Shoulder Replacement Surgeries

How Shoulder Replacement Surgery is performed?

If your shoulder joint gets seriously damaged, you might need surgery to replace it. Before you have your procedure, you should know some things.

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Dr. Nataraj H M is one of the Best Shoulder Replacement Doctor/Surgeon in Bangalore with over a Decade of Experience in Orthopedics and Shoulder Replacement.

Check out Below How Dr. Nataraj H M Describes about Shoulder Replacement Surgery’s expectations, Types of shoulder Replacement Surgeries, etc.

About Shoulder replacement surgery

The joint where your upper arm connects to your body is a ball-and-socket joint. The bone in your upper arm, called the humerus, has a round end that fits into the curved structure on the outside of your shoulder blade.

Ligaments and tendons hold it together. Ligaments connect the bones, while tendons connect muscles to the bone. A layer of tissue called cartilage keeps the bones apart, so they don't rub against each other.

The ball and socket let you move your arm up and down, back and forward, or in a circle.

Why You'd Need It Replaced

You may have to have it done if you have a condition that makes it painful and hard to use your arm, such as:

Your doctor will probably try to treat you with drugs or physical therapy first. If those don’t work, he may recommend surgery.

Shoulder replacement surgery is less common than hip or knee replacements. But more than 50,000 shoulder replacements are done in the India each year.

What to Expect

An orthopaedic surgeon will replace the natural bone in the ball and socket of your shoulder joint with a material that could be metal or plastic. It's a major surgery that'll keep you in the hospital for several days. You’ll also need several weeks of physical therapy afterward.

Types of Shoulder Replacement and Resufacing Options

Total shoulder replacement:  Sometimes called traditional shoulder replacement or traditional shoulder arthroplasty, this surgery replaces the original ball-and-socket surfaces of the shoulder with similarly shaped prosthetics. Total shoulder replacement is considered the most reliable surgical option for relieving debilitating shoulder arthritis, but it is not appropriate for people who want to remain very active or have damaged rotator cuff muscles.

Partial shoulder replacement: During a partial shoulder replacement, or shoulder hemiarthroplasty, the arm's humeral head is removed and replaced with a prosthetic ball but the natural socket, or glenoid bone, is kept.

Reverse shoulder replacement: During reverse shoulder replacement the surgeon switches, or reverses, the positions of the shoulder joint's ball and socket. The ball at the top of the humerus (upper arm bone) is replaced with a socket-shaped prosthetic, while the shoulder's natural socket is fitted with a prosthetic ball. This surgery is an option for people whose damaged rotator cuffs make them ineligible for traditional shoulder replacement. It changes the center of rotation of the joint, enabling other muscles to compensate for a lack of rotator cuff function.

Shoulder Resurfacing (resurfacing hemiarthroplasty)
During this surgery the damaged humeral head is fitted with a smooth rounded cap to facilitate better joint movement. Unlike a stemmed hemiarthroplasty, shoulder resurfacing does not require the complete removal of the natural humeral head nor the insertion of a prosthetic humeral stem.

Who May Be Ineligible for Total Shoulder Replacement Surgery?

Not everyone who has shoulder arthritis is a candidate for total shoulder replacement. Factors that can affect patient eligibility include:

Nicotine use
Joint replacement patients who smoke or use other tobacco products face higher post-surgical complication rates. For example, a survey of more than 500 people who underwent knee replacement surgery found that smokers were about 10 times more likely to have had a revision surgery.9

Tobacco users can lower their post-surgical risks by quitting or cutting back on use prior to surgery. For total shoulder replacements, the surgery involves cutting through the rotator cuff tendon and repairing it at the end of the procedure. Nicotine use has been shown to inhibit healing following rotator cuff repairs.

Infection
Doctors consider infection a serious complication. A patient may need to postpone surgery or consider non-surgical treatment options if he or she has:

    • Systemic infections
    • Predisposition to infection
    • Skin problems that can limit wound healing or increase the risk of infection

Osteoporosis
Severe osteoporosis can cause bones to be too brittle to properly support and adhere to a prosthesis. On the other hand, mild to moderate osteoporosis may simply affect how a surgeon plans for surgery. For example:

    • The surgeon may decide to use fast-acting bone cement to attach the new socket to the natural bone instead of using a cementless fixation method.
    • The surgeon may ask the patient take steps to improve bone density before and after surgery to enhance the lifespan of the shoulder replacement.

 

Preparing for Your Surgery

Before you get your new shoulder, you’ll likely get a full physical exam and X-rays or other imaging tests so the surgeon can get a look at the joint.

Talk to your doctor about any other conditions you have and any medications you take. You’ll have to stop taking certain drugs, especially narcotic painkillers, several weeks before surgery.

You may have to cut back on drinking and get more exercise, too. If you smoke, you’ll be asked to quit. Scientists have found folks who smoke are more likely to have complications from joint replacement surgery than those who don't.

Don’t eat or drink anything after midnight on the night before your operation.

The procedure takes about 3 hours. Doctors will give you drugs to put you under during the surgery.

You’ll want to be sure you have some help with your daily routine lined up for a few weeks after you come home from the hospital. You won’t be able to move your arm very much. If you don’t have a relative or friend who can help you out, you might want to check into a rehabilitation centre until you can do more things on your own.

You may also want to move some things around at home to make them easier to get to while you recover.

Recovery after surgery

You can expect to spend 2 to 5 days in the hospital after your operation before going home. Your shoulder will swell, and it will hurt. Your doctor will prescribe drugs to help you manage the pain. Cold compresses can help control the swelling.

At first, your arm will be in a brace to keep it from moving. Within a day or so, you’ll start physical therapy to get your arm and your new shoulder working.

You’ll keep doing physical therapy after you go home. You’ll do exercises that will gradually improve how your new joint works. Don’t rush things: It may take 4 weeks before you can pick up anything heavier than a glass of water.

Your arm will be in a sling for most of your recovery. It may be 6 weeks or more before you can drive again.

In the year after your surgery, you’ll have several follow-up visits with your doctor so he can see how your recovery is going.

Complications

Most people have full motion in their shoulder and return to their daily routine after joint replacement surgery. But as with any operation, there’s a chance of complications. These may include:

Infection or bleeding around the joint: You’ll probably get antibiotics after your surgery to lower your chances of an infection.

Dislocation: This happens when the ball slips out of the socket.

Nerves around your shoulder may get damaged during surgery: They usually recover.

After years of use, the replacement joint may become loose or separate from the bone: You may need surgery to fix it.

 

Dr. Nataraj H M - Shoulder replacement specialist:

When it comes to specialized medical or surgical care for complex shoulder related/ orthopedic problems, the more experience a doctor has, the better your results are likely to be. Dr. Nataraj H M is having over a Decade of experience in this field.

He is also Known as one of the Best Shoulder Specialist in Bangalore, India. Well trained and highly experienced in shoulder replacement surgeries and sports Injury Treatment. I can recommend you that he is one of the leading orthopedic surgeon in Bellandur, Marathahalli, Sarjapur and Panathur, Bangalore.

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