Shoulder Replacement

Shoulder Replacement
May 20, 2016

p-shoulder-componentsDr. Gupta is one of the best orthopedic specialists in India in the field of upper extremity. Currently with the Max Healthcare, he has been serving diligently for more than 20 years and has conducted more than 6000 surgeries. Expressing his views about shoulder joint replacement Dr Gupta says, “It is generally taken up as a procedure to relieve the extremely painful condition of the shoulder and restore the lost mobility of the shoulder joint. Normal activities can be picked up after your shoulder joint is replaced by an artificial joint and you can g back to sports or any other activity that you used to perform before your shoulder joint was damaged.”

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Known for accurate prognosis and painless treatment modalities Dr. Gupta very calmly drawls, “We only adopt shoulder joint replacement when we have thoroughly evaluated and examined the facts and history of the condition and are assured that it would be the optimum method. Patients with rheumatoid arthritis, osteoarthritis, severely broken bones in the shoulder and torn rotator cuff are more likely to be relieved by replacement surgery.”

If your arm is not lifting beyond 90 degrees, you have weakness in your shoulder muscles, immense pain even during rest hours in spite of being conservatively treated by your orthopedics it is a sign that you might have to undergo a replacement surgery to fence the deterioration of your shoulder joints.”

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Pondering over the effectiveness of the surgery he stresses, “There are no irreparable complications involved with the shoulder replacement technique. Success ratio is directly dependent on the skill and affluence of the surgeon. Total, partial or reverse are the three kinds of replacement techniques that are adopted as per the severity of the patient’s condition which are only concluded after a detailed and in depth analysis. Physical therapy exercises is one of the most essential tool pre and post surgery to enhance the healing.”

Germany and USA have been a witness to these deft hands and passionate approach during Dr. Gupta’s further research of newer modality techniques in the two respective countries.
Known as an icon among his peers and interns, his lectures and papers are much awaited for at National and International seminars for upper extremity.


FAQ – Shoulder Replacement

Shoulder Joint Replacement is a surgery that is performed on the shoulder joint to remove and replace the damaged joint with an artificial prosthesis made of metal and plastic.
Shoulder joint replacement is performed when the patient is suffering from either osteoarthritis or rheumatoid arthritis, has sustained a severe injury resulting in fracture, the patient has torn tissues around his shoulder joint or is suffering from avascular necrosis. In some cases it is also undertaken to remove a tumor in the joint which cannot be otherwise treated.
The foremost reason why shoulder joint replacement becomes essential is when all non conservative techniques such as physical therapy, corticosteroid injections or oral medications have proved ineffective to bring relief to the patient. Other contributory signs refer to extreme pain in the shoulder region that hinders daily simple activities such as dressing, combing and so on or even while resting or weakness and loss of motion in the shoulder.
The orthopedic surgeon concludes the essentiality of shoulder joint replacement only after a complete physical examination of the shoulder along with correlating symptoms with the medical history of the patient. After ascertaining, the surgeon furthers his prognosis by running a few imaging tests on the patient which include an X-Ray, MRI or Bone Scans. After reviewing all the detailed reports and analysis the surgeon concludes if shoulder joint replacement is the best treatment methodology to provide relief to the enervating condition and go ahead with it.

There are many types of shoulder replacements and the surgeon undertakes the implant which is most suitable to the damage that the shoulder has incurred or borne.

Total shoulder replacement: Under this type of replacement, the ball and socket joint is replaced with a plastic socket and metal ball with a stem. Depending on the bone condition the surgeon determines whether the implant would be bone cemented or non cemented. It is most adequately applied in torn rotator cuff and bone on bone osteoarthritis.

Stemmed Hemiarthroplasty: When it is only the humeral head that has been damaged and the socket is intact the surgeon might adopt stemmed hemiarthroplasty under which only the humeral head is replaced by a metal ball with stem.

Resurfacing Hemiarthroplasty: This replacement is partial and involves the implant of just the joint surface of the humeral head with a cap like prosthesis that does not have a stem. It is performed on young and energetic patients and can be converted to a total shoulder replacement any time later as and when required. Reverse

Shoulder Replacement: When the rotator cuff of a patient is totally torn or previous replacement has worn off or the patient is having difficulty to lift their arm beyond 90 degrees then the surgeon changes the positioning of the ball and socket prosthesis. In reverse shoulder replacement the metal ball is attached to the shoulder bone and the socket is attached to the upper arm bone thus enabling the patient to use deltoid muscle to lift the arm and move his shoulder.

Patients experience improved mobility in their shoulder joint after the surgery but it is essential that they keep on with their physical therapy exercises for a few weeks till after the surgery and keep their shoulder strictly on a sling as prescribed by the surgeon. Do not lay any pressure on the shoulder operated upon and visit your surgeon for regular checkups.
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