Shoulder Joint Replacement Surgery

Shoulder Joint Replacement Surgery

Total shoulder joint replacement surgery, also known as total shoulder arthroplasty, is the deletion of parts of the shoulder joint, which are exchanged with artificial implantation to decrease pain and bring back variety of rotation and movements. It is very successful to reduce the serious pain and toughness created by final stage arthritis

Shoulder arthritis is a state in which the smooth cartilage that covers of the bones of the shoulder reduce or disintegrate. In a strong shoulder, these cartilage level allow the bones to easily move against one another. When these cartilage level decrease, the bones come into direct contact to each other, creates friction and roughness to spoiled the bones. This becomes very painful and difficult. Clinically implanted artificial shoulder joint replacement surgery levels bring back the pain-free mobility, strength and function

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What causes the conditions treated by shoulder replacement surgery?

There are two general types of arthritis that disturb the shoulder.

  1. Osteoarthritis(OA): This is physical wear and tear on the cartilage inside the joint that grows from years of use. Although many older people go through this disease at some point, this mostly happens in their knees, hips or fingers than the shoulder. Osteoarthritis in the shoulder is mostly seen in active people (even at younger ages), ex- tennis players, weightlifters and other athletes who has continuous burden on their shoulders. In some cases, a serious, critical injury causes  to this long-term harm, for example:
    • torn rotator cuff
    • shoulder fracture
  2. Inflammatory Arthritis(IA): This is an umbrella term for many long-lasting, autoimmune illness which have no understandable reason. The main two that impacts the shoulder are:
    • rheumatoid arthritis
    • ankylosing spondilytis

More people with these situations who have shoulder joint replacement surgeries feels less pain and better function in the shoulder.

Dr. Kaushal's Treatment

  • pinless navigated knee replacement
  • Computer assisted knee replacement
  • Primary Knee replacement
  • Revision Knee replacement
  • Knee osteotomy
  • Arthroscopic knee surgery
  • Primary Hip Replacement
  • Computer assisted Hip Replacement
  • Revision Hip Replacement
  • Shoulder Joint Replacement
  • Reverse Shoulder Joint Replacement
  • Elbow Joint Replacement

About Dr. Kaushal

(Senior Consultant joint, hip, shoulder Replacement and trauma, &
HOD Orthopaedics  New Delhi)

Orthopaedic Consultant- Specialist for Joint Replacement(Regency Medical Centre, Dar-Es-Salaam, Tanzania)

Fellow Joint Replacement (AIIMS)

Fellow stemcell, Soft tissue and Bone Banking (AIIMS)

Patient care and training Consultant(Fortis Escorts Hospital)

Honorary Consultant (Orthopaedics)Charitable clinic (Khadija National Hospital, Darya Ganj, New Delhi)

How do I know if I need shoulder joint replacement?

When the person have shoulder arthritis pain, then nonsurgical treatments could not control the pain.. The pain is generally go with increased toughness and a never-ending or harsh sensation in the shoulder.

These symptoms show that bones that set up the ball and socket of the shoulder joint are damaging each other because the cartilage that should remain between them has disappeared. In this case, you need to operate shoulder joint replacement surgery.

How is shoulder joint replacement done?

In traditional shoulder joint replacement surgery, the spoiled humeral head (the ball of the joint) is exchanged with a metal ball, and the glenoid cavity (the joint socket) is exchanged with a smooth plastic cup. (The humeral head is at the top of the humerus – the upper arm bone, and the glenoid is situated in the scapula – the shoulder blade.)

This metal-on-plastic implantation system (rather than metal-on-metal) is executed in  all joint replacement . In few patients, like those with serious shoulder fractures of the humeral head, a partial shoulder replacement (called hemireplacement) may be suggested. This method exchanged the ball element only.

What is reverse shoulder joint replacement surgery ?

A reverse shoulder joint replacement surgery is a lay out in which the conditions of the ball and socket are transferred: A metal ball implantation is exchanged where the patient’s own natural socket was, and a plastic socket implantation exchanged on the head of the humeral head.

This reverse lay out has more permanency and does not require the tendons to grip it in place. It’s movement is controlled by the deltoid muscle rather than the rotator cuff tendon. This make it good option when the spoiled shoulder requires new surfaces, but does not have enough strong soft tissues to help maintenance and movement. It is generally executed on patients who have shoulder arthritis and a serious rotator cuff tear. 

The lay out foundation for the reverse shoulder joint replacement surgery is as follows: In a healthy person, the shoulder ball lies against the socket (rather than being deeply limited within the socket, as in a hip joint. Because of this position, the ball depends on the tendons that surround the ball and socket to both grip it in place and to move it. But with some types of arthritis, these tendons are seriously injured, torn or non moving. In such cases, the ball implantation executed in a traditional replacements would have no soft tissue to grip it in place and/or to move it

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How long does it take to recover from a shoulder joint replacement?

It normally takes eight weeks or more for patients to get well. It may take many months before a patient may do heavy work or energetic strong exercises.

Patients generally feel some little pain because of the shoulder joint replacement surgery, but it is not the same  pain they feel because of their arthritis. Arthritic pain is mostly disappear from that surgery.

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