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 ).
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.
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:
A shoulder arthroscopy procedure is frequently recommended people who have shoulder conditions that involve the surrounding ligaments, muscles and tendons, such as:
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.
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
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.
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.
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 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.
A traditional (anatomic) shoulder replacement surgery is composed of the following six basic steps:
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.
As with any surgery, a shoulder replacement carries risks. Though the complication rate after surgery is less than 5 percent, you could experience:
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:
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.
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.
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%.
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.
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.
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.
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
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.
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.
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
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.
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.