Introduction
AShoulder replacement surgery,
available at Big Apollo Spectra Hospital, Patna, offers a solution for
individuals experiencing debilitating pain and discomfort in their shoulder
joint. This procedure involves replacing a damaged or fractured shoulder joint
with an artificial joint, providing relief from pain and restoring mobility.
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)
Reasons for
Shoulder Replacement Surgery
Shoulder replacement surgery is
indicated when patients face severe pain and limited functionality due to
conditions such as arthritis or traumatic injuries. Whether caused by
arthritis, fractures, or accidents, this surgery aims to alleviate pain and
enhance shoulder mobility.
Surgical
Procedure
The entire shoulder replacement
surgery, performed at Big Apollo Spectra Hospital, Patna, typically takes one
to two hours. After the procedure, patients are kept under careful observation
and monitoring by medical professionals during their hospital stay.
Purpose of
Shoulder Replacement Surgery
Shoulder replacement surgery
addresses various conditions and goals, including:
·
Reducing
pain caused by arthritis or severe fractures
·
Restoring
mobility and function in the shoulder joint
·
Providing
relief for individuals with advanced shoulder arthritis
·
Enhancing
strength and motion after successful surgery
Types of
Arthritis Leading to Surgery
Several types of arthritis can
necessitate shoulder replacement surgery, including:
·
Osteoarthritis (OA): Common among middle-aged and elderly
individuals, OA involves the breakdown of joint cartilage over time. While OA often
affects the knees, hips, and fingers, it can also impact the shoulder joint.
·
Inflammatory Arthritis (IA): IA encompasses chronic autoimmune
disorders affecting joint health. Notable types include rheumatoid arthritis
and ankylosing spondylitis, both of which can affect shoulder mobility and
strength.
When to
Consider Shoulder Replacement Surgery
Consult a doctor for shoulderreplacement surgery if you experience:
·
Persistent
shoulder pain
·
Swelling
or inflammation in the shoulder joint
·
Restricted
mobility due to pain and swelling
·
Decreased
shoulder strength
Diagnostic
Process
Shoulder replacement surgery
candidates undergo diagnostic procedures including X-rays, CT scans, and MRI.
These tests help assess the extent of damage to the shoulder joint's cartilage,
nerves, and surrounding tissues. These findings guide the decision-making
process for surgery.
Surgery
Risks and Considerations
Like any major surgery, shoulder
replacement carries certain risks, including:
·
Joint
instability if components are not securely placed
·
Infection
at the surgical site
·
Nerve
damage
·
Post-surgery
stiffness
·
Cartilage
reforming time
Conclusion
Shoulder replacement surgery,
offered at Big Apollo Spectra Hospital, Patna, has transformed the lives of
many by reducing pain, enhancing mobility, and restoring strength. Specialized
medical professionals conduct this procedure, helping individuals return to
their active lives pain-free and resuming activities such as sports within
months of a successful surgery.