The Department of Orthopaedics at Vimhans Nayati Super Speciality Hospital is dedicated to offering up to the minute, precision-based treatments for a wide spectrum of musculoskeletal problems. The department is a hub for some of the leading orthopaedic doctors and surgeons who adhere to the use of the latest technology to offer unparalleled treatments that are at par with excellence. Vimhans Nayati s one of the most trusted names when it comes to shoulder replacement surgery in India. Also known as shoulder arthroplasty, the procedure aims at replacing the damaged or diseased shoulder joint of the patient with a new prosthetic component. Shoulder replacement is usually recommended to patients suffering from end-stage shoulder arthritis, who are not responding well to medications and therapy.
Major indications of Shoulder Replacement surgery
Shoulder replacement surgery may be recommended for any of the following reasons:
- Osteoarthritis – It is a degenerative joint disease marked by immense pain and stiffness caused by the gradual degeneration of the articular cartilage.
- Inflammatory arthritis – It is an umbrella term used for a group of conditions that lead to the chronic inflammation of the shoulder joint.
- Proximal humerus fracture – It is one of the most common fractures seen in elderlies and is marked by a crack in the upper part of the humerus.
- Irreparable rotator cuff tears – It is a very common condition marked by the tearing of the tendons, accompanied by chronic pain, shoulder weakness and inability to raise the arm.
- Rotator cuff arthropathy – It is also a degenerative joint disease triggered by tears in the rotator cuff that is most likely to affect females.
- Avascular necrosis of the humeral head – The condition is triggered by a disrupted supply of oxygenated blood to the head of the humerus as a result of which the bone starts to die and degenerate.
Types of shoulder replacement surgery
Shoulder replacement surgery is broadly classified into 4 categories depending upon the underlying condition, the extent of damage and the portion of the joint that is to be replaced. These are as under:
- Total shoulder replacement – Also known as total shoulder arthroplasty, it is the leading choice of patients who want to regain the normal range of motion and function that had been lost owing to an underlying degenerative joint disease or injury sustained in an accident. It involves the complete replacement of both the components of the shoulder joint. Althoughthe procedure can prove to be effective in treating chronic shoulder pain and arthritic joints, it is not recommended to patients having a damaged rotator cuff or who plan to take part in sports in future.
- Reverse shoulder replacement – It is an option for patients who did not respond well to total shoulder replacement. The procedure aims at reversing the structure of the shoulder joint i.e. the humorous of the patient is replaced with a socket prosthetic and the socket is replaced with a prosthetic ball. As the surgery alters the centre of joint rotation, it is considered to be a gold standard option for patients with a severely damaged rotator cuff.
- Partial shoulder replacement – Also known as partial shoulder arthroplasty, the surgery involves the replacement of only one part of the shoulder joint, while leaving the other part completely intact. The humeral head is replaced with a prosthetic metal ball and the natural socket is left behind.
Benefits of shoulder replacement surgery:
Various perks of shoulder replacement surgery include:
- Better mobility due to enhanced range of motion
- Improved quality of life
- Freedom from pain and discomfort
- Reduced inflammation and swelling