Your shoulder is a ball and socket joint. Usually, the ball at the top of your upper arm (humerus) moves smoothly in the socket of your shoulder blade (scapula) on a lining of cartilage. The cartilage prevents the bones from rubbing together. If your cartilage is damaged by injury or worn away by arthritis, it can make your joint painful and stiff.
A new shoulder joint can help to improve your mobility and reduce pain. Artificial shoulder parts are usually made of metal, plastic, ceramic or a combination of these. There are several different types of shoulder replacement. A partial shoulder replacement (also known as hemiarthroplasty) – part of your shoulder joint is replaced, usually at the top of your upper arm. A total shoulder replacement (also known as a shoulder arthroplasty) – an artificial ball is attached to the top of your upper arm and an artificial socket is attached to your shoulder blade. Reverse shoulder replacement – an artificial ball is attached to your shoulder blade and an artifical socket is fitted to the top of your upper arm. An artificial shoulder joint will usually last for at least 10 years, after which it may need to be replaced.
stem cell therapy mumbai • What are the alternatives of Shoulder Replacement Surgery is usually recommended only if non-surgical treatments haven’t worked for you. This may include physiotherapy, non-steroidal anti-inflammatory medicines or steroid joint injections. stem cell therapy mumbai • Prepairing for Shoulder Replacement We at Dr. Rajput's Orthopaedic & Stem Cell Research Center in India will explain how to prepare for your procedure. For example if you smoke, you will be asked to stop, as smoking increases your risk of getting a chest and wound infection, which can slow your recovery. Your shoulder replacement will be carried out using either or general anaesthesia means you will be asleep during the operation. Local anaesthesia completely blocks pain from the shoulder area and you will stay awake during the operation. We will advise you which type of anaesthesia is most suitable for you. Often, people have a sedative as well as general or local anaesthesia. A sedative relieves anxiety and helps you to relax.
If you're having a general anaesthetic, you will be asked to follow fasting instructions. This means not eating or drinking, typically for about six hours beforehand. However, it’s important to follow our advice. At the hospital your nurse may check your heart rate and blood pressure, and test your urine. You may need to stay in hospital for two or three days after your shoulder replacement. We will discuss with you what will happen before, during and after your procedure, and any pain you might have. This is your opportunity to understand what will happen, and you can help yourself by preparing questions to ask about the risks, benefits and any alternatives to the procedure. This will help you to be informed, so you can give your consent for the procedure to go ahead, which you may be asked to do by signing a consent form. You may be asked to wear compression stockings to help prevent blood clots forming in the veins in your legs. You may need to have an injection of an anticlotting medicine called heparin as well as, or instead of, wearing compression stockings.
stem cell therapy mumbai • What happens during a Shoulder Replacement Shoulder replacement usually takes around two and a half hours, depending on how complicated your surgery is. Once the anaesthesia has taken effect, our surgeon at Dr. Rajput's Orthopaedic & Stem Cell Research Center India will make a cut usually down the front of your shoulder. Our Surgeon will remove some of the humeral head (the top of your upper arm bone) and fix the artificial ball on a stem with special cement. We will then trim the surface of the socket and fix the new artificial socket in place. The two halves of your shoulder joint are then put back together (the ball is put into the socket). We will close the cut with stitches and cover the wound with a dressing. stem cell therapy mumbai • What to expect afterwards
You may need to stay in hospital for two or three days after your operation. If you have a general anaesthetic, you may need to rest until the effects of the anaesthetic have passed. If you have a local anaesthetic, it may take several hours before the feeling comes back into your treated shoulder. Take special care not to bump or knock the area. You may need pain relief to help with any discomfort as the anaesthetic wears off. You may have fine tubes running out of your wound. These drain fluid (which is part of the healing process) into a bag and are usually removed after a day or two. When you feel ready, you can begin to drink and eat, starting with clear fluids. You may also be wearing compression stockings on your legs to help maintain circulation. You will be encouraged to get out of bed and move around as this helps prevent chest infections and blood clots in your legs.
Genera anaesthesia temporarily affects your co-ordination and reasoning skills, so you must not drive, drink alcohol, operate machinery or sign legal documents for 24 hours afterwards. If you're in any doubt about driving, contact your motor insurer so that you're aware of their recommendations, and always follow your surgeon’s advice. A physiotherapist (a health professional who specialises in maintaining and improving movement and mobility) will visit you after your operation to guide you through exercises to help you recover. You will be encouraged to move your shoulder from the first day after your operation. This helps to prevent stiffness and promotes healing. Your nurse will give you some advice about caring for your healing wounds before you go home. You may be given a date for a follow-up appointment. The amount of time your dissolvable stitches will take to disappear depends on the type of stitches you have. However, for this procedure, they should usually disappear in about six weeks.