreational activities without discomfort.

How long will I stay in the hospital and need support?

Hospital stay is usually 2 to 4 days, depending on your recovery and medical condition. At home, you may need some assistance during the first weeks for cooking, cleaning, or personal care. The use of a sling and limited movement means everyday activities can be challenging at the start. Support from family members or professional home care is often helpful during this period.