Shoulder Resurfacing Treatment

Shoulder resurfacing is a type of surgery that offers an alternative to total shoulder replacement, specifically for those with less severe joint degeneration. If you're experiencing shoulder pain and need expert advice, consult the best shoulder orthopaedic specialists at Pristyn Care, or book an appointment today for advanced shoulder surgery in India.

Shoulder resurfacing is a type of surgery that offers an alternative to total ... Read More

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What is Shoulder Resurfacing?

Shoulder resurfacing is a surgical procedure designed to treat various shoulder conditions, especially those affecting the humeral head, which is the ball-shaped part of the upper arm bone. Unlike total shoulder replacement that replaces both the humeral head and the glenoid (the socket), shoulder resurfacing only replaces the damaged surface of the humeral head with a prosthetic cap.

This approach preserves more of the natural bone structure, resulting in a less invasive surgery and potentially quicker recovery times. The procedure is typically suggested for patients suffering from conditions such as osteoarthritis, rheumatoid arthritis, avascular necrosis, rotator cuff disease, and post-traumatic arthritis.

During the operation, the diseased portion of the humeral head is removed and replaced with a metallic implant which fits into the shoulder socket, hence restoring joint function and reducing pain.

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Types Of Shoulder Resurfacing

There are mainly three types of shoulder resurfacing procedures. Each one has its indications and benefits:

Humeral Resurfacing: This is the most common type of shoulder resurfacing. It involves replacing only the surface of the humeral head with a metal cap, preserving much of the original bone. The procedure can be performed using various materials for the implant, including cobalt-chromium alloys or ceramic-coated surfaces. Humeral resurfacing is particularly beneficial for younger patients who wish to maintain an active lifestyle and require a less invasive option than total shoulder replacement.
Biologic Shoulder Resurfacing: In this variant, instead of using metal implants, biological grafts (often from donors) are used to replace the diseased joint surfaces. This method aims to restore function while minimising foreign material in the body. Biologic resurfacing is typically performed using minimally invasive techniques and may be suitable for patients seeking alternatives to traditional prosthetic implants.
Combined Humeral and Glenoid Resurfacing: In some cases, both the humeral head and glenoid may be resurfaced. This approach is less common, and typically reserved for cases where significant damage exists in both areas. This procedure requires careful evaluation by an orthopaedic surgeon to determine if this combined approach is necessary.

Diagnosis Before Shoulder Resurfacing Surgery

Before recommending shoulder resurfacing surgery, your doctor will need to diagnose the condition of your shoulder. As part of this process, several tests are commonly conducted:

Clinical Examination: Your doctor will assess your symptoms, including pain levels, your shoulder’s range of motion and any functional limitations.
X-rays: This imaging technique is used to evaluate bone health, joint space narrowing and any deformities in the shoulder.
MRI or CT Scans: These scans are used to assess soft tissue structures, such as rotator cuff integrity, and provide detailed information about bone morphology.

This combination of diagnostic techniques will help your doctor determine whether shoulder resurfacing is the best course of action or if another intervention may be more appropriate.

Procedure For Shoulder Resurfacing

Shoulder resurfacing is an advanced surgical procedure performed by the best shoulder orthopaedic specialists. The procedure typically follows these steps:

Anaesthesia: The patient is placed under general anaesthesia to ensure comfort and painless operation.
Incision: A small incision is made over the shoulder to access the joint.
Preparation of the Humeral Head: The damaged surface of the humeral head is carefully prepared for the implant. Any loose or unhealthy cartilage is removed.
Implantation of the Resurfacing Cap: A metal alloy cap is fitted onto the prepared surface and secured in place using a peg or cement.
Closure: The incision is then closed with sutures or staples and a sterile dressing applied.

This minimally invasive approach has become the preferred option for many patients in India seeking relief from chronic shoulder pain.

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Who Is The Right Candidate For Shoulder Resurfacing?

Not everyone with shoulder pain will be a suitable candidate for shoulder resurfacing surgery. Here are some criteria that doctors often consider:

Severity of Pain: If the individual experiences severe shoulder pain that interferes with daily activities
Diagnosis: Conditions such as osteoarthritis, inflammatory arthritis, avascular necrosis, rotator cuff tears and complex proximal humerus fractures can indicate the need for a shoulder resurfacing.
Previous Treatments: If the patient has tried and found little relief from other treatments such as physiotherapy, pain management or joint injections

Ultimately, the decision to undergo shoulder resurfacing will be a joint decision made by you and your doctor, taking into account your symptoms, diagnosis, treatment history, and personal preferences. If you are considering shoulder resurfacing surgery in India, consult with your family doctor or an orthopaedic specialist to understand your options better.

Benefits Of Shoulder Resurfacing

Shoulder resurfacing is gaining popularity in India among patients with shoulder joint issues, particularly those who lead an active lifestyle. Here are some of the key benefits of undergoing shoulder resurfacing treatment:

Bone Preservation: Unlike total shoulder replacement, this procedure retains most of your natural bone structure, which could be crucial if future surgeries are required.
Pain Reduction: Many patients report significant pain relief following the surgery, leading to a vastly improved quality of life.
Enhanced Functionality: By restoring normal shoulder anatomy, resurfacing enhances your range of motion and overall joint function.
Minimal Invasion: Shoulder resurfacing is less traumatic than total shoulder replacement, resulting in quicker recovery times and less post-operative pain.
Simpler Future Surgery: If a revision surgery is necessary later, the preserved bone structure makes the procedure simpler.

How To Prepare For Shoulder Resurfacing?

Preparation is key to ensuring optimum results from a shoulder resurfacing operation. Here are some steps to prepare for the procedure:

Preoperative Assessment: Your doctor will examine you thoroughly and use imaging studies like X-rays or MRI scans to evaluate your joint condition and determine if the procedure is suitable for you.
Medical History Review: Discuss any current medications, allergies, or medical conditions with your doctor before the operation.
Lifestyle Adjustments: You may be advised to change certain activities that could worsen your shoulder pain prior to the surgery.
Physical Therapy: Engaging in preoperative physical therapy can enhance your recovery after the surgery by improving your strength and flexibility.

Recovery Tips and Precautions To Follow After Shoulder Resurfacing

A successful recovery from shoulder resurfacing surgery requires dedication and patience. Here are some tips and precautions for you:

Follow Rehabilitation Protocols: Stick to the prescribed physical therapy regimen to gradually restore movement and strength in your shoulder.
Wear a Sling: Typically, you’ll need to wear a sling for up to six weeks to support your shoulder as it heals.
Manage Pain: Use prescribed pain medications as directed and notify your doctor immediately if you experience unusual pain or discomfort.
Limit Activities: Avoid high-impact sports or heavy lifting during the initial recovery phase. You can usually resume light activities like driving after 2-6 weeks.
Monitor for Complications: Be watchful for signs of infection, such as increased redness, swelling, or fever, or other complications like stiffness or persistent pain.

Complications Associated With Shoulder Resurfacing

While shoulder resurfacing is generally safe, potential complications can arise. Some of these include:

Infection: As with any surgical procedure, there is a risk of infection at the surgical site.
Implant Failure: Though rare, problems with the implant itself can occur, such as loosening or wear over time.
Stiffness or Limited Range of Motion: Some patients may experience stiffness during recovery, requiring additional therapy.
Nerve Damage: There is a small risk of nerve injury during surgery that could affect arm movement or sensation.

In conclusion, when performed by the orthopaedic specialists, shoulder resurfacing treatment can offer many benefits. Still, it requires careful preparation and a dedicated follow-through on post-surgery recovery protocols. Awareness of potential complications can help monitor and address any issues promptly, ensuring an advanced shoulder surgery experience in India is positive and beneficial.

Frequently Asked Questions

How is shoulder resurfacing surgery done in India?

In India, Shoulder resurfacing surgery is performed by best shoulder orthopaedic specialists using state-of-the-art medical technology. The procedure typically involves ‘resurfacing’ your damaged joint surfaces with a prosthesis made of cobalt chrome and polyethylene, improving the joint’s function and reducing pain.

What makes one a suitable candidate for shoulder resurfacing surgery?

The decision to undergo shoulder resurfacing surgery is highly individualised and depends on factors such as the person’s general health, age, activity level, and severity of shoulder damage. A good candidate is generally someone who has severe arthritis or rotator cuff tear arthropathy but has good bone quality. Your doctor will assess all these factors before suggesting the procedure.

Can shoulder resurfacing alleviate shoulder pain completely?

While shoulder resurfacing can significantly reduce or even eliminate shoulder pain for most patients, it may not eradicate it entirely in some cases. However, the advanced shoulder surgery in India offers provides patients with an improved quality of life and increased mobility.

How long does it take to recover from shoulder resurfacing surgery?

Recovery time varies from patient to patient based on individual health condition and severity of the shoulder damage. On average, most patients can return to their everyday activities within 3 to 6 months post-surgery.

Are there exercises that I can do after shoulder resurfacing surgery?

Yes, physical therapy forms an integral part of recovery after shoulder resurfacing surgery. Specific exercises under the guidance of a trained physiotherapist will help strengthen your shoulder muscles and improve flexibility.

Can shoulder resurfacing cure arthritis?

Shoulder resurfacing is an effective treatment to relieve pain and improve functionality in the shoulder joint affected by arthritis but does not cure arthritis itself. It merely replaces the damaged joint surfaces.

What are the alternatives to shoulder resurfacing?

If a patient is not an appropriate candidate for shoulder resurfacing, there are alternative treatments available. These include conservative methods such as physical therapy, medication, or corticosteroid injections. In severe cases, a total shoulder replacement may be recommended by your doctor.

How soon can I return to work after shoulder resurfacing surgery?

This depends on the type of your occupation. If you have a desk job, you might be able to return to work within a couple of weeks. However, for more physically demanding jobs, it could take several months before you can return to full duty.

Can I drive after my shoulder resurfacing surgery?

You should be able to drive once you recover full shoulder function and are off pain medication that can impair your ability to drive safely, which usually takes about 6 weeks after the surgery.

Will there be a significant scar post shoulder resurfacing surgery?

The advanced shoulder surgery India provides aims to minimise scarring via strategic incision placements and use of modern surgical techniques. However, some degree of scarring is inevitable but should fade over time.

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