Best Shoulder Replacement Surgery Cost In India

How Much Does Shoulder Replacement Surgery Cost in India?

The estimated cost of Shoulder Replacement Surgery in India is between USD 6500 to USD 8100.

The hospital stay would be for 5 days and 8 days beyond the hospital.

Shoulder Replacement Surgery has a success rate of over 95%.

Tests Necessary to find out the condition of the bone are X-Rays, MRI Scan and Blood Tests (sometimes ).

Overview

Total shoulder replacement, also known as total shoulder arthroplasty, is the removal of portions of the shoulder joint, which are replaced with artificial implants to reduce pain and restore range of rotation and mobility. It is very successful for treating the severe pain and stiffness caused by end-stage arthritis.

Shoulder arthritis is a condition in which the smooth cartilage that covers of the bones of the shoulder degenerate or disintegrate. In a healthy shoulder, these cartilage surfaces permit the bones to comfortably glide against one another.

When these cartilage surfaces disappear, the bones come into direct contact, increasing friction and causing them to roughen and damage each other. Bone-on bone movement can be quite painful and difficult. Surgically implanted artificial replacement surfaces restore pain-free movement, strength and function.

Is Shoulder Joint Replacement for You?

The decision to have shoulder replacement surgery should be a cooperative one between you, your family, your family physician, and your orthopaedic surgeon.

There are several reasons why your doctor may recommend shoulder replacement surgery. People who benefit from surgery often have:

Severe shoulder pain that interferes with everyday activities, such as reaching into a cabinet, dressing, toileting, and washing.

Moderate to severe pain while resting. This pain may be severe enough to prevent a good night’s sleep.

Loss of motion and/or weakness in the shoulder.

Failure to substantially improve with other treatments such as anti-inflammatory medications, cortisone injections, or physical therapy.

Causes of Shoulder Replacement

Osteoarthritis-Age-related “wear and tear” Kind of arthritis. It typically happens in people 50 decades old and old, the cartilage that covers the ends of these bones wears away, it could lead to bone rubbing on bone and create debilitating bone spurs.

Rheumatoid Arthritis the connective tissue becomes inflamed and thickened, resulting in damage to the cartilage and eventually trigger bone loss, pain, and stiffness.

Post-traumatic Arthritis- after a severe shoulder injury

Rotator Cuff Tear Arthropathy

Avascular Necrosis– happens when the blood supply to the bone is interrupted

Severe Fractures- A serious fracture of the shoulder is another frequent reason individuals have shoulder replacements.

Failed Previous Shoulder Replacement Surgery

When would you need a shoulder replacement surgery?

Severe shoulder pain that interferes with everyday activities, such as reaching into a cabinet, dressing, toileting, and washing.
Moderate to severe pain while resting. This pain may be severe enough to prevent a good night’s sleep.
Loss of motion and/or weakness in the shoulder.
Failure to substantially improve with other treatments such as anti-inflammatory medications, cortisone injections, or physical therapy.

What are the alternative options to shoulder replacement Surgery?

A shoulder arthroscopy procedure is frequently recommended people who have shoulder conditions that involve the surrounding ligaments, muscles and tendons, such as:

Rotator cuff injury
Torn shoulder labrum

Arthroscopy is among the most common type of shoulder surgeries, and is attractive to many patients because it is minimally invasive. However, arthroscopic surgery primarily treats conditions that cause arthritis, rather than the arthritis itself. This treatment is generally useful in patients who do not yet have bone-on-bone arthritis.

Diagnosis & Tests required for Shoulder Replacement

Physical Evaluation to assess shoulder Movement, Equilibrium, and Intensity.
X-rays imaging aid to ascertain the level of damage on your shoulder.
Magnetic resonance imaging (MRI) scan or a bone scan may be required to find out the state of the bone and soft tissues of the own shoulder.
Blood evaluations

Types of Shoulder Replacement Surgery In India

Total shoulder replacement Surgery

It is an option for joint dysfunction. Joint dysfunction is mostly the result of conditions like osteoarthritis or rheumatoid arthritis, or sometimes for those who have sustained severe trauma from a shoulder fracture. In this type of replacement, the round end of the arm bone (humerus) will be replaced with an artificial stem with a rounded metal head.

The primary indication for a total shoulder replacement is pain that does not responds to non-surgical treatments

Partial shoulder replacement Surgery

when the humerus is replaced with a prosthetic metal implant. The other half of the shoulder joint is left intact. It is also known as shoulder hemiarthroplasty. It is useful for severe shoulder osteoarthritis in which only the humeral head is damaged.

Reverse total shoulder replacement Surgery

It is for those who have damages to the muscles around the shoulders and have painful arthritis in their shoulders. In this procedure, the surgeon first removes the damaged bone and smooths the ends. Then he attaches the rounded joint piece to the shoulder bone and uses the cup-shaped piece to replace the top of the upper arm bone. So, in effect the position of the “ball” (humeral head) and “socket” (glenoid) are reversed. The “ball” is positioned on the glenoid and is known as glenosphere, while the “socket” is positioned on the humeral shaft.

The rotator cuff arthropathy is the primary reason for a reverse total shoulder arthropathy which is a condition of progressive arthritic degeneration of the shoulder joint. The main reason for this condition is the long-term dysfunction of rotator cuff due to non-repairable chronic rotator cuff tears within the shoulder. At least two of the four rotator cuff muscles (supraspinatus, infraspinatus, terse minor and subscapularis) need to be torn or dysfunctional for rotator cuff arthropathic to develop. Because of the dysfunction, the normal biomechanics of the shoulder joint are lost.

Before Shoulder Replacement Surgery?

Wear loose-fitting clothes and a button-front shirt when you go to the hospital for your surgery. After surgery, you will be wearing a sling and will have limited use of your arm.

You will most likely be admitted to the hospital on the day of your surgery. After admission, you will be taken to the preoperative preparation area and will meet a doctor from the anesthesia department.

You, your anesthesiologist, and your surgeon will discuss the type of anesthesia to be used. You may be provided a general anesthetic (you are asleep for the entire operation), a regional anesthetic (you may be awake but have no feeling around the surgical area), or a combination of both types.

During Shoulder Replacement?

Anesthesia

During a total shoulder replacement, the patient may have either regional anesthesia with interscalene block or general anesthesia – or both. During the operation, the patient will be positioned sitting upright and partially or completely sedated.

Surgical steps of a traditional shoulder replacement

A traditional (anatomic) shoulder replacement surgery is composed of the following six basic steps:

The surgeon separates the deltoid and pectoral muscles to access the shoulder in a largely nerve-free area (to minimize nerve damage).

The shoulder is opened by cutting one of the front muscles of the rotator cuff, which covers the shoulder. This “opens the door” to allow the surgeon to view and manipulate the arthritic parts of the shoulder ball and socket.

The arthritic sections of the joint are removed.

The implant socket, ball and stem components are inserted. The metal ball component is attached to the stem, which extends down inside the patient’s humerus.

The incision of the rotator cuff muscle is closed and stitched.

The external (skin-level) incision is cleaned and stitched, and a bandage applied as a temporary covering.

Recovery after Shoulder Replacement

Shoulder replacement surgery is a major operation, so you’ll likely experience pain during your recovery. You might be given pain medications by injection right after your procedure.

A day or so following the surgery, your doctor or nurse will give you oral drugs to ease the discomfort.

Rehabilitation is started right away, usually on the day of surgery. Your healthcare staff will have you up and moving as soon as possible.

After a couple of days you’ll be discharged from the hospital. When you leave, your arm will be in a sling, which you’ll wear for about 2 to 4 weeks.

You should be prepared to have less arm function for about a month after surgery. You’ll need to be careful not to lift any objects that are heavier than 1 pound. You should also avoid activities that require pushing or pulling.

In general, most people are able to resume gentle daily living activities within two to six weeks. You might not be able to drive for about six weeks if the surgery was done on your right shoulder for people who drive on the right side of the road, or your left shoulder for those that drive on the left side of the road.

It’s important to perform all home exercises that your healthcare provider recommends. Over time, you will gain strength in your shoulder.

It will take about six months before you can expect to return to more vigorous activities, such as golfing or swimming.

Complications after Shoulder Replacement Surgery

As with any surgery, a shoulder replacement carries risks. Though the complication rate after surgery is less than 5 percent, you could experience:

infection
a reaction to anesthesia
nerve or blood vessel damage
rotator cuff tear
fracture
loosening or dislocation of the replacement components

Returning to work after Shoulder Replacement Surgery

The exact time a person can return to work depends greatly on the motion and strength of the shoulder and how the patient is progressing. Typically:

Two to three weeks – Return to desk work is possible.
Four months or more of recovery is required for heavier, physical labor.

The presurgical condition of the person’s shoulder muscles and tendons play the largest role in the time frame of a patient’s recovery. If the muscles and tendons are in good shape prior to surgery, rehabilitation will be easier.

In all cases, proper and extensive postoperative rehabilitation are key factors in achieving the maximum benefit of shoulder replacement surgery.

Learn more about shoulder replacement surgery by exploring the additional content below, or select Treating Physicians to find the best shoulder arthritis doctor for you, based on your condition, location and insurance.

Frequently Ask Questions Shoulder Replacement Surgery?

Q. How safe is a shoulder replacement surgery In India?

A. The shoulder replacement surgery In India is very safe. The survival of the implant is 90 to 95% at 10 years after surgery and approximately 80% at 20 years after surgery. Which means it is not a complicated one provided you choose a reliable and proven hospital for undergoing the surgery.

Q. How successful is Shoulder Arthroscopy In India?

A. It is more successful than open surgery as it is less painful and takes a shorter time to heal and recover. In case of a shoulder dislocation repair, the success rate can be as high as 90% whereas for impingement or rotator cuff tears, it is around 95%.

Q. How long does the surgery take?

The actual shoulder replacement procedure takes 60 to 90 minutes. However, pre-operative preparation and postoperative recovery require additional time. A member of the care team will keep your family members informed of your progress and let them know when they can visit you in the recovery room.

Q. When should I expect to feel relief from my shoulder pain after my shoulder replacement?

There is some immediate change in regard to the movement of the shoulder being much smoother; however, for a few weeks after surgery it is more painful than before surgery. At about two weeks post-surgery people start to get over the “hump” and it is less painful than prior to surgery. The pain will continue to gradually decrease. At two months the average patient is very happy they had their shoulder replaced.

Q. When do I start rehabilitation?

Your rehabilitation therapist will see you the day after surgery. Remember that pain control is very important. Your nurse will give you pain medicine about 30 minutes before your rehabilitation sessions start so that you can do as many exercises with your physical therapist as possible. You should continue these exercises once you return home.

Q. What are the limitations after shoulder replacement?

A. Typically, the boundaries have been set by the surgeon, with many patients cautioned or even prohibited from overhead sports, weight training, or heavy work responsibilities. A typical set of guidelines may include no repetitive overhead sports, except for recreational swimming, and no lifting over 20 pounds

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

A. Many times, it takes from three to six months for the shoulder to heal. Regaining full strength and range of motion can take up to a year.

Q. How long is physical therapy after shoulder replacement?

A. Most people who have an uncomplicated total shoulder replacement can expect to spend about six to eight weeks in physical therapy. Some people sail through rehab and reach their goals more quickly, while others take a bit more time. Most often, people are back to normal about 12 to 16 weeks after surgery.

Q. Can you do push ups after shoulder replacement?

A. We encourage our patients to stay as active as possible. However, doing things that place significant stress on the shoulder greater than 25lbs. is discouraged. Things like push-ups or pull-ups or weight lifting greater than our weight restrictions could lead to a wearing-out of the replacement

Q. How often will I need to see my surgeon after surgery?

A. You will be seen for your first postoperative office visit 10 to 14 days after discharge from the hospital. After that, many patients are seen at six weeks, 12 weeks and then yearly. This will depend on how well you recover.

Q. Do you recommend any restrictions after this surgery?

A. Patients are to wear the shoulder immobilizer at all times except for exercising, bathing and upper body dressing. Some patients are not allowed to actively move or functionally use the arm for four weeks – and sometimes longer. Your surgeon and therapist will instruct you about precautions and restrictions. Do not resume any activities or exercise after surgery without checking with your surgeon or therapist.