drnareshagarwalortho.com

open-navigation
close-navigation
Book an Appointment

Shoulder Replacement in delhi

Related Treatments
Knee Replacement
Knee Arthroscopy
Shoulder Replacement
Fracture Management Surgeries
Comprehensive Pain Management
What is Shoulder Replacement?

Shoulder Replacement, also known as Total Shoulder Arthroplasty (TSA), is a surgical procedure in which the damaged parts of the shoulder joint are replaced with artificial components. This surgery is commonly performed to relieve chronic pain and restore mobility in patients suffering from severe arthritis, degenerative joint disease, or traumatic injuries.

The shoulder joint is a ball-and-socket structure. In shoulder replacement, the “ball” (head of the upper arm bone or humerus) and/or the “socket” (glenoid of the shoulder blade) are replaced with prosthetic implants. This helps eliminate pain, restore function, and improve the quality of life.

Shoulder Replacement Procedure

During a total shoulder replacement:

  • The damaged head of the humerus is removed and replaced with a metal ball attached to a stem that fits into the upper arm bone.

  • The glenoid cavity (socket) is resurfaced with a smooth plastic component to allow pain-free, smooth movement.

  • In some cases, bone cement may be used to fix the implants, while in others, uncemented implants are used, designed to allow natural bone growth around them.

This procedure is usually performed by a specialist in shoulder or joint replacement surgeries and requires careful planning based on the patient’s anatomy and health status.

When is Shoulder Replacement Needed?

Shoulder replacement surgery is considered when non-surgical treatments—such as medications, physiotherapy, and injections—fail to relieve pain or restore movement. Common indications include:

  • Severe osteoarthritis or rheumatoid arthritis

  • Rotator cuff arthropathy (arthritis due to long-standing rotator cuff tear)

  • Post-traumatic arthritis after a shoulder fracture or injury

  • Avascular necrosis (bone death due to poor blood supply)

  • Failed previous shoulder surgeries

Patients who benefit the most often experience:

  • Constant shoulder pain, even at rest or while sleeping

  • Stiffness or limited range of motion

  • Difficulty performing daily activities like dressing, lifting, or grooming

When is Shoulder Replacement Not Recommended?

In some cases, shoulder replacement may not be advisable. Contraindications include:

  • Active infection or a high risk of infection

  • Poor general health or inability to tolerate anesthesia

  • Severe osteoporosis

  • Irreparable damage or paralysis of the shoulder muscles (rotator cuff)

A thorough pre-surgical evaluation helps determine if you are the right candidate for this procedure.

Diagnosis Before Surgery

To determine the need for shoulder replacement, your orthopedic surgeon may recommend:

  • X-rays: To assess bone damage and joint space narrowing

  • MRI (Magnetic Resonance Imaging): For detailed images of soft tissues, including tendons and cartilage

  • CT Scan: For 3D imaging and surgical planning

EMG (Electromyography): To assess nerve and muscle function in complex cases

Risks and Complications

While shoulder replacement is a safe and highly effective surgery when performed by an experienced surgeon, like Dr. Naresh Agarwal, it carries potential risks, such as:

  • Infection (at the surgical site or inside the joint)

  • Nerve or blood vessel injury

  • Difficulty in wound healing

  • Implant loosening or dislocation

  • Fracture of the humerus during or after surgery

  • Stiffness or limited range of motion postoperatively

Choosing an experienced orthopedic surgeon significantly reduces the risk of complications.

Recovery and Rehabilitation

Recovery after shoulder replacement is gradual and involves a well-planned rehabilitation program. Here’s what to expect:

  • Hospital Stay: Usually 1–3 days, depending on the patient’s condition.

     

  • Initial Recovery: Gentle movements of the hand, wrist, and elbow begin early to avoid stiffness.

     

  • Physiotherapy: A structured rehabilitation program starts soon after surgery, progressing from passive to active exercises.

     

Full Recovery: It typically takes 3–6 months for patients to regain functional use of the shoulder. Compliance with physiotherapy and follow-up visits are key to optimal  outcomes

Conclusion

Recovery after shoulder replacement is gradual and involves a well-planned rehabilitation program. Here’s what to expect:

  • Hospital Stay: Usually 1–3 days, depending on the patient’s condition.
  • Initial Recovery: Gentle movements of the hand, wrist, and elbow begin early to avoid stiffness.
  • Physiotherapy: A structured rehabilitation program starts soon after surgery, progressing from passive to active exercises.

Full Recovery: It typically takes 3–6 months for patients to regain functional use of the shoulder. Compliance with physiotherapy and follow-up visits are key to optimal  outcomes