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A shoulder hemiarthroplasty is a surgical procedure to replace half of the shoulder joint--just the ball of the ball and socket joint. A shoulder hemiarthroplasty is a surgical procedure to replace half of the shoulder joint--just the ball of the ball and socket joint.
In standard total shoulder arthroplasty (TSA), the shoulder's ball and socket joint is replaced with a prosthesis made of polyethylene and metal elements (1) whereas in reverse shoulder arthroplasty (RSA), the location of the new ball and socket are on the distal side of the shoulder, in a reversed position.