Minimally Invasive
Shoulder Joint Replacement
Introducing a Next-Generation Approach: 5cm Mini-Incision Shoulder Replacement
Dr. Oscar Brumby-Rendell is proud to offer a cutting-edge advancement in shoulder joint replacement surgery: a refined minimally invasive technique using a remarkably small 5cm incision.
Traditional shoulder replacement surgery typically involves larger incisions that can impact surrounding muscle and soft tissue. Dr. Brumby-Rendell has developed a specialised 5cm mini-incision approach that achieves the same surgical goals with significantly less disruption to the surrounding structures.
What does this mean for you?
Less surgical trauma
Faster recovery
Reduced postoperative pain
Smaller, more discreet scar
Improved return to function
Minimally invasive approach
Traditional "open" approach
This exciting development reflects Dr. Brumby-Rendell’s commitment to innovation in upper limb surgery and his focus on outcomes that matter most to patients — function, recovery, and confidence in care.
If you’ve been told you may need shoulder replacement surgery, ask if this advanced mini-incision technique may be right for you.
Who will need a Minimally Invasive Shoulder Joint Replacement?
Compared to the traditional method, the minimally invasive surgery approach is generally more preferred if the problem can be fixed by replacing the humeral head.
You can benefit from this procedure under the following conditions:
Minimally Invasive Shoulder Joint
Replacement Procedure
With Dr Oscar’s thorough planning, your minimally invasive shoulder joint replacement is customised for your unique needs. Here’s a detailed look at what this procedure involves and how it aids your recovery.
Diagnosis
Diagnosing your shoulder condition starts with X-rays (front and armpit views). The armpit view specifically checks the socket's condition. If more detail is needed, a CT scan provides clearer cross-sectional images of bones and soft tissues, including the socket, to guide your treatment plan.
To give you the best outcome, Dr Oscar provides straightforward pre-surgery guidance. You'll receive details on which medications to take or pause beforehand, and other key preparations; all designed to maximise safety and your surgery's success.
Surgery Procedure:
The surgery is performed under sterile conditions in the operating room under regional or general anaesthesia.
-
The patient lies in the beach chair position with the operated arm held by an arm positioner.
-
A 5-cm incision is made over the shoulder joint.
-
The muscle overlying the shoulder bones are cut just enough to expose the head of the humerus.
-
The humeral head is dislocated and is released from the capsule.
-
The arthritic or damaged humeral head is cut at the neck and removed.
-
The humeral component is matched in diameter and thickness to the natural humeral head.
-
A bone tunnel is made in the humerus to take the humeral stem.
-
The humeral stem is then inserted into the humerus. This may be press fit relying on the bone to grow into it or cemented depending on several factors such as bone quality and surgeon’s preference.
-
If the glenoid also needs to be replaced the surgeon then proceeds to the preparation of the glenoid component.
-
The glenoid is sized for the appropriate implant.
-
Next, the glenoid is prepared to take the artificial component by drilling holes in the glenoid to fix the plastic glenoid component.
-
Bone cement is placed in the holes and the glenoid implant is inserted.
-
Once the glenoid is replaced with the plastic component the surgeon works on the humeral component.
-
The correct sized metallic humeral component is then fixed to the humeral stem.
-
The soft tissue covering the joint is sutured back together and the incision closed with absorbable sutures.
-
Before sending the patient from the operating room, an X-ray is taken to verify the correct fit (size and position) of the implant.
In need of a consultation? Dr Oscar offers you a robust guidance and personalized treatment options to help you get back to doing what you love, pain-free.
Recovery and Rehabilitation
Immediate Post-operative Care:
Post-surgery, your arm will be supported in a sling (2-4 weeks). We'll provide pain medication and antibiotics for comfort and infection prevention.
Early physiotherapy is vital. Starting soon after surgery, it restores shoulder mobility and strength. Your commitment to prescribed home exercises directly impacts your results.
Post Surgery Instructions:
-
Prioritise rest – strictly avoid lifting/pushing/pulling initially.
-
Diligently complete home exercises (your physio will guide you).
-
Protect your shoulder – overuse now risks permanent stiffness.
-
Hold off driving for several weeks.
-
Keep incisions dry until healed – showers only with waterproof dressings.
"I couldn't believe how small the incision was!”
Why Choose Dr Oscar Brumby-Rendell?
Dr Oscar has undergone rigorous training both locally and internationally, including a distinguished fellowship with the International Bone Research Association and specialised microsurgical training. He emphasises personalised care, ensuring that each patient receives tailored treatment designed to meet their unique needs and preferences. Dr Oscar is dedicated to achieving the best possible surgical outcomes for his patients.
