The total shoulder replacement is undertaken for treating severe arthritis of shoulder joint, when the persistent pain can’t be managed by the non surgical methods. Total shoulder replacement surgery gives relieve from pain by replacing the damaged bone and cartilage with metal and plastic implant. The shoulder is a bal and socket joint, the head of the humeral stem fitted into socket head of the humeral stem fitted into socket known as glenoid.
The joint is held by muscles and tendons as rotator cuff. In total shoulder replacement, the surgeon replaces the humeral head with a metal alloy implant while the glenoid component is made up of polyethylene plastic, both either anchored by cement or just press fitted to allow bone to grow around them.
Shoulder surgery can be used for a number of treatments :
The procedure and technique used in shoulder surgery varies depending on the specific surgery. Shoulder surgery is generally performed using one of the following approaches:
• Minimally Invasive Surgery is performed by inserting special instruments and an arthroscope through small incisions in your shoulder. This approach is also known as arthroscopy. An arthroscope is a thin, lighted instrument with a small camera. The camera transmits pictures of the inside of your joints to a video screen viewed by your surgeon as he or she performs the surgery. Minimally invasive surgery generally involves a faster recovery, less pain, and less risk of complications than open surgery. This is because it causes less damage to tissues and organs. Your surgeonwill make small incisions instead of a larger one used in open surgery. He or she can then thread surgical tools around structures and organs instead of cutting through or displacing them as in open surgery.
• Mini-Open Surgery uses newer technology and combines minimally invasive arthroscopic techniques with a smaller open procedure. The incision is one to two inches long, which is smaller than a standard open surgery incision. This technique may allow some surgeons to make more extensive repairs than are possible with minimally invasive surgery. However, it causes less damage than traditional open surgery because your muscles remain attached during the surgery.
• Open Surgery : Open surgery may be necessary and, in some cases, may be associated with better results than arthroscopy. Open surgery often can be done through small incisions of just a few inches. Recovery and rehabilitation is related to the type of surgery performed inside the shoulder, rather than whether there was an arthroscopic or open surgical procedure.
The surgeon will conduct a physical examination and may order X-rays, CT Scans or even an MRI to determine the exact cause of the problem. It may be necessary to perform a shoulder Arthroscopy to ascertain the extent of damage or to locate the problem.
Initial treatment may be a course of physiotherapy or cortisone injections to promote natural healing. The surgeon may suggest that the arm is immobilized in a sling so as to allow the damaged tendons and ligaments to heal. If the damage is considered too bad or the above methods fail to improve the condition then surgery may be considered.
“My name is Linda from Houston , Tx and I am 25 years old and work in a Software Company. I had severe elbow pain for last 2 years. The pain used to increase on lifting objects. Our local hospital diagnosed me for having tennis elbow for which I received treatment in the form of analgesics, heat therapy, steroids and brace for 4 months. Twice I was given local steroid injections which resulted in temporary and incomplete relief. The severe pain persisted even after 10 months of therapy.
Since I have no insurance I started to think about going to India for low cost surgery without compromising on the quality of treatment. I then came across IndiaCarez who put me in touch with Dr Gupta at India’s most advanced hospital. I underwent a minimally invasive surgery where they did debridement of extensor tendon origin with decompression of bone. This was followed by post operative physiotherapy.
Today after just 2 weeks I have no pain and I feel my hand is much better functional and I really thank you all for helping me get back to my work so soon.”
Ms Linda Houston, TX, USA
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