Shoulder Replacement
Shoulder pain is a very common complaint among patients, with many possible underlying causes.
Accurate diagnosis is essential so that treatment can target the specific cause of the symptoms.
Shoulder Replacement
The most frequent form of shoulder arthritis is osteoarthritis, also known as wear-and-tear arthritis or degenerative joint disease. This condition occurs when the cartilage protecting the joint gradually wears away, eventually exposing bare bone inside the shoulder.
Shoulder arthritis may affect the glenohumeral joint (the main shoulder joint) or the acromioclavicular joint (between the collarbone and the shoulder blade). Both osteoarthritis and inflammatory arthritis can involve these joints, leading to pain, stiffness, and reduced mobility.
Assessing Symptoms
The symptoms of shoulder arthritis usually become more noticeable as the condition advances. Interestingly, these symptoms do not always worsen in a steady or predictable manner. Many patients describe experiencing “good months” and “bad months,” with pain and stiffness sometimes influenced by changes in the weather. This means that evaluating symptoms on a single day may not accurately reflect the overall course or progression of the disease.
Shoulder Joint Replacement
Although shoulder replacement surgery is performed less frequently than hip or knee replacements, it is equally effective in relieving joint pain.
When nonsurgical options—such as medications or lifestyle modifications—no longer provide sufficient relief, shoulder joint replacement may be a good option. This procedure is considered safe and effective, offering significant pain relief and allowing patients to return to their normal daily activities.
Anatomy
The shoulder joint has the largest range of motion as compared to all other joints in the body.
The shoulder is made up of three bones:
- upper arm bone (humerus)
- shoulder blade (scapula)
- and collarbone (clavicle)
The shoulder is a ball-and-socket joint between the scapula and humerus.
The ball, or head, of the upper arm bone, fits into a shallow socket in the shoulder blade. This socket is called the glenoid.
Hip Osteoarthritis: Common Symptoms
- Pain in the groin or thigh that might radiate to buttocks or knee and aggravates on vigorous activity
- Stiffness
- Tenderness
- Swelling
- Decreased range of motion
Types of Hip Replacement Procedures Offered:
Cemented
The cemented hip implant is designed to be implanted using bone cement (a group that helps position the implant within the bone). Bone cement is injected into the prepared femoral canal. The surgeon then positions the implant within the canal and the grout helps to hold it in the desired position.
Uncemented
The porous hip implant is inserted into the prepared femoral canal without the use of bone cement. The femoral canal is shaped so that the implant fits snugly, and the porous surfaces of the implant allow bone to grow into them over time. This natural ingrowth provides additional stability, keeping the implant securely in place.
Dr. Sourabh Vashisht has advanced hip replacement surgery through cutting-edge technology and techniques, including Day Care Hip Replacement surgery, as well as the use of Robotics, Augmented Reality, and Artificial Intelligence. The procedure also incorporates high-quality bearing options designed to meet the demands of an active lifestyle.
What Intelligent Hip Replacement Surgery with Robotics and AR Offers:
- Minimal Invasive Surgery
- Muscle Sparing surgical exposure
- High Performance Implants with higher flexibility and durability
- Stitch less Surgery- Better Outcomes
- Modified Pain Control concepts
- Fast Track Surgery
- Minimal pain and faster recovery
- Walking 3 hours after surgery
- Use of Emerging Technologies using Navigation/Robotics/Augmented Reality in THR
What should I expect before, during, and after hip replacement surgery?
Preparing for Hip Replacement Surgery
Preparing for hip replacement surgery starts with key steps to ensure a smooth procedure and optimal recovery:
- Selecting the Right Surgeon: Research and choose a surgeon with a proven track record in hip replacements.
- Understanding the Procedure:Educate yourself about the surgery’s steps, benefits, and potential risks to make informed decisions.
- Organizing Medical Records:Compile all relevant medical documents and any required paperwork for hospital admission, stay, and discharge.
Pre-operative preparation involves undergoing fitness tests and obtaining medical clearance to ensure you are in the best possible health for surgery. This may include adjusting medications, such as pausing blood thinners. It is important to discuss any concerns with your doctor or hospital staff beforehand. Your surgeon may also recommend consulting a physical therapist prior to surgery to learn how to prepare your home for recovery, as well as guidance on mobility aids and techniques to use after the operation.
Post-Operative Recovery
Thanks to advancements in surgical techniques and pain management, recovery from hip replacement surgery has become more efficient:
- Immediate Post-Surgery:Innovations such as FIFO (Fast-In, Fast-Out) technology enable patients to begin walking within hours after surgery, promoting a quicker return to daily activities.
- Rehabilitation:Physical therapy starts almost immediately, focusing on strengthening exercises and gradually increasing mobility. Most patients can engage in low-impact activities like walking, cycling, or golfing within 12 weeks, though full recovery may vary up to 6 months.
Post-Operative Physical Therapy
Under your surgeon’s guidance, a personalized rehabilitation program will begin soon after surgery. Early exercises typically include isometric movements, which help strengthen muscles without moving the joint, often starting while you are still in bed.
Ensuring a Smooth Recovery
For optimal recovery, it is important to follow your healthcare team’s instructions and actively engage in your rehabilitation program. Dr. Sourabh Vashisht, a leading hip replacement specialist in Mohali, provides expert guidance throughout the process, utilizing the latest surgical advancements to ensure the best outcomes.
What are the potential risks and complications associated with hip replacement surgery?
Total hip replacement is highly successful when performed by an experienced surgeon, but no surgery can guarantee 100% outcomes. Every procedure carries its own risks and benefits, and results can vary based on individual circumstances. Recovery times also differ from person to person.
Here is a list of potential post-surgery complications:
- Blood clots
- Infection
- Fracture
- Dislocation
- Loosening
- Leg length difference
- Need for second hip replacement
Dr. Sourabh Vashisht, a renowned hip replacement specialist, will evaluate your individual risk for complications and design personalized treatments to minimize these risks.
What is the expected recovery time after hip replacement surgery?
Thanks to innovative pain management techniques and minimally invasive surgeries using FIFO, patients now experience much faster recovery. Many are able to walk within three hours of surgery, use the toilet the next morning, and leave their room by the afternoon. Within 12 weeks, most patients can resume recreational activities such as long walks, cycling, or golf. Complete recovery may take up to six months for some individuals.
With advanced patented technologies, we offer a fast-track recovery process that helps patients return to daily activities swiftly. Consult Dr. Sourabh Vashisht, a leading hip replacement surgeon, for the best possible outcomes.
How long do hip replacements typically last?
Hip replacements represent a major advancement in medical technology, providing improved mobility and pain relief for individuals with severe hip joint damage. The lifespan of these implants, however, can vary significantly and is influenced by several important factors:
Implant Lifespan
Hip implants typically last between 10 and 30 years. Their longevity largely depends on the patient’s lifestyle and how well they take care of their new joint.
Activity Level Impact
Active individuals, especially younger patients, may experience faster wear of their hip implants compared to older, less active individuals. This is because vigorous activities place greater stress on the implant over time.
Critical Influencing Factors
- Physical Condition and Activity: A patient’s overall health, weight, and the level of physical activity significantly impact implant longevity.
- Weight: Heavier weight places more stress on the implant, potentially reducing its lifespan.
- Implant Placement Accuracy: The skill with which the implant is positioned during surgery also plays a critical role in its durability.
- Implant Type: Advances in biomaterials, such as ceramics and oxidized zirconium paired with strengthened plastic, have improved wear resistance, potentially extending the life of the implant.
Expectations for Durability
While newer biomaterials are designed to reduce wear and increase the implant’s lifespan, it’s important for patients to have realistic expectations. On average, patients can expect their hip replacement to last 20 to 25 years. For those over 60, it’s likely the implant will last for the remainder of their lifetime.
Success rate of hip replacement surgery
Hip replacement surgery has a high success rate, with over 95% of patients experiencing significant relief from hip pain. Around 90–95% of implants remain successful 10 years after surgery, and 80–85% last up to 20 years. If an implant wears out or loosens, revision surgery to replace it is possible.
For access to the latest technologies and advanced techniques in hip replacement, consult Dr. Sourabh Vashisht, a leading hip replacement surgeon in Mohali.
Does Elite Ortho India offer alternatives to hip replacement surgery?
Yes, a range of alternatives to hip replacement surgery are available. Before considering surgery, non-surgical options are prioritized. These may include lifestyle modifications, weight management, customized exercise and physical therapy programs, and medication management. The focus is on exhausting all non-invasive measures to relieve hip pain and improve mobility.
If these measures are ineffective or the condition progresses despite conservative treatment, surgical intervention may be recommended. Dr. Sourabh Vashisht, a leading hip replacement specialist, ensures that every possible avenue is explored to promote patient well-being before surgery is considered.
What sets Elite Ortho India apart from other orthopedic clinics for hip replacement surgery?
Elite Ortho India stands out in the realm of orthopedic care, especially in hip replacement surgery, for several compelling reasons:
- Leadership by Dr. Manuj Wadhwa: Under the stewardship of Dr. Wadhwa, a globally acclaimed hip replacement surgeon, Elite Ortho has become a beacon of excellence in orthopedic care.
- Super-Specialized Care: The institute offers focused care through joint replacement-specialized teams, ensuring a holistic treatment approach.
- Centre of Excellence: Recognized as a premier centre in the tricity region, it boasts state-of-the-art facilities and a history of over 15 years of exceptional service.
- Advanced Technologies:Incorporating cutting-edge technologies such as Robotics, Augmented Reality, and Artificial Intelligence, Elite Ortho leads in modern surgical techniques.
- Innovative Surgical Approaches: The introduction of Rapid Day Care hip replacement surgery exemplifies our commitment to minimally invasive procedures and tissue-sparing techniques. This includes the Direct Anterior Approach, which aims to minimize muscle damage and trauma, potentially leading to faster recovery , and the use of advanced biomaterials such as ceramics for best results.
- Revolutionary Surgery Outcomes:
- Reduced Trauma: Our procedures minimize soft tissue and muscle damage.
- Efficient Recovery: Patients experience minimal blood loss, reduced hospital stays, and can walk within 3 hours post-surgery.
- Enhanced Comfort: With no pain during or after surgery and almost no need for blood transfusions, patients enjoy a smoother recovery.
- Improved Functionality: Enhanced leg length restoration, the ability for mild squatting, and sitting cross-legged are significant benefits.
- Cosmetic and Practical Benefits: Smaller, stitch-less scars offer better aesthetics and comfort.
- Ethical and Professional Practice: Our ethical standards and professional team ensure that patients receive the highest quality of care.