Total Shoulder Replacement in Delhi

1. Total shoulder replacement can be cemented in which cement is used to fix artificial components to bone. It means the ball/ humeral head and socket/artificial glenoid components are fixed to the bone using cement. 
2. Total shoulder replacement can be uncemented in which the ball/ humeral head is press fit to bone, socket/artificial glenoid components are press fit and secured with screws to the bone, and no cement is used.

It depends on:

1. Patients age
2. Quality of bone or density of bone
3. Surgeons' preference

Ultimately the decision is taken in consultation with the surgeon.

Total shoulder replacement is required in patients who have

1. Long-term pain in the shoulder which is not cured even after a long duration of physiotherapy, painkillers, hot or cold compression and injections to the shoulder joint
2. In cases of severely reduced range of motion of the shoulder joint.
3. osteoarthritis of the shoulder joint
4. osteonecrosis of the humeral head
5. severe fracture/ injury of the shoulder joint
6. Inflammatory joint disease.

But the final decision has to be taken in consultation with the surgeon.

If the patient is having so much pain, even after taking treatment for a long duration, he cannot perform his daily activities. Movement at the shoulder is painful and does not allow you to comb your hair, bathe, eat food properly, and do routine activities. Night pain is also present in the shoulder joint. So why wait and lose your quality lifetime? Consult your surgeon and make an informed decision.

The disease progresses in cases of osteoarthritis of the shoulder joint and osteonecrosis of the humeral head. The disease doesn't get cured on its own. The problems/symptoms will increase, so why wait and lose your quality lifetime? "Don't add numbers to your age; add quality of life to your age."

It depends on the patient's haemoglobin before and after total shoulder replacement. Blood can be donated by patient relatives or arranged from the community blood bank.

Investigations are done before total shoulder replacement for checking for fitness for total shoulder replacement. Investigations usually talk about the general medical fitness of the individual as the patient will require anesthesia, so if there is some problem, the underlying medical condition can be treated or controlled before surgery. It helps in reducing the chances of complications during and after surgery.

In general, total shoulder replacement takes 2-3 hours.

If total shoulder replacement went normal without complications and the patient was not suffering from other diseases like diabetes, hypertension, asthma etc., the patient is usually discharged after 2-3 days. But this duration may vary depending on surgeon preferences. 

In patients after total shoulder replacement, heavy painkillers are used to make patients comfortable. But pain is generally reduced to a larger extent with painkillers, ice packs, and physical therapy. It usually takes weeks to months to be completely pain-free. But once the patient's pain subsides, he becomes very happy.

Physiotherapy usually starts the next day of the operation, and the patient requires a few weeks to months of physiotherapy.

Physical therapy will be started the very next day of the operation. Your arm will be in a sling for 2-6    weeks, depending on the severity of the disease and the surgeon's preference. However, during this time, you will be expected to do your physiotherapy as recommended. Most patients will perform routine work within 2 -3 weeks, avoiding heavy work. Complete recovery will take several months.
 

Usually, patients can take a shower after the first dressing of the wound. But the patient will have to wait 6 weeks to take a bath or use a bathtub.

Usually, the patient will be able to drive after 3- 4 weeks in consultation with your surgeon.

Risks may include stiffness of the shoulder, infection, damage to nerves, implant loosening and failure, dislocation of joint, and fracture during surgery. In case of any discharge from the wound, fever, excessive swelling, or severe pain, contact your surgeon immediately.

With the advancement of technology and better quality implants, total shoulder replacement has become a routinely performed surgery worldwide. With proper follow-up care and physical therapy, most people resume daily activities.

It depends on patient activity, age and overall health. But the average knee lasts for 15-20 years.

It depends on the hospital category chosen by patients and the type of implant discussed. At Simpainortho.com, we have tried to reduce the cost of surgery and hospital expenses and included complete after-surgery services, which patients require after surgery because we know treatment doesn't end at the patient's discharge. To ensure the quick recovery of patients in simpainortho.com, we believe that a patient requires expert care within the most comfortable surroundings until he can join routine activities. So, we have made different packages for different patients according to need, and that too at the most affordable prices.

Yes, most insurances have included total shoulder replacement.