What is Shoulder Replacement Surgery?
A shoulder is a large ball and socket joint which is made up of muscles, bones, tendons and ligaments all of which hold together the shoulder in place and allows the movement. The collar bone, shoulder blade, and arm cone are the bones of the shoulder joint. The clavicle attaches the shoulder to the rib cage and holds it away from the body. The clavicle is connected with the scapula at the acromioclavicular joint where the rounded head of the humerus, rests against the socket in the shoulder blade. Shoulder replacement surgery involves replacing of damaged or infected shoulder joint by arthritis or injury. Shoulder replacement surgery is for patients who suffer from joint dysfunction which is generally the result of rheumatoid arthritis, osteoarthritis or for patients who have sustained severe trauma from a shoulder fracture. This surgery is recommended only in case if the other modes of treatment such as physical therapy and medication have failed.
Shoulder replacement surgery is recommended to patients who are suffering from the following condition:-
- Severe pain in the shoulders.
- The stiffness of the shoulder.
- Rheumatoid arthritis.
- Tumor in or around the shoulder area.
- Swelling of the shoulder joint.
- Unhealthy skin around the shoulder area.
- Damaged or torn tissues in the shoulder.
- Limited range of motion.
- Tenderness around the shoulder joint.
- Broken bone in the arm near the shoulder.
- Weak muscles around the shoulder that cannot be fixed during surgery.
There are different types of shoulder replacement surgery. Depending upon the patient's overall health the surgeons recommend the type of surgery which is best suitable for them.
Total Shoulder Replacement: - Total shoulder replacement surgery involves replacing the arthritic joint surfaces with a highly polished metal ball which is attached to a stem, and a plastic socket. These components come in various sizes. The components can be cemented or non-cemented. If the patient’s quality of the bone is good the surgeon may choose to use a non-cemented humeral component. And in case if the bone is soft, the humeral component can be implanted with bone cement. Generally, an all-plastic glenoid component is implanted with bone cement in total shoulder replacement surgery.
Stemmed Hemiarthroplasty: - Hemiarthroplasty involves replacing only the ball. Whereas in stemmed hemiarthroplasty the head of the humerus is replaced with a metal ball and stem, similar to the component which is used in total shoulder replacement surgery. Some shoulder replacement surgeons recommend hemiarthroplasty when the humeral head is severely fractured but the socket is normal. In some cases, the surgeons decide between total shoulder replacement and hemiarthroplasty at the time of the surgery. According to research patients with osteoarthritis are more at relief from pain from total shoulder arthroplasty than from hemiarthroplasty.
Resurfacing Hemiarthroplasty: - Resurfacing hemiarthroplasty surgery involves replacing only the joint surface of the humeral head with a cap-like prosthesis without a stem. Resurfacing hemiarthroplasty offers bone preserving advantage to patients with arthritis of the shoulder an alternative to the standard stemmed shoulder replacement surgery. A resurfacing hemiarthroplasty is an option in case if the glenoid has an intact of cartilage surface or there has been no fresh fracture of the humeral neck or head. For patients who are young or are very active, resurfacing hemiarthroplasty avoids the risks of component wear and loosening that may occur with conventional total shoulder replacements surgery.
Reverse Total Shoulder Replacement: - This surgery is recommended to patients who have completely torn rotator cuffs with severe arm weakness or in case previous shoulder replacement surgery has failed. In reverse shoulder replacement surgery, the socket and metal ball are switched. The metal ball is attached to the shoulder bone and a plastic socket is attached to the upper arm bone which allows the patient to use the deltoid muscle instead of the torn rotator cuff to lift the arm.
- Allergic reaction to the artificial joint.
- Loosening of the implant over time.
- Problems in breathing.
- Nerve damage.
- Blood clot.
- Damaging of the blood vessel during surgery.
- The breaking of bone during surgery.
- Dislocation of the artificial joint.
Shoulder replacement surgery is highly technical surgery which should be performed by a surgical team that has a lot of experience in this procedure. India has a large pool of highly skilled and qualified orthopedic surgeons. India is known for providing best medical treatment and has world’s largest and most comprehensive healthcare network. Shoulder replacement surgery in India is available at the most affordable costs. Healthcare facilities in India are equipped with modern medical facilities and cutting-edge technology. Thousands of patients have experienced an improved quality of life after shoulder replacement in India.