Dr. Barik's Orthocare Clinic

Meet Our Doctor

Dr. Sanjay Barik

Orthopedic and Joint Replacement Surgeon

Dr. Barik's Orthocare Clinic

Dr. Sanjay Barik is an experienced Orthopedic Doctor in Ramdaspeth, Nagpur. He is a qualified MBBS Bachelor of Medicine and Bachelor of Surgery, MS – Orthopaedics.
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Shoulder Replacement In Wardha

What is shoulder replacement surgery

Shoulder replacement surgery, also known as shoulder arthroplasty, is a surgical procedure where a damaged or diseased shoulder joint is replaced with an artificial joint, called a prosthesis. It’s usually recommended for people who have severe shoulder pain and loss of function due to conditions like osteoarthritis, rheumatoid arthritis, or fractures that have failed to heal properly. The primary joint of the shoulder, known the glenohumeral joint, is a ball-and-socket joint in which the humeral head forms the socket. The ball and socket are protect with smooth cartilage to facilitate gliding motion. Shoulder replacement surgery can be partial, where only one part of the joint is replaced, or total, where both the ball and socket of the shoulder joint are replaced. The specific type of replacement surgery depends on the extent of damage and the patient’s individual needs.
shoulder replacement

What conditions are treated by shoulder replacement surgery?

Shoulder replacing is some times used to treat fractures that cause severe damage or harm to the shoulder, but its primary use is to treat shoulder arthritis. There are two basic various of arthritis that affect the shoulder: osteoarthritis and inflammatory arthritis.

OA is physical wear and tear on the cartilage inside the joint that develops from years of use. Although many older experience OA at some point, they are more likely to get it in their knees, hips or fingers than the shoulder. OA in the shoulder is more general in exceptionally active people , such as tennis players, weightlifters and other athletes who put continual force on their shoulders.
Inflammatory arthritis is an umbrella term for several chronic, autoimmune diseases which have no completely understood cause. people with these conditions who have replacement surgeries experience reduced pain and improved function in the shoulder.
Severe fractures of the shoulder joint or upper arm bone that cannot be adequately treated with other methods may necessitate shoulder replacement surgery to restore function and stability to the joint.

How is shoulder replacement done?

In traditional shoulder replacement surgery, And also known as “anatomic shoulder replacement”, the damaged humeral head is replaced with a metal ball, and the glenoid cavity is replaced with a smooth plastic cup, same to that in a total hip replacing. recently, a different type of surgery known a reverse shoulder replacement was introduced to benefit patients who had a current or prior rotator cuff tear.

In few patients, such as those with various shoulder fractures of the humeral head, a partial shoulder replacement may be recommended. This technique replacing the ball component only.

Anesthesia
During a shoulder replacement, the patient may have either regional anesthesia with interscalene block or normally anesthesia – or both. in the period During the operation, the patient will be positioned sitting upright and partially or completely sedated.

What are the risks and complications of a shoulder replacement?

critical cases are rare in total shoulder replacement, but can include:

instability
infection
nerve damage
glenoid loosening
stiffness

Surgical steps of a conventional (anatomic) shoulder replacement

Surgical steps of a conventional shoulder replacement
A traditional shoulder replacing surgery is composed of the following six basic steps:

The surgeon separates the deltoid and pectoral muscles to access the shoulder in a largely nerve-free part.
The shoulder is opened by cutting by optical instrument one of the front muscles of the rotator cuff, which covers the shoulder. This “opens the door” to allow the doctor to view and manipulate the arthritic parts of the shoulder ball and socket.
The arthritic part of the joint are detached.
The implant socket, ball and stem components are inserted. The metal ball component is attached to the stem, extends which bottom inside the patient’s.
The incision of the rotator cuff muscle is shut down and stitched.
The external incision is cleaned and stitched, and a bandage applied.