Shoulder Replacement Surgery in India

Shoulder Replacement Surgery :

The shoulder joint is a ball and socket joint. The "ball" is formed by the top of your upper arm bone (humerus) and the "socket" is the end of your shoulder blade (scapula). During a shoulder replacement, a metal ball on a stem is inserted into your upper arm bone and a plastic surface is fitted onto the socket. You may have a shoulder replacement if you have osteoarthritis in your shoulder and your rotator cuff is intact. The rotator cuff is made up of a group of four muscles and their tendons. It plays a crucial role in keeping your shoulder joint stable.

If you have severe arthritis, a torn rotator cuff or have already had a shoulder replacement that was unsuccessful; your surgeon may decide to do a reverse shoulder replacement. During this procedure, the metal ball is attached to your shoulder blade and the plastic socket is fitted to the top of your upper arm bone. An artificial joint usually lasts at least 10 years, after which it may need to be replaced.

Conditions for Shoulder Replacement Surgery

Shoulder replacement surgery may be required in following conditions :

• Osteoarthritis (degenerative joint disease)
• Rheumatoid arthritis
• Post-traumatic arthritis
• Rotator cuff tear arthropathy (a combination of severe arthritis and a massive non-reparable rotator cuff tendon tear)
• Avascular necrosis (osteonecrosis)
• Failed previous shoulder replacement surgery

Shoulder Replacement Surgery Preparation :

• Before Shoulder replacement surgery surgeon provides information on the state of the joint space, the position of the humeral head in relation to the glenoid, the presence of bony defects or deformity, and the quality of the bone. If glenoid wear is observed, a computed tomography (CT) scan is usually performed to evaluate the degree of bone loss.
• The treating physician usually performs a general medical evaluation several weeks before shoulder joint replacement surgery to assess the patient's general health condition and risk for anesthesia.
• The results of this examination are forwarded to the orthopedic surgeon, along with a surgical clearance.
• Patients are advised to eat properly and take a daily iron supplement some weeks before surgery.
• Several types of tests are usually required, including blood tests, a cardiogram, a urine sample, and a chest x ray. Patients may be required to stop taking certain medications until surgery is over.

Shoulder Replacement Surgery Procedure :

There are several different types of shoulder replacements.

1. Total Shoulder Replacement

The usual total shoulder replacement involves replacing the arthritic joint surfaces with a highly polished metal ball attached to a stem, and a plastic socket.

The components come in various sizes. If the bone is of good quality, your surgeon may choose to use a non-cemented or press-fit humeral component. If the bone is soft, the humeral component may be implanted with bone cement. In most cases, an all-plastic glenoid component is implanted with bone cement. Implantation of a glenoid component is not advised if :

• The glenoid has good cartilage.
• The glenoid bone is severely deficient.
• The rotator cuff tendons are irreparably torn.

Patients with bone-on-bone osteoarthritis and intact rotator cuff tendons are generally good candidates for conventional total shoulder replacement.

Depending on the condition of the shoulder, your surgeon may replace only the ball. Sometimes, this decision is made in the operating room at the time of the surgery. Some surgeons replace the ball when it is severely fractured and the socket is normal.

2. Reverse Total Shoulder Replacement

Another type of shoulder replacement is called reverse total shoulder replacement. This surgery was developed in Europe in the 1980s. It was approved by the Food and Drug Administration (FDA) for use in the United States in 2004. Reverse total shoulder replacement is used for people who have :

• Completely torn rotator cuffs and
• The effects of severe arthritis (cuff tear arthropathy) or
• Had a previous shoulder replacement that failed

X-Rays before and after reverse total shoulder replacement for cuff tear arthropathy For these individuals, a conventional total shoulder replacement can still leave them with pain. They may also be unable to lift their arm up past a 90-degree angle. Not being unable to lift one's arm away from the side can be severely debilitating. In reverse total shoulder replacement, the socket and metal ball are switched. That means a metal ball is attached to the shoulder bone and a plastic socket is attached to the upper arm bone. This allows the patient to use the deltoid muscle instead of the torn rotator cuff to lift the arm.

Recovery after Shoulder Replacement Surgery :

• Do not use your surgery arm to get up out of bed or from a chair position. Use the opposite arm.
• You may be advised not to pull anything to you, such as pulling up pants and opening doors, for six weeks after surgery.
• Your doctor will likely give you a list of exercises to do once you're home. Be certain to follow your doctor's instructions, but typically you will be asked to do these four or five times a day for a month or so.
• You may experience less pain after surgery, which may make you believe you can do more.
• Be certain to follow your doctor's instructions so that you don't overdo it.
• The amount of weight you can lift using your surgery arm will be limited. You doctor may recommend that you don't lift anything heavier than a cup of coffee for the first four to six weeks.
• Sling use will vary depending upon the situation, but your doctor may request that you wear the sling every night for at least the first month.
• Avoid many household chores such as, raking, sweeping, mopping, and running the vacuum cleaner using your surgery arm. Use long-handled feather dusters for dusting high and low items. Your doctor will tell you when it is okay to do these activities.

Shoulder Replacement Surgery in India

There are many advantages of Shoulder replacement surgery in India. Some of them are :

• International accredited partner hospitals, patient centered approach with well equipped facilities. English speaking staff, providing personalized and caring service at par with any best hospital in the world.
• Extensive investments have been made to ensure that all medical centers are equipped with modern facilities; internationally accredited hospitals of India are capable of handling the latest techniques and procedures. These state-of-the-art facilities focus on what matters: more effective, efficient and pleasant solutions for patients.
• With all medical centers equipped with modern facilities, medical centers in India are able to provide shorter waiting time. Patients may be hospitalized upon arrival, and examinations and work-up tests are usually addressed promptly.
• The Indian government has made it easier for visitors seeking health treatments to enter the country. With the relevant letter from the medical centre at which you will be receiving your medical treatment, you may enjoy up to six months of visa extension.

Shoulder replacement surgery in India is available in following cities :

Shoulder replacement Surgery Cost in India :

• India's favorable exchange rate and the cost of healthcare services are at an extensively lower cost than that of other countries. If you're coming from a Western country such as the United States or Britain, medical procedures in India will generally cost a fraction of the price as compared to prices back home.
• India is the most preferable destination for low cost Shoulder replacement surgery.
• From comfortable and affordable hotels to five-star accommodations, India provides you with a choice to budget or splurge. Hotels start from as low as USD50 to USD150 per night depending on its star rating. Alternatively, if your family is accompanying you for treatment, there is also an option to rent a serviced apartment.
• In the following table you can see the cost difference of getting the Shoulder replacement surgery done in India and other countries.

Shoulder replacement Surgery in India- Go with Tour2india4health Group :

• Tour2india4health Group is one of the leading medical tourism companies in India. It is pioneer in providing best healthcare services for Shoulder replacement surgery in India at low cost.
• You just have to send us a query regarding your Shoulder replacement surgery and within 24 hours, a patient coordinator will contact you for further details and interaction.
• That patient coordinator will make all the arrangements for VISA, accommodation, appointment with the doctor with round the clock services to make your medical tour hassle free.
• We provide well-qualified and professional doctors, surgeons, physicians, and medical staff who aid you in recovery from your ailment and ensure a safe and healthy journey back home.

Some of the common countries from which patients travel to India for surgery are :

ABOUT INDIA

Located in South Asia, bordered by Pakistan, Nepal, China and Bangladesh, India is South Asia's largest, sovereign, democratic republic. India has an edge over other countries when it comes to offering comprehensive, cost-effective and timely medical care: it also offers an exotic, adventure-filled or cultural -if you wish array of destinations to discover and revel in for the travelers. Indian cities like Mumbai, Hyderabad, Goa, Bangalore, Nagpur, Kerala, Delhi, Pune, Jaipur, Chennai, Gurgaon, and Chandigarh offers best medical tourism service.

• Mumbai - Mumbai, formerly known as Bombay in English, is the capital of the Indian state of Maharashtra. This port city (India's largest and busiest) accounts for a major share of the government's revenue, and has one of the world's largest harbour. There are many things to love about Mumbai. One is simply the geographical names, like The Queen's Necklace and Elephanta Island, all with roots in the British Empire.
• Hyderabad - Also known as City of Nizams. The city of Hyderabad has its own individual character, which is evident in the beautiful, ancient palaces and the equally modern, and state-of-the-art offices and buildings. Medical tourism at hospitals in Hyderabad combines care for your health with international tourism. The primary reason behind its surging popularity is better healthcare services at an affordable budget.
• Goa - Popularly known as the ‘Rome of the East’, Goa boost of natural, magnificent churches and exquisite works of man. Plunge into the clear blue water of the large pool, or soak in the blissful sunshine on the picturesque island. Goa is an interesting location for getting your health propped up and getting those long postponed surgeries done. You have modern facilities, short waiting times and very affordable prices for procedures, hospital services and medicines.
• Bangalore - The progressive and modern city of Bangalore is the state capital, being located within India's Karnataka state. Bangalore is often referred to as the country 'Garden City', due to its high concentration of parks and green spaces. Bangalore has few of the world’s best doctors and medical practitioners, who have been trained by the rigorous Indian medical education system as well as in countries like UK and USA.
• Nagpur - Nagpur City has many distinctions. It is also the second greenest in India and is located at the very center of the heartland, almost equidistant from Kolkata, Chennai and New Delhi and Mumbai. The present city was founded in the early 18th century by Bhakt Buland, a Gond prince of the kingdom of Deogad in the Chhindwara district. The Nagpur District has a varied culture, as well as being in the central part of India, the market in Nagpur is flooded with products from all over India. Nagpur has few of the world’s best doctors and medical practitioners, who have been trained in countries like UK and USA.
• Kerala - Natural beauty, clean air and primordial greenery amidst the vast expanse of water and sky, typifies the state of Kerala – better known as God's own country. Kerala is famous for its alternative medical therapies such as Ayurveda, which help to rejuvenate and revitalize the body. The region is also home to India’s only virgin tropical rain forest – the Silent Valley National Park, supporting an overwhelming range of life forms, many of which are highly endangered, and endemic to this part of the planet.
• Delhi - "Welcome to The Capital City of India - New Delhi" Delhi is famous as Capital city of India is located in North India. Delhi is truly a symbol of the old and the new; a blend of ancient well preserved monuments and temples along with jam-packed burger joints and up market shopping malls. Delhi has state of the art Hospitals and the best qualified doctors.
• Pune - Once referred to as the Oxford of the east, Pune continues to be a stronghold for academics and culture. An array of factors like availability of efficient and experienced doctors, comparatively low treatment costs, hospital facilities of international standards and many more have made Pune one of the top destinations for medical tourism.
• Jaipur - Jaipur is one of the most popular destinations on a tourist's itinerary. The magnificent forts, beautiful havelis and colourful bazaars make Jaipur a popular tourist destination among tourists. Jaipur has pioneered health and medical tourism in India.
• Chennai - Chennai is one of the most developed urban centers in the Indian subcontinent. The city forms the capital of Tamil Nadu state and is the fourth largest metropolitan city in India. They have some of the very best hospitals and treatment centers in the world. Each hospital is equipped with state of the art facilities. The technology brought into practice is the very latest, including robotic surgery.
• Gurgaon - Located in the National Capital Region, Gurgaon is one of the most rapidly growing cities in Greater Delhi. In the last few years Gurgaon has boomed as the hub of IT and other new-age businesses. Gurgoan is the latest destination for Medical Tourism in India as it is the latest modern upcoming city near Delhi.
• Chandigarh - Located near the foothills of Shivalik range of the Himalayas, Chandigarh is one of the most beautiful and happening cities of India. Chandigarh has great potential for Medical tourism as the unpolluted and excellent environs give many opportunities to patients to recover from their illness.

Below are the downloadable links that will help you to plan your medical trip to India in a more organized and better way. Attached word and pdf files gives information that will help you to know India more and make your trip to India easy and memorable one.

Click icon to Download Document

About India				Destinations in India
Indian Embassy List				Medical Tourism FAQ
Visa For India

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