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Doctor Profiles

Dr. KAUSHAL C. MALHAN

FRCS (Orth) U.K., FRCS (Surg) U.K, Dip. Sports Medicine U.K.


Dr. SACHIN BHONSLE

MBBS, MS, FRCS (Glasgow)


Dr. SRINIVAS J V

MS (Orthopaedics) Consultant Joint Replacement Surgeon


Dr. JAYANT ARORA

MBBS, MS (Ortho), DNB (Ortho), MRCS (UK)


Shoulder Replacement

Unlike a knee replacement or a hip replacement procedure a shoulder replacement is a less common procedure. Like the hip joint, the shoulder is a ball-and-socket joint but it has a wider range of motion than any other joint in the human body. Strength and range of motion to the arm are the primary accomplishments of the shoulder joint.

The shoulder joint consists of a rounded end of the upper arm bone (head of the humerus) and a small socket (glenoid) in the shoulder blade (scapula). Smooth cartilage covers the surfaces of the joints. The joint is held in place by the muscles and tendons, such as the rotator cuff.

Loss of the cartilage along with mechanical deterioration of the joint is resulted due to the continuous wear and tear of the joint, over a period of time, it may also result in pain. You may end up with a stiff shoulder that grinds or clunks. These symptoms can eventually bring about loss of strength, decreased range of motion in the shoulder and impaired function. This is medically termed as Osteoarthritis or wear-and-tear arthritis. Osteoarthritis is one of the most common degenerative joint disease, with the treatment being shoulder replacement surgery when all other conservative treatments like medications, physical therapy, activity modification etc. fail.

Generally people above 50 years of age or those people who have a history of shoulder injury are most commonly affected by Osteoarthritis.

Diagnosis

Initially, the doctor does a physical examination and takes your medical history, followed by a series of standard x-rays, to know the condition of the shoulder. An affected shoulder X-ray, would show that there is loss of the normal cartilage joint space, there is irregularity in the shape of the bone. There may be Bone spurs, with loose pieces of bone and cartilage floating inside the joint visible in the –X- Ray. For evaluation of bone quality as well as the condition of important surrounding structures such as the rotator cuff tendon, CT scan and Magnetic Resonance Imaging (MRI) may also be necessary.

Treatment Options

  • 1) Shoulder Arthroscopy
  • Shoulder arthroscopy is a minimally invasive procedure, which is performed to diagnose and also treat many shoulder injuries and diseases with avoidance of a major cut. In this procedure, small incisions are made through which a small camera, called an arthroscope is inserted with the help of which the doctor sees the joint and the surrounding areas on a computer screen. Thus this technique comes as a major aid in examining of and performing of surgery on the bones and soft tissues in and around the shoulder. arthroscopy is a much preferred over the traditional open surgery method as an arthroscopic procedure has many benefits, like:
  • Quicker recovery
  • Shorter hospital stay
  • Reduced blood loss
  • Reduced scarring
  • Reduced risk of infection
  • 2) Shoulder Replacement
  • In this procedure called shoulder replacement surgery, the entire shoulder joint is replaced by an implan t or prosthesis, through a three- to four-inch incision made along the space between the arm and the collarbone.. In it the humeral head and the glenoid is replaced with artificial components. For the humeral head replacement, the component is generally made from a metal alloy, while for the glenoid prosthesis the component is made from polyethylene plastic. These new components may be fitted in the joint with the use of cement or press-fit into place so that the bone grows in around them. The surgery duration is roughly about an hour or so, after which the incision is closed with staples or stitches.
  • 3) Shoulder Resurfacing
  • Shoulder resurfacing surgery is a much modern and advanced technique, which provides an excellent alternative to total shoulder replacement surgery. In this procedure as major portion of the bone is not cut unlike a shoulder replacement surgery, it makes it a bone conserving method. It has its own advantages like,
  • Faster and better recovery.
  • after the shoulder resurfacing, reconstitution of the joint is much closer to normal
  • in terms of range of movement and functionally, the results of resurfacing are much better
  • revision surgery is easier and convenient for the surgeon with less bone removal.
  • Reduced tissue damage

Rehabilitation and physiotherapy

The recovery of the patient is quite dependent on well planned physiotherapy sessions post hip replacement surgery. Completely equipped physiotherapy and rehabilitation centres can be availed of at our network hospitals with well-trained and experienced staff.


Shoulder Replacement Package

Inclusions

  • Airport Pick-up and Drop
  • Hospital Stay in a Private Room as indicated above. One attendant can stay with the patient.
  • Nursing & Diet charges.
  • Routine lab tests
  • Admitting Consultant's visit charges
  • Surgeon’s Fees and OT Charges
  • Cost of the implant/prosthesis

Exclusions

  • Hospital stay after the said period.
  • Visit charges after the said period.
  • Cross consultations, if any.
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