Shoulder Replacement Surgery
What is Shoulder Replacement?
Shoulder replacement surgery, also called shoulder arthroplasty, is a procedure where the damaged parts of the shoulder joint are replaced with artificial components (prosthesis). It’s usually recommended for people suffering from severe shoulder arthritis, injury, or long-term wear and tear.
The goal is to relieve pain, restore shoulder movement, and improve daily function.
When is Shoulder Replacement Needed?
You may need shoulder replacement if you have:
- Severe osteoarthritis or rheumatoid arthritis in the shoulder
- Rotator cuff tear arthropathy (arthritis due to long-term cuff tear)
- Fractured shoulder bones or complex injury
- Avascular necrosis (bone death due to lack of blood supply)
- Failed previous shoulder surgeries
- Chronic pain and stiffness that affect sleep or daily activities
Symptoms That May Lead to Surgery
- Constant pain in the shoulder, even at rest
- Difficulty lifting your arm or doing simple tasks
- Stiffness and reduced range of motion
- Pain that doesn’t improve with medicines or physiotherapy
- Shoulder joint deformity or clicking sounds
Types of Shoulder Replacement Surgery
✅ Total Shoulder Replacement (TSR)
Both the ball (humeral head) and the socket (glenoid) are replaced. Most common type.
✅ Partial Shoulder Replacement (Hemiarthroplasty)
Only the ball part is replaced. Done in cases of fracture or when the socket is healthy.
✅ Reverse Shoulder Replacement
Used when the rotator cuff is badly torn. The ball and socket are reversed to improve movement.
✅ Resurfacing Arthroplasty
Only the surface of the joint is replaced, preserving more natural bone.
What Happens During the Surgery?
- Surgery is done under general or regional anesthesia
- Damaged bone and cartilage are removed
- Artificial components made of metal and plastic are inserted
- Takes about 1.5 to 2.5 hours
- Usually requires 2 to 4 days of hospital stay
Recovery & Rehabilitation
- Sling support for 2–4 weeks after surgery
- Gentle physiotherapy starts soon after
- Most people regain normal arm use in 8 to 12 weeks
- Full recovery may take 3 to 6 months depending on the case
Regular exercise and follow-ups are key to a successful outcome.
Benefits of Shoulder Replacement
✅ Long-term pain relief
✅ Improved joint strength and mobility
✅ Better sleep and quality of life
✅ Safe and effective for older adults
✅ Low risk of recurrence
Risks & Complications (Rare)
- Infection or bleeding
- Nerve injury
- Dislocation of the joint
- Loosening or wear of the implant over time
- Need for revision surgery (after 10–20 years, in some cases)
These risks are rare and can be minimized by choosing an experienced orthopedic surgeon.
Cost of Shoulder Replacement in India
- ₹1.5 to ₹3.5 lakhs (may vary based on):
- Type of surgery (total, partial, reverse)
- Implant material used
- Surgeon and hospital experience
- Post-surgery care and physiotherapy
Life After Shoulder Replacement
- Most patients return to routine activities like bathing, dressing, driving, and mild exercise
- Heavy lifting or intense sports should be avoided
- Artificial joints can last 15–20 years or more with proper care
Conclusion
Shoulder replacement is a reliable and life-changing surgery for those suffering from chronic shoulder pain and stiffness. With the latest techniques and expert care, patients can regain movement and live pain-free again.