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Shoulder Replacement

What is Shoulder Joint Replacement?

This is also called Shoulder Arthroplasty, which is an option when the shoulder joint pain deters performing the daily activities and other treatments don’t bring relief.

Usually in a Shoulder Replacement surgery, the doctor replaces the ends of the damaged Humerus and scapula bones of the shoulder joint or caps them with plastic or metal and plastic and then the components are held in place with cement.

There are different Shoulder Joint Replacement options:

  • Total Shoulder Replacement
    The arthritic joint surfaces are replaces with a highly polished metal ball attached to the stem and a plastic socket.
  • Stemmed Hemiarthroplasty
    Head of the humerus is replaced with a metal ball and stem.

Shoulder Replacement in Bangalore

Shoulder Joint Replacement

  • Resurfacing Hemiarthroplasty
    Replacing of the joint surface of the humerus head with a cap-like prosthesis without the stem.
  • Reverse Total Shoulder Replacement
    The socket and metal ball are switched, i.e., metal ball is attached to the shoulder bone while plastic socket is attached to the humerus.

When is it needed?

The shoulder problems that bring about the need for shoulder replacement surgery are:

  • Osteoarthritis: wear and tear leads to softening and wearing away of the cartilage that cushions the shoulder. The bones rub against each other causing pain and stiffness.
  • Rheumatoid Arthritis: the synovial membrane surrounding the joint inflames and thickens, damaging the cartilage causing cartilage loss, pain and stiffness.
  • Post-Traumatic Arthritis: This follows a serious shoulder injury where the bones surrounding the shoulder fractures or torn shoulder ligaments might damage the articular cartilage over time. Shoulder pain and limited shoulder function ensues.
  • Rotator Cuff Arthropathy: The rotator cuff leads to arthritis and cartilage damage.
  • Osteonecrosis: deficiency of blood supply to the bone causes shoulder joint to deform.
  • Severe shoulder fractures and a previously failed shoulder replacement.

The need for shoulder surgery arises when:

  • Severe pain limits the daily routine like walking, climbing stairs, sitting and getting up from chairs.
  • Pain while resting or sleeping at night.
  • Weakness and loss of shoulder motion.
  • When other shoulder joint paint treatments, medications and physical therapy don’t bring relief.

Pre-Procedural activities

  • Shoulder replacement surgery preparation by taking blood tests, ECG, MRI or X-ray and a physical examination of the shoulder is done.
  • Inform the doctor of the medications and supplements, patient presently takes.
  • Refrain from eating and drinking 6-12 hours prior to procedure.
  • Prepare your home for adjustments to post-surgery life, as per doctor’s recommendations.

During procedure

  • Patient will be given anaesthetic before the total shoulder replacement surgery, which might be:
    • Regional: Numb the arm and shoulder region
    • General: Puts patient to sleep
  • Total shoulder replacement surgery takes around 2 hours.
  • The doctor will choose the Shoulder joint Replacement option depending on the situation.

Post-Procedural Activities

  • The patient usually takes a couple of days to recover.
  • The doctors will take the required measures to control any blood-clotting situation, pain and swelling.
  • The doctor will provide training to the patient and the caretakers on how to handle things.
  • Doctor will need to see you at a follow-up appointment after a few days.
  • You might have to follow an exercise regimen, as instructed by the doctor or physical therapist.
  • You might have to follow an exercise regimen, as instructed by the doctor or physical therapist.

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