Shoulder Replacement Surgery

Shoulder replacement surgery is a medical procedure designed to relieve pain and restore mobility in patients suffering from severe shoulder joint damage. Whether due to arthritis, fractures, or other degenerative conditions, this procedure can significantly improve the quality of life for individuals experiencing chronic shoulder pain. In this blog, we will explore the types, benefits, recovery process, and considerations related to shoulderreplacement surgery.

What is Shoulder Replacement Surgery?

Shoulder replacement surgery, also known as shoulder arthroplasty, involves replacing the damaged parts of the shoulder joint with artificial components. The procedure is commonly recommended for patients with osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, or severe fractures that impair shoulder function. Shoulder replacement surgery involves replacing the damaged ball (humeral head) and/or socket (glenoid) of the shoulder joint with prosthetics made of metal and plastic.

Who needs Shoulder Replacement Surgery?

Shoulder replacement surgery is typically recommended for individuals experiencing:

• Severe shoulder pain: Pain that limits daily activities, even at rest.
• Significant loss of motion: Difficulty moving the shoulder, impacting daily tasks.
• Failed conservative treatments: When physical therapy, medications, and injections haven't provided sufficient relief.

Common conditions that may lead to the need for shoulder replacement include:

• Osteoarthritis: Wear and tear of the joint cartilage.
• Rheumatoid arthritis: An autoimmune disease causing joint inflammation.
• Rotator cuff tears: Severe tears that can’t be repaired and lead to arthritis.
• Fractures: Complex shoulder fractures.
• Avascular necrosis: Loss of blood supply to the humeral head, causing bone death.

What happens before Shoulder Replacement Surgery?

• Medical history review: Discussing your overall health and any existing conditions.
• Physical examination: Assessing your shoulder's range of motion, strength, and stability.
• Imaging tests: X-rays, MRI, and CT scans to evaluate the extent of joint damage.
• Blood tests: To check your overall health.

Types of Shoulder Replacement Surgery

1. Total Shoulder Replacement: The most common procedure, it involves replacing both the ball (humeral head) and socket (glenoid) of the shoulder joint with prosthetic components.
2. Partial Shoulder Replacement (Hemiarthroplasty): Only the ball of the joint is replaced, typically recommended for cases where the socket remains intact.
3. Reverse Shoulder Replacement: Ideal for patients with severe rotator cuff damage, this surgery reverses the ball-and-socket structure to enhance stability and mobility.
4. Resurfacing Shoulder Replacement: A less invasive option where only the surface of the ball is replaced, preserving more of the patient’s natural bone.

 Benefits of Shoulder Replacement Surgery

• Pain Relief: Significant reduction or elimination of chronic pain.
• Improved Mobility: Restores range of motion and shoulder function.
• Enhanced Quality of Life: Enables patients to perform daily activities with ease.
• Long-Term Durability: Modern prosthetics can last 15-20 years with proper care.

 Shoulder Replacement Surgery Cost in India

The average cost of Shoulder Replacement surgery in India starts from INR 420,000 ($5000). The cost can be less or more depending on several factors including your medical condition, experience of the surgeon and the type of hospital you choose.

 How long does it take to recover from Shoulder Replacement Surgery in India?

Recovery time varies, but generally involves:

• Hospital stay: A few days.
• Sling use: For several weeks to protect the shoulder.
• Physical therapy: Crucial for regaining strength, range of motion, and function. This can last for several months.

Return to normal activities: Gradually, over several months. Full recovery can take up to a year.

 Recovery and Rehabilitation

• Hospital Stay: Patients typically stay for 1-3 days post-surgery.
• Physical Therapy: Essential for regaining strength and mobility, starting within days of surgery.
• Pain Management: Medications and ice therapy help reduce postoperative discomfort.
• Activity Restrictions: Avoid heavy lifting and overhead activities for several months.
• Full Recovery Timeline: Most patients regain significant function within 3-6 months.

 Risks and Considerations

As with any major surgery, shoulder replacement carries potential risks, including:

• Infection
• Nerve damage
• Blood clots
• Implant loosening or wear over time
• Limited range of motion in some cases

 Best Hospitals for Shoulder Replacement surgery in India:

Many hospitals in India offer excellent shoulder replacement surgery. Some well-regarded institutions include:

• Apollo Hospitals
• Max Healthcare
• Fortis Healthcare
• Medanta - The Medicity (Gurgaon)

 Conclusion

Shoulder replacement surgery is a highly effective solution for individuals suffering from debilitating shoulder pain. By understanding the types, benefits, recovery process, and potential risks, patients can make informed decisions about their treatment options. If you or a loved one are considering shoulder replacement, consult with an orthopedic specialist to determine the best course of action for your specific condition.

 

Advanced Hand & Wrist Surgery in India

Our hands are integral part of most of the work we do in our daily living. To eat, dress, write, earn a living, create art and do many other activities, you need hands and to accomplish these tasks and activities, our hands require sensation and movement, such as joint motion, tendon gliding and muscle contraction.

When a problem takes place in the hand, care must be given to all the different types of tissues that make function of the hand possible. Hand surgery is the field of medicine that deals with problems of the hand, wrist and forearm. There are specialized surgeons who do hand surgery- they can orthopedic, plastic or general surgeons who have additional training in surgery of the hand.

The movement and power in hands and wrists are controlled by muscles and tendons. Hand and wrist surgery refers to the treatment of bones and soft tissue injuries with the use of the latest equipments and tools.

Commonproblems in both hands and Wrists

Following are s one of hand and wrist conditions which need surgery:

Who needs it ?

It is not necessary that people who have arthritis-related problems with their hands and wrists, need surgery. But those who need it, surgery is a great help in relieving pain and in the improvement of the functioning of the hand.

Whether  a surgery is needed or not, following become the considerations:

• The severity of problem
• The preferences of the patient
• Response of the patient to other treatments

Advantages

The main advantages of hand and wrist surgeries are:

• Reduced pain
• Improves in hand functioning
• Hand- appearance can get improved

Handsurgery

Hand surgery is an orthopedic process dealing with problems dealing with the fingers, hands and wrists. This procedure helps in improving the range of motion, for repairing muscles, tendons or  damage in hones due to injury or disease. It also helps in restoration of the appearance of hands and fingers, due to any reason.

Who Benefits from Hand Surgery ?

Hand injuries in automobile accidents or other forms of trauma can get treated

• Restoration of hand function
• Advantageous for people with medical conditions such as carpal tunnel syndrome, arthritis or osteoporosis
• Reduce pain
• Restoration of range of motion
• Patients suffering from birth defects or severe infections can get treated

Types of Hand Surgeries

Common types of hand surgeries are :

• Tendon or nerve repair
• Skin grafts
• Closed Reduction and Fixation
• Joint replacement

Tendon or nerve re pairs are  for patients with conditions due to trauma, infections and sports injuries. It is performed within 24 hours of injury for best results. These are very complex procedures and need to be done carefully.

Skin grafts are needed in the case of replacement or reattachment of skin of the hands or fingers, mainly used in the case of amputations of fingers. Here healthy skin is used from another area of the body to cover the problem area.

Closed Reduction and Fixation is necessary in the case of fractures occurred in the fingers or the bones of the hands. The process helps in proper re-alignment, reconstruction and repair of the bones with the help of rods, wires, splints and casts.

Joint Replacement, that is arthroplasty, is a surgical procedure for patients suffering from severe arthritis problems and needs replacement of joints of the fingers or wrist that are made of plastic, metal or silicone rubber.

Wrist surgery

Wrist of human beings is a complex structure of our hand, which consists of eight kinds of carpal bones.

There are various conditions seen in the wrist joint:

Ligament Injury

a) Scapholunate Ligament Rupture - Writs have many ligaments (soft tissues) to connect bones to each other. If due to any trauma, it gets ruptured, this surgery is performed.

b) Skiers (Ulnar Collateral Ligament) Thumb - This injury common in footballers and skiers, deals with the treatment of Ulnar collateral ligament of thumb. It happens when the thumb is bent backwards from the fingers

Fracture

Scaphoid Fractures - This  is the most important wrist bone and most commonly injured too. This surgery is performed in the case of a fracture.

Arthroscopy

a)T.F.C.C. Tears-  Triangular Fibrocartilage (T.F.C.) is a strong ligament type in the wrist important for a number of purposes. When torn, causes pain in clicking or catching.

b)Wrist Arthroscopy- Performed under local anesthesia, it is useful in a number of conditions like removal scar tissues, assessment of joint surface etc.

Lumps and Bumps

a) Ganglion-It is a form of a lump/ cyst (non-cancerous), that occurs mainly in 4 sites. It might be painful and for its correction, a surgery is required.

Carpal Tunnel Syndrome

This is a painful condition in wrist, hands and arms that is caused due to depression of the median nerve, caused due to a number of reasons.

Why India has become theultimate destination for patients from all over the world for advanced HandSurgery?

Top Class Hand Surgeons with more than 3,000 successful hand upper extremity surgeries. Trained in hand surgery at global centres like Mayo Clinic MN, USA and Frieberg, Germany. Have performed large number of Total Wrist replacement (ceramic on ceramic), fixation of hand and wrist fractures with locking plates and expert in advanced techniques of plastic, orthopedic, microsurgery and reconstructive surgery. Highly trained in techniques of surgery for all the soft tissues of the upper extremity and the bones of the hand and wrist as well as wrist arthroscopy and the endoscopic carpal/cubital tunnel treatment. First to percutaneous fixation (< 1 cm incision) and vascularised bone grafting for nonunion scaphoid and Keinbock's disease. World Class Hospitals having the latest technology like Computer Navigation, 64 slice CT, High end MRI, Neuro-navigation surgical systems, Neuro-physiology etc. Cost of Surgery just 1/6th of cost in USA, UK or Europe with finest quality implants, prosthesis and consumables imported from Leading International Companies. Specialized Physiotherapy and

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Everything You Need to Know About Knee Replacement Surgeries

A total knee replacement is a surgical procedure whereby the diseased knee joint is replaced with artificial material. The knee is a hinge joint which provides motion at the point where the thigh meets the lower leg. The thighbone (or femur) abuts the large bone of the lower leg (tibia) at the knee joint. During a total knee replacement, the end of the femur bone is removed and replaced with a metal shell. The end of the lower leg bone (tibia) is also removed and replaced with a channeled plastic   piece with a metal stem. Depending on the condition of the kneecap portion of the knee joint, a plastic "button" may also be added under the kneecap surface. The artificial components of a total knee replacement are referred to as the prosthesis.

The posterior cruciate ligament is a tissue that normally stabilizes each side of the knee joint so that the lower leg cannot slide backward in relation to the thighbone. In total knee replacement surgery, this ligament is either retained, sacrificed, or substituted by a polyethylene post. Each of these various designs of total knee replacement has its benefits and risks.

Your knee joint is made up by the lower end of your thigh bone (femur) and the upper end of your shin bone (tibia). These normally glide over each other easily because they are covered by smooth cartilage. If your cartilage is damaged by injury or worn away by arthritis, it can make your joint painful and stiff . A new knee joint will usually improve your mobility and reduce pain, although your new knee won’t be able to bend quite as far as a normal knee joint.

Depending on the condition of your knee joint, you may need to have part, or all, of your knee joint replaced. If you have arthritis just in one area of your knee joint, usually the inside part of the joint called the medial compartment, you may be offered a partial knee replacement (called a unicondylar knee replacement). However, a total knee replacement is more common. Artificial knee parts are almost always made of metal (on the femur side) and plastic (on the tibia side) and a knee replacement can last for up to 20 years. 

There are two main types of surgery, depending on the condition of the knee:

 • Total Knee Replacement (TKR) – both sides of your knee joint are replaced

• Partial (half) Knee Replacement (PKR) – only one side of your joint is replaced in a smaller operation with a shorter hospital stay and recovery period

When is knee replacement surgery recommended ?

 Knee surgery is recommended for older people, although adults or teenagers of any age can be candidates for the procedure, since they are physically active and will more rapidly wear the joint out. The weight, gender, or age of the person is never a factor when considering knee replacement surgery. When considering the option of knee replacement surgery, doctors take into account a number of symptoms:

 • Severe knee pain or stiffness: Do symptoms seriously undermine the patient's ability to carry out everyday tasks and activities, such as walking, going upstairs, getting in and out of cars, getting up from a chair, etc?

 • Moderate but continuous knee pain: Is pain present while sleeping or resting?

 • Chronic knee inflammation and swelling: Does the swelling not improve after taking medications or resting? Do drugs cause unpleasant side effects?

 • Knee deformity: Is there is a noticeable arch in the inside or outside of the knee?

 • Nothing else worked: The doctor has prescribed medications and physical therapy without any substantial improvement.

Most patients undergoing total knee replacement surgery want to know when they’ll be able to return to their normal life. Questions about “recovery time” are common. There are many factors that can affect recovery time, but typically patients can return to normal life activities within 3 to 6 months.

To be more specific we should examine the difference between “short-term recovery” and “long-term recovery” – which are terms you may hear when talking with orthopedic surgeons, physical therapists, nurses and other health care providers. Short-term recovery requires the patient to walk with minimal aid or no aid and to give up major pain medications in favor of over-the-counter pain relief. This generally occurs within twelve weeks after surgery. Long-term recovery is what you’re talking about when you talk about returning to work and normal life activities. Your doctors and therapists will look for complete healing of surgical wounds and internal soft tissues in addition to the resumption of normal daily life.

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Cost Estimate for Total Hip Replacement Treatment in India

Hip Joint replacement or Total Hip Replacement is surgery to replace all or part of the hip
joint with an artificial device to restore joint movement (prosthesis).
There are different types hip replacements. If a hemi-arthroplasty is performed, either
the femoral head or the hip socket (acetabulum) will be replaced with a prosthetic device. In a total hip replacement, both the femoral head and the hip socket is replaced by the
prosthetic device.

WHAT IS ARTHRITIS AND WHY DO JOINTS WEAR OUT?

The normal joint in our body is made up of two bones which are lined by surface
cartilage. The joint is surrounded by a capsule which has a thin lining of synovial cells which produce a thin layer of lubrication film. The lubrication film (synovial fluid) together with the surface cartilage (articular cartilage) acts as a shock absorber and allows the joint to move smoothly and lasts for many, many years.

If the surface cartilage is badly damaged or if the joint surfaces are not aligned properly
(example, in a shallow hip) then the cartilage will wear out much more quickly than the
normal wear and tear and as a result the bone under the cartilage layer is exposed. The
exposed bone starts to rub against each other and the process of osteoarthritis (wear
and tear) is established.

Osteoarthritis is therefore the result of mechanical wear and tear on a joint. The main
feature is a loss of surface cartilage with bone rubbing on bone. This process produces
pain. The body tries to relieve this pain by increasing the amount of fluid in the joint.
This is why joints are sometimes swollen. The formation of bone spurs and cysts around
the joint is another hallmark of osteoarthritis.

In an arthritic hip

• The cartilage lining is thinner than normal or completely absent. The degree of
  cartilage damage and inflammation varies with the type and stage of arthritis.
• The capsule of the arthritic hip is swollen
• The joint space is narrowed and irregular in outline; this can be seen in an X-ray image.
• Bone spurs or excessive bone can also build up around the edges of the joint.

The combinations of these factors make the arthritic hip stiff and limit activities due to pain or fatigue.

Diagnosis

• The diagnosis of osteoarthritis is made on history, physical examination & X-rays
• There is no blood test to diagnose Osteoarthritis (wear & tear arthritis)

Surgical procedure 

You are admitted to the hospital and after appropriate pre-operative tests and admission
procedures you will be taken to the operating theatre. The anaesthetist will discuss with you the type of anaesthetic. Anaesthesia may be either general or regional. With a general anaesthetic you are asleep and with a regional (spinal or epidural) your legs and hips are numb allowing you to have the operation without pain. Usually the anaesthetist will either sedate you or give you a full anaesthetic if you have a spinal/epidural procedure.

Most approaches to the hip are done with the patients lying on their side. When you are
asleep you are positioned in a special brace that stabilises your pelvis and keeps you on
your side. An incision is made along the side of your hip joint and the muscles carefully split and divided to expose the hip joint.

The worn out joint is exposed and the femoral head is resected. This allows visualisation
of the acetabulum (socket). The socket is then cleared of debris and a reamer is inserted to appropriately fashion the socket to accept the artificial acetabular component.
After reaming is complete, the artificial socket is inserted. There are two types of sockets,
(a) a cemented socket or (b) an uncemented socket. A cemented socket is cemented into
the bone and an uncemented socket allows bone to grow into it. Your surgeon will advise
you which is the most appropriate socket for your bone quality.

An uncemented socket has the ability to accept a socket lining which is either polyethylene (special plastic), ceramic or metal. The liner is inserted into the socket. Ceramic and metal articulating joint surfaces have lower wear rates than plastic sockets and therefore tend to be used in younger patients. The newer plastics last a lot longer than the older ones and are appropriately used in older patients.
After preparation of the socket, the femoral bone is prepared with various instruments to
accept either a cemented or an uncemented femoral component. Once the canal is prepared the femoral stem is inserted with or without cement. A trial femoral head is placed on the stem and the hip is reduced. During the trial reduction the hip is tensioned appropriately and put through a range of motion. At the same time leg lengths and stability are examined.

Advantagesof Total Hip Replacement Surgery

Hip replacement improves quality of life. Age is no barrier to hip replacement benefits. Hip replacement is cost effective. High rate of patient satisfaction associated with hip replacement The artificial hip often improves the movements in a hip joint that has become increasingly stiff from the effects of long term arthritis and this permits the patient to resume at first gentle activity and then their favourite leisure hobbies Improves mobility Independence of arthritis sufferers For more information visit:          http://www.medworldindia.com                             https://www.facebook.com/medworld.india Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors. Call Us : +91-9811058159 Mail Us : care@medworldindia.com

How Elbow Replacement Is Done and Who Does It

Elbow joint replacement surgery in India

Elbow joint replacement is surgery to replace the bones of the elbow joint with artificial joint parts (prosthetics). This surgery may also be termed as "Total elbow arthroplasty", "Endoprosthetic elbow replacement". This procedure is also becoming more widely used in aging adults to replace joints damaged by fractures. The artificial elbow is considered successful by more than 90% of patients who have elbow joint replacement.

The elbow joint connects two bones:

• The humerus in the upper arm

• The ulna in the lower arm

How Elbow Replacement Is Done and Who Does It

During elbow replacement, a surgeon removes damaged tissue and parts of the two arm bones -- the humerus and the ulna -- that meet at the elbow joint. After removing tissue and bone, the surgeon replaces the elbow joint with an artificial one. The artificial joint consists of two implants that are attached to the insides of the humerus and ulna. The implants are joined together by a metal and plastic hinge. Various types of implants exist to fit joints of different sizes.

Elbow replacement is similar to hip and knee replacement. It is, though, much less common, with only a few thousand replacements done each year.

If you're considering elbow replacement, it's best to find a surgical team led by an experienced elbow arthroplasty surgeon. There are few such teams nationwide, so it's likely that you'll have to travel to another city or state to have the procedure done.

You can locate surgical teams that regularly perform elbow replacement through:

• University schools of medicine
• County medical societies
• State orthopaedic societies
• Local rheumatologists
• Professional associations such as American Shoulder and Elbow Surgeons

Why Elbow Replacement Is Done

Elbow replacement was first done to replace joints damaged by RA. Its success rate is still highest among people with arthritis who are highly motivated and in the best health. Because early mechanical failure is more likely to occur among younger, more active people, the procedure is most suited for people older than 60 years of age.

In recent years, candidates for elbow replacement have included more than just people with RA. Others who might consider it include people whose elbows have been damaged by:

• Osteoarthritis
• Joint disease
• Arthritis after injury (traumatic arthritis)
• Arthritis after previous surgery
• Acute fractures in the upper or lower arm near the elbow
• Tumors or tumor resection

Advanced Technology and Hi tech Implants for ElbowJoint Replacement Surgery

Latest technological advancements are now available for elbow implants, giving surgeons more options in their efforts to relieve pain and restore joint function.
Elbow implants are very "high tech." Their designs can be quite complex, and the materials used to make them, called biomaterials, are highly developed. The materials most commonly used have a long history of clinical use.

There are many different biomaterials, but there's no single biomaterial that is best for all implants and all patients. The specific requirements of an implant material vary depending on how the implant was designed to be used. Our Joint Replacement Surgeons in India will provide you with the options of very Hi Tech Next Generation Implants according to your medical requirement.

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Knee Replacement Surgery at World best hospitals in India

Your knee joint is made up by the lower end of your thigh bone (femur) and the upper end of your shin bone (tibia). These normally glide over each other easily because they are covered by smooth cartilage. If your cartilage is damaged by injury or worn away by arthritis, it can make your joint painful and stiff . 

A new knee joint will usually improve your mobility and reduce pain, although your new knee won’t be able to bend quite as far as a normal knee joint.

 Depending on the condition of your knee joint, you may need to have part, or all, of your knee joint replaced. If you have arthritis just in one area of your knee joint, usually the inside part of the joint called the medial compartment, you may be offered a partial knee replacement (called a unicondylar knee replacement). However, a total knee replacement is more common. Artificial knee parts are almost always made of metal (on the femur side) and plastic (on the tibia side) and a knee replacement can last for up to 20 years. 

There are two main types of surgery, depending on the condition of the knee:

 • Total Knee Replacement (TKR) – both sides of your knee joint are replaced

• Partial (half) Knee Replacement (PKR) – only one side of your joint is replaced in a smaller operation with a shorter hospital stay and recovery period

When is knee replacement surgery recommended ?

Knee surgery is recommended for older people, although adults or teenagers of any age can be candidates for the procedure, since they are physically active and will more rapidly wear the joint out. The weight, gender, or age of the person is never a factor when considering knee replacement surgery. When considering the option of knee replacement surgery, doctors take into account a number of symptoms:

 • Severe knee pain or stiffness: Do symptoms seriously undermine the patient's ability to carry out everyday tasks and activities, such as walking, going upstairs, getting in and out of cars, getting up from a chair, etc?

 • Moderate but continuous knee pain: Is pain present while sleeping or resting?

 • Chronic knee inflammation and swelling: Does the swelling not improve after taking medications or resting? Do drugs cause unpleasant side effects?

 • Knee deformity: Is there is a noticeable arch in the inside or outside of the knee?

 • Nothing else worked: The doctor has prescribed medications and physical therapy without any substantial improvement.

Knee Replacement Surgeries and Techniques Available at MedWorld India :

• Total Knee Replacement : Also called total knee arthroplasty, this surgery is for people who have extensive damage in several parts of their knee. The surgeon removes the diseased cartilage, as well as some of the underlying bone, and then fuses an artificial joint to the bone that remains.

•  Partial Knee Replacement : If the cartilage in just one of the knee's sections becomes damaged, Mayo Clinic surgeons can sometimes replace just the damaged section instead of the whole knee joint. Recovery is easier than with total knee replacement, but the results may not last as long, because arthritis could develop in other areas of the knee.

•  Minimally Invasive Surgery : Minimally invasive techniques allow surgeons to replace a knee using smaller incisions. This usually results in less pain and a quicker recovery. But minimally invasive knee replacement requires special surgical training, and it may not work for everyone. Your orthopedic surgeon will determine whether you're a good candidate for the minimally invasive approach.

• Bilateral Knee Replacement : Having both knees replaced at once can reduce the overall time spent in rehabilitation following surgery, but it's not recommended for some people, such as those with heart or lung disease.