Best Shoulder Replacement Surgeon in Vadodara
Shoulder replacement
Total shoulder replacement, otherwise called total shoulder arthroplasty, is the evacuation of segments of the shoulder joint, which are supplanted with counterfeit inserts to decrease pain and reestablish the scope of pivot and versatility.
It is extremely fruitful for treating the serious pain and firmness brought about by end-stage joint inflammation.
Shoulder joint pain is a condition where the smooth ligament that fronts the bones of the shoulder degenerate or breaks down. In a sound shoulder, these ligament surfaces license the bones to serenely skim against each other.
At the point when these ligament surfaces vanish, the bones come into direct contact, expanding grating and making them roughen and harm one another. Bone-on-bone development can be very painful and troublesome.
Carefully embedded artificial replacement surfaces reestablish pain-free development, strength and capability.
Hemireplacement
- It is the replacement of half of the shoulder joint only that is humerus head(ball) with humerus stem.
- Surgical steps include open the shoulder joint and humeral head is removed. humerus shaft is prepared. Metal stem with ball is inserted and shoulder joint is reduced.
- Common indication – fracture upper humerus fracture, shoulder arthritis in less active patient
- Types – cemented and uncemented, modular, unipolar or bipolar
Total shoulder arthroplasty
- It is the replacement of humeral head (ball) and resurfacing of glenoid(socket) to provide pain relief. Surgical steps are same as hemiarthroplasty with additional socket preparation and resurfacing.
- It has 3 component humerus stem with head (inserted in the humerus) ,glenoid cup (resurface the socket) and liner component (articulate other two component). Stems and cups are available in different size , length and diameter.
- Indication – osteoarthritis of shoulder joint, avascular necrosis and inflammatory arthritis. It requires normal cuff muscles to functions.
- Types – cemented and uncemented
- Metal(titanium or cobalt-chromium)/ceramic(liner and femur head)/ polyethylene (cup and liner)
- complication – infection, dislocation or subluxation, nerve or vessel injury, component loosening and fracture.. This can be avoided with proper preoperative planning and postoperative care.
Reverse shoulder arthroplasty
In a reverse total shoulder replacement, the ball is fixed to the glenoid and the plastic cup is fixed to the upper end of the humerus. It is used in the conditions where rotator cuff muscle is not functioning or torn.
its function mainly depends on the deltoid muscle function. It is used in the shoulder arthritis with cuff muscle torn, arthropathy related to cuff tear and proximal humerus fractures.
- It has 3 component humerus stem with cup (inserted in the humerus) , glenoid ball (resurface the socket) and liner component (articulate other two component). Stems and cups are available in different size , length and diameter.
- Types – cemented and uncemented
- Metal(titanium or cobalt-chromium)/ceramic(liner and femur head)/ polyethylene (cup and liner)
- complication – infection, dislocation or subluxation, nerve or vessel injury, component loosening and fracture.. This can be avoided with proper preoperative planning and postoperative care.
Surface arthroplasty
it is recent advance technology which involves only resurfacing of the humeral head without stem insertion. Commonly used in the shoulder arthritis where onle humeral head is involved.
Total elbow arthroplasty– used in elbow arthritis and comminuted fracture around elbow in older patient. It resurfaces distal humerus and upper ulna with interconnected implant.
Total ankle arthroplasty– used in severe ankle arthritis and comminuted fractures in old patient to maintain ankle movement