Shoulder Replacement Surgery

Shoulder replacement surgery

Table of Contents

Shoulder Replacement Surgery

What is Shoulder Replacement Surgery?

Shoulder replacement surgery involves removing damaged areas of your shoulder and replacing them with artificial parts. The procedure is performed to relieve pain and improve mobility. You might need a shoulder replacement if you have severe arthritis or a fracture in your shoulder joint.

General information about Shoulder Replacement Surgery

The following table describes general information about Shoulder Replacement Surgery including Shoulder Replacement Surgery cost in Iran, recovery time, and to name but a few.

General Information  
Cost $ 2000- 3500
Anesthesia General/Local
Hospital Stay 2-3 Days
Back to Work 2-4 Weeks
Duration of Operation 2 Hours
Minimum Stay in Iran 1-3 Weeks

About Iranian Surgery

Iranian surgery is an online medical tourism platform where you can find the best orthopedic Surgeons and hospitals in Iran. The price of a Shoulder replacement Surgery in Iran can vary according to each individual’s case and will be determined based on photos and an in-person assessment with the doctor. So if you are looking for the cost of Shoulder replacement Surgery in Iran, you can contact us and get free consultation from Iranian surgery.

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Before Shoulder Replacement Surgery

Why it’s done

Some conditions that may require a shoulder replacement include:

. Osteoarthritis. This type of arthritis is common in older people. It occurs when the cartilage that pads bones wears away.

. Rheumatoid arthritis (RA). With RA, your immune system mistakenly attacks your joints, causing pain and inflammation.

. Avascular necrosis. This condition happens when loss of blood to a bone occurs. It can cause damage and pain in the shoulder joint.

. Severe Fractures. A severe fracture of the shoulder is another common reason people have shoulder replacements. When the head of the upper arm bone is shattered, it may be very difficult for a doctor to put the pieces of bone back in place. In addition, the blood supply to the bone pieces can be interrupted. In this case, a surgeon may recommend a shoulder replacement. Older patients with osteoporosis are most at risk for severe shoulder fractures.

. Post-traumatic arthritis: there are some specific injuries, like fractures, causing the cartilage, tendons, and ligaments damage. They need immediate attention and usually should be treated with a shoulder joint replacement.

. Rotator cuff tear arthropathy: muscles and tendons surrounding your shoulder joint are called rotator cuff. When one or more muscles are injured, partial or complete rotator cuff tear happens. As a result, shoulder joint changes, causing arthritis and severe pain. This condition should be treated through medications, physiotherapy, or surgery.

Anatomy of the shoulder

Your shoulder is made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle). The shoulder is a ball-and-socket joint: The ball, or head, of your upper arm bone fits into a shallow socket in your shoulder blade. This socket is called the glenoid.

The surfaces of the bones where they touch are covered with articular cartilage, a smooth substance that protects the bones and enables them to move easily. A thin, smooth tissue called synovial membrane covers all remaining surfaces inside the shoulder joint. In a healthy shoulder, this membrane makes a small amount of fluid that lubricates the cartilage and eliminates almost any friction in your shoulder.

The muscles and tendons that surround the shoulder provide stability and support.

All of these structures allow the shoulder to rotate through a greater range of motion than any other joint in the body.

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Who is a good candidate for Shoulder Replacement Surgery?

Shoulder replacement surgery is usually recommended for people who have severe pain in their shoulder and have found little or no relief from more conservative treatments.

Your doctor can help you decide if shoulder replacement surgery is the best option for you.

People who have good results with shoulder surgery commonly have:

. Weakness or loss of motion in the shoulder

. Severe pain in the shoulder that interferes with everyday life

. Pain while resting or during sleep

. Little or no improvement after trying more conservative therapies, such as medications, injections, or physical therapy.

Who is not a good candidate for Shoulder Replacement Surgery?

This type of surgery is less successful in people with:

. Diabetes

. Depression

. Obesity

. Parkinson’s disease

How to prepare for the surgery

Several weeks before your procedure, your doctor may suggest that you have a complete physical exam to determine if you’re healthy enough for surgery.

You might need to stop taking certain medications a couple of weeks before the shoulder replacement. Some medications, including nonsteroidal anti-inflammatory drugs (NSAIDs) and arthritis therapies, can cause too much bleeding. Your physician will also tell you to stop taking blood thinners.

On the day of your procedure, it’s a good idea to wear loose-fitting clothing and a button-up shirt.

You’ll probably stay in the hospital for 2 or 3 days after surgery. Since driving is only recommended after you’ve regained normal motion and strength in your shoulder, you should arrange for someone to take you home from the hospital.

Most people require some assistance for about six weeks after surgery.

If you’re having a general anaesthetic, you’ll have been asked to follow fasting instructions. This means not eating or drinking, typically for about six hours beforehand. However, it’s important to follow your surgeon or anaesthetist’s advice.

Your surgeon will discuss with you what will happen before, during and after your procedure, and any pain you might have. Once you understand the procedure and if you agree to have it, your doctor will ask you to sign a consent form.

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Side-effects of a shoulder replacement

Side-effects are the unwanted but mostly temporary effects you may get after having the operation.

After shoulder replacement surgery you may have:

. Discomfort or pain in your shoulder

. Some difficulty moving your shoulder due to pain and weakness

. Numbness around your scar

. Swelling of your fingers

. Numbness or tingling in your arm and fingers, especially if you’ve had a local (regional) anaesthetic.

However, these side-effects should gradually settle over four to six weeks.

Complications of a shoulder replacement

Complications are when problems occur during or after the operation. These complications don’t happen very often, but it’s good to be aware of them.

The possible complications of any operation include an unexpected reaction to the anaesthetic and excessive bleeding. You may also develop a blood clot, usually in a vein in the leg (deep vein thrombosis).

Some of the complications of shoulder replacement are listed below.

. Instability of your shoulder joint, which may even move out of its socket (dislocate).

. Infection of the wound or joint. Your surgeon may give you antibiotics around the time of surgery to help prevent this.

. Loosening of the replacement parts, especially the new ‘socket’ part in the shoulder.

. Fracture (breakage) of your upper arm bone either during or after the operation.

. Accidental damage to nerves, muscles and blood vessels around your shoulder. Over time, some nerve injuries may improve and even recover completely.

In some cases, these complications might mean you have to have a further operation on your shoulder. If you want to know more about possible complications, ask your surgeon.

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During Shoulder Replacement Surgery

Types of shoulder replacement

There are several different types of shoulder replacement. Your surgeon will discuss with you what would be the best procedure in your particular circumstances. This will depend on the condition of the muscles around your shoulder, the stability of your shoulder and the strength of your bones.

The four main types of shoulder replacement procedure are described here.

. Reverse shoulder replacement

This is the most commonly used shoulder replacement procedure. It gets its name from the fact that the positions of the ball and socket in your joint are switched around. A metal ball is attached to your shoulder blade, where your socket was before. And a new socket is attached to the top of your upper arm, where the ball was before. The new ball and socket each have a stem which, together with special cement, helps anchor them to your bone.

. Total shoulder replacement

A total shoulder replacement is the second most common type of shoulder replacement procedure. If you have this type of operation, your surgeon will replace the ball at the top of your upper arm with a new metal ball. They’ll also replace the socket in your shoulder blade with a new socket. These replacements mimic the original structure of your shoulder.

. Partial shoulder replacement (hemiarthroplasty)

In a partial shoulder replacement, only the ball at the top of your upper arm is replaced. The new metal ball will then move within your existing socket.

. Shoulder resurfacing

When the surgeon does not replace your joint with a prosthetic ball-and-socket joint, he might recommend a shoulder resurfacing as an alternative. In this operation, the damaged head is manipulated and resurfaced with a metallic head.

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What happens during the procedure?

During procedure

Shoulder replacement surgery typically takes about two hours. You might receive general anesthesia, which means you’ll be unconscious during the procedure, or regional anesthesia, which means you’ll be awake but sedated.

During the surgery, doctors replace the damaged joint “ball,” known as the humeral head, of the shoulder with a metal ball. They also place a plastic surface on the “socket” of the shoulder, known as the glenoid.

Sometimes, a partial shoulder replacement can be performed. This involves replacing only the ball of the joint.

After your procedure, you’ll be taken to a recovery room for several hours. When you wake up, you’ll be moved to a hospital room.

What are the alternatives to shoulder replacement?

Your surgeon will usually only recommend that you have shoulder replacement surgery if other treatments haven’t worked for you. These may include:

. Physiotherapy

. Non-steroidal anti-inflammatory medicines

. Steroid joint injections

. Shoulder arthroscopy (keyhole surgery)

After Shoulder Replacement Surgery

What to expect after a shoulder replacement

You may need to stay in hospital for two to three days after your operation, depending on how good your general health is.

If you have a local anaesthetic, it may take several hours before the feeling comes back into your treated shoulder. You’ll be given pain relief to help with any discomfort as this happens. Tell your nurse if you’re still in pain.

You may have fine tubes running out from your wound. These drain fluid into a bag and are usually removed after a day or two.

You’ll probably be able to eat normally and get out of bed the day after your surgery.

A physiotherapist will visit you after your operation. They’ll guide you through exercises and ways to move your shoulder to help you recover. Your surgeon will probably want you to start moving your shoulder from the first day after your operation. This helps to prevent stiffness and will help your shoulder to heal. It’s very important that you follow the advice you’re given about how to move your shoulder.

You may have an X-ray taken of your new joint while you’re in hospital.

Your nurse should 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.

Having a general anaesthetic can temporarily affect your co-ordination and reasoning skills. So you mustn’t drive, drink alcohol, operate machinery or sign legal documents for 24 hours afterwards.

Recovering from a shoulder replacement

It usually takes at least three to six months to make a full recovery from a shoulder replacement.

For up to four weeks after the operation, you may need to keep your arm in a sling, especially at night. Your surgeon or physiotherapist will give you specific advice about when to wear your sling.

Within a few weeks after surgery, you should be able to do simple everyday tasks like washing and dressing yourself. Don’t place your arm in any extreme positions (such as straight out to your side or behind your back) for six weeks after your operation.

Your surgeon may recommend that you don’t lift anything heavier than a cup of tea for the first six weeks after your operation. Don’t do any heavy lifting or contact sports for at least six months.

Ask your surgeon for advice about returning to work and other activities. You may be able to drive again by about four weeks after the operation, but this will depend on how well you are recovering. You must be able to control your vehicle and perform an emergency stop. 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.

It’s usual for you to be given some painkillers to take home with you when you leave hospital. Always read the patient information leaflet that comes with the medicine and if you have any questions, ask your pharmacist. Some people need painkillers for longer than others. If you’re in a lot of pain, contact the hospital or your surgeon for advice.

It’s important to continue to do the exercises your physiotherapist recommends. These will help your shoulder to heal and may help you to recover more quickly.

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Do’s and Don’ts

The success of your surgery will depend largely on how well you follow your orthopaedic surgeon’s instructions at home during the first few weeks after surgery. Here are some common do’s and don’ts for when you return home:

. Don’t use the arm to push yourself up in bed or from a chair because this requires forceful contraction of muscles.

. Do follow the program of home exercises prescribed for you. You may need to do the exercises 2 to 3 times a day for a month or more.

. Don’t overdo it! If your shoulder pain was severe before the surgery, the experience of pain-free motion may lull you into thinking that you can do more than is prescribed. Early overuse of the shoulder may result in severe limitations in motion.

. Don’t lift anything heavier than a glass of water for the first 2 to 4 weeks after surgery.

. Do ask for assistance. Your physician may be able to recommend an agency or facility if you do not have home support.

. Don’t participate in contact sports or do any repetitive heavy lifting after your shoulder replacement.

. Do avoid placing your arm in any extreme position, such as straight out to the side or behind your body for the first 6 weeks after surgery.

Many thousands of patients have experienced an improved quality of life after shoulder joint replacement surgery. They experience less pain, improved motion and strength, and better function.

Will I be in pain after my shoulder replacement?

It’s natural to feel some pain after a surgical operation, but don’t worry – immediately after your operation, and while you’re in hospital, you’ll be given pain-relieving medicines. You may be given an injection, tablets to swallow, or have the medicine via a patient-controlled system. This allows you to control the amount of pain relief you receive.

In some cases, even if you have a general anaesthetic, your doctor will also inject a local (regional) anaesthetic into your shoulder. This continues to numb your shoulder even after you wake up.

Before you go home, you can discuss pain relief with your nurse or surgeon. They’ll usually give you some suitable painkillers to take with you. Always read the patient information leaflet that come with your medicine and, if you have any questions, ask your pharmacist for advice.

If your pain is severe or doesn’t improve, contact the hospital or your surgeon for more advice.

How long will shoulder replacement last?

It’s difficult to say just how long your shoulder replacement will last. Experts estimate that most modern shoulder replacements will last for at least 15 to 20 years.

Revision surgery for a shoulder replacement is rarely needed.

Shoulder replacement surgery cost

How much does shoulder replacement cost in Iran?

The cost of shoulder replacement surgery in Iran is between $ 2000-3500.

Overall Shoulder replacement Surgery cost in Iran vs. other countries

Shoulder replacement Surgery cost in Iran vs. Shoulder replacement Surgery cost in the USA

The average cost of Shoulder replacement Surgery in Iran is 240 percent less than the cost of Shoulder replacement Surgery in the USA.

Shoulder replacement Surgery cost in Iran vs. Shoulder replacement Surgery cost in the UK

The average cost of Shoulder replacement Surgery in Iran is 280 percent less than the cost of Shoulder replacement Surgery in the UK.

Shoulder replacement Surgery cost in Iran vs. Shoulder replacement Surgery cost in India

The average cost of Shoulder replacement Surgery in Iran is 40 percent less than the cost of Shoulder replacement Surgery in India.

Shoulder replacement Surgery cost in Iran vs. Shoulder replacement Surgery cost in Mexico

The average cost of Shoulder replacement Surgery in Iran is 70 percent less than the cost of Shoulder replacement Surgery in Mexico.

Shoulder replacement Surgery cost in Iran vs. Shoulder replacement Surgery cost in Canada

The average cost of Shoulder replacement Surgery in Iran is 330 percent less than the cost of Shoulder replacement Surgery in Canada.

Shoulder replacement Surgery cost in Iran vs. Shoulder replacement Surgery cost in Australia

The average cost of Shoulder replacement Surgery in Iran is 280 percent less than the cost of Shoulder replacement Surgery in Australia.

Shoulder replacement Surgery cost in Iran vs. Shoulder replacement Surgery cost in Turkey

The average cost of Shoulder replacement Surgery in Iran is 70 percent less than the cost of Shoulder replacement Surgery in Turkey.

Shoulder replacement Surgery cost in Iran vs. Shoulder replacement Surgery cost in Russia

The average cost of Shoulder replacement Surgery in Iran is 280 percent less than the cost of Shoulder replacement Surgery in Russia.

Shoulder replacement Surgery cost in Iran vs. Shoulder replacement Surgery cost in Pakistan

The average cost of Shoulder replacement Surgery in Iran is 80 percent less than the cost of Shoulder replacement Surgery in Pakistan.

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12 Responses

  1. I am a golf player and I have to be ready for golf champion but unfortunately I shuld have a surgery, can I golf after shoulder replacement?

    1. The average time from shoulder arthroplasty to play an entire round of golf was 4.5 months. Eighteen patients were able to report their preoperative handicap and noted an average improvement after surgery of almost 5 strokes. Most surgeons nearly 91% encouraged such patients to resume playing golf.

  2. What can I do to treat shoulder pain that has been reported in the MRI rotator rupture???? I am 30 years old. About a month ago I was hit by a wall in the palm of my hand. The severity of the trauma was not great, but then I had pain in the shoulder area. I was diagnosed by a radiologist and MRI physician, and at MRI it was reported that the rotator cuff tendon in my shoulder was torn.

    I went to two doctors, one doctor suggested surgery as soon as possible and the other twenty sessions of physiotherapy and then surgery if needed. My question is, if surgery is needed fast, is it physiotherapy and postponing it?

    1. There are disagreements among doctors about the type of treatment for rotator cuff rupture. In the meantime, the following tips can help you make your decision.
      There are two types of treatment for this injury. Non-surgical treatments which include rest and reduction of physical activity, use of anti-inflammatory drugs and physiotherapy. And another surgical treatment involves removing damaged tissue and repairing ruptures if possible
      Non-surgical treatment is effective in half of cases. So as a first step, non-surgical treatment can be performed and surgical treatment can be performed if the treatment is not responded appropriately.
      In some cases, your doctor may recommend surgical treatment first before trying non-surgical treatment. These include: extensive ruptures, acute pain with severe pain, rupture of the shoulder of the active individual, rupture with severe muscle weakness. Therefore, depending on the type of treatment for the patient, the physician’s advice to the patient will vary. If the physician thinks that problems with rupture can be controlled by resorting to non-surgical procedures, he or she will initiate them, which is a part of physiotherapy, and if he / she finds that non-surgical treatment will have no effect on the patient’s rotator cuff rupture. Perform surgery if necessary.

    1. Your doctor will try to treat any fracture, treat it appropriately, and take into account the patient’s general health status and the facilities available. Certainly, when all variables are in good condition, the outcome of treatment is better.
      It is quite natural that the result of treatment for a two-part fracture with little displacement in a healthy young person can be found in a well-equipped and specialized medical center. In a broken shoulder fracture, the doctor will be able to perform well if he is able to remove the major fractures and put them in proper alignment.
      When crushing is so severe that it is not possible to remove it, removing all fracture fragments and replacing them with an artificial joint can have good therapeutic results.

    1. Physiotherapy sessions may vary depending on the patient’s condition, extent of injury, and other factors.

    1. This is a very personal decision that can only be made with the help of an orthopedic surgeon’s assessment of pain and its impact on daily life.

    1. The sensitivity of every metal detector is different, and it is possible that a shoulder replacement implant might cause the machine to go off.

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