Every year thousands of people suffer from different kinds of fractures and broken bones in different parts of their body. It can happen due to numerous reasons. One of the most common areas which get affected with a fracture is the shoulder. A shoulder fracture can be really painful and will not allow you to carry on with your daily activities.
So, if the doctor you visited has suggested you to undergo a reverse shoulder replacement, here are all the details that you should know about it.
What is Reverse Shoulder Replacement?
A reverse shoulder replacement is very much similar to the general anatomy of the shoulder. In the normal shoulder anatomy a cup is fitted into the shoulder glenoid and along with it, a metal ball is joined to the top of the upper arm bone. But it is exactly the opposite in a reverse shoulder replacement. The metal ball and the socket are switched. The metal ball is attached to the socket and the plastic cup on the upper end of the humerus. The reverse shoulder replacement works in a much better way for the people who have cuff tear arthropathy since it relies on different muscles to make the arm move.
So this is the main aspect of this kind of replacement. Now we will discuss the different reasons because of which the people undergo this process of the shoulder replacement.
When To Undergo Reverse Shoulder Replacement?
Here are some situations during which a person needs to undergo a reverse shoulder replacement.
● When there is a completely torn rotator cuff that cannot be repaired by any means.
● Patients who have underwent an unsuccessful shoulder replacement.
● Chronic shoulder pain and due to difficulty lifting your arm away from your side or over your head.
● When a person suffering from a complex fracture of the shoulder joint.
● A chronic shoulder dislocation also leads to this replacement.
● Shoulder replacement is also required when there is a tumor of the shoulder joint.
Complications of Reverse Shoulder Replacement:
Any kind of surgery comes with a set of complications. Since this surgery is highly technical, there can be different risks related to it. The different complications include bleeding, nerve damage or even postoperative infections. Other than that there are certain complications related to reverse shoulder replacement after it has been operated. This includes - wear, loosening or even dislocations of the different components used to operate the replacement.
Final Verdict - Before you undergo a reverse shoulder replacement, make sure share all your medical and health details with the doctor so that no serious damage is faced.
Oa is a chronic progressive degenerative disease, medical cure of which is still not possible. The last and only resort to get rid of the severe knee pain and deformity is total knee replacement surgery.
Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced with artificial joints, such as metallic, plastic and ceramic joints.
These surfaces closely replicate the original anatomy.
When do you need a knee replacement?
When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade IV osteoarthritic knees of people over 50 years when have pain, swellingand deformity fail to respond to medicines, physiotherapy, injections and rest.
Aim of the surgery:
With age, the mobility and flexibility of the knee joint reduces significantly. This can affect one’s lifestyle as simple activities such as walking or lying down become painful and difficult. Moreover, there is the emotional stress resulting from an inability to perform routine activities smoothly. In short, any serious problem of the knee joint can affect your ability to function well.
Apart from medications and exercise, the only way to permanently treat such problems in the knee is to go for a joint replacement surgery. The Subvastus approach is often considered to be the best form of knee replacement for a number of reasons.
Subvastus Knee Replacement:
Here is a look at the step-by-step procedure for performing a subvastus total knee replacement surgery:
Advantages of Subvastus Knee Replacement:
This form of surgery is greatly preferred over the conventional knee replacement surgeries. Its benefits include-
Given the advantages, If you are eligible for the subvastus knee replacement surgery, opt for it.
Knee injuries are the most complex injuries of bone and cartilages. A direct hit can lead to this situation. You may get this injury while doing your daily activities. An activity as simple as walking or a deadly accident can lead to this injury. You never know, when you are left with a damaged knee. In critical cases, you are advised to undertake a joint replacement surgery conducted by experienced Orthopedic.
According to the latest studies, doctors replace more than a million knees or hips in a year in the United States. It is a life-changing procedure. But you need to know whether you are the right candidate or not? Follow the below-mentioned points to get a clear picture:
Reasons to replace your knee:
Nowadays, total knee joint replacement is a very common surgery for old age persons. As we all know, with the ageing process, our bone and joint degenerate which leads to pain. With increasing age, this degeneration of joint keeps on increasing and so the pain. We Indians, generally have the tendency of ignoring joint pain unless the pain adversely prevents them from carrying out their day to day activity.
A patient should consult a knee surgeon way before his/her knee gets damaged to a great extent so that a total knee joint replacement could be avoided by carrying out knee preserving surgeries. There are many knee preserving surgeries like high tibial osteotomy and unicondylar knee surgery which can be done in early osteoarthritis. If these procedures are done at a suitable time total knee joint replacement can be delayed as well as avoided.
Here are the 5 critical symptoms or signs that should never be ignored and immediately get addressed by a joint replacement surgeon.
1. Recurrent Severe Knee Pain: Not all knee pains validate the need for knee surgery. But if the knee pain becomes sever even by doing basic activities like -
Standing up after sitting for a long time
Standing for more than 10-15 minutes
Climbing up/down even a few stairs
Pain due to movements in bed while sleeping
Stepping in/out of a car or bus
And the pain does not go away even after taking painkillers and icing, it is very much possible that your knee joint bones have suffered irreparable damage and might require surgical intervention. An x-ray might show the extent of damage, based on which a knee surgeon can suggest the treatment protocol.
2. Stiffness or Limited range of Motion: Stiffness in joints is normal as human body ages. As the body ages, the ligaments and cartilages tend to wear out. They keep the joints lubricated and avoid friction between the bones. As they deteriorate, the friction between joints and stiffness increases while the range of motion gradually reduces. If this increased stuffiness is preventing a person from walking, sitting cross-legged, accompanied by aggravating pain, chances are you might need to consult an orthopedic surgeon.
3. Deformity: In osteoarthritis of the knee joint, there is in bowing or out bowing of the knee joint which is very obvious when we stand in front of a mirror with our exposed knee joint. This deformity causes point loading on cartilage which further aggravates the disease.
4. Gait change: Change in the alignment of the knee joint causes typical changes in person gait (walking style).
5. Instability: The weakening of ligaments and stiffness in joints generally leads to instability of the knee. It’s a bit difficult to identify & explain. However, if you get the feeling that your knee might give away and you might fall while trying to do basic activities, you should immediately get a consultation from a doctor. If untreated, the feeling can turn into actual fall. This cannot only affect the knee but cause other problems like fracture of other bones as well.
What if one continues to live with these signs: The beauty of the human body is that it tries to adapt itself based on the changes in the body. If the signs highlighted above are only present in one leg and if it is left untreated, the body will try to shift its weight to the better leg. Needless to say, this will make matter worse for the second leg and the problem which could have been treated by knee preserving surgeries like high tibial osteotomy and unilateral total knee replacement (single leg), might now need a bilateral total knee joint replacement. This is very important to notice that even if total knee joint replacement is done at a proper stage of disease (means with fewer deformities and less bony defects) the results of this joint replacement is far better than one which is done in advanced diseases with severe deformities and lots of Bony defects.
Why consult for Knee replacement?
Not all patients need to undergo Total Knee Replacement Surgery. If the knee damage is caught early on, only the realignment surgeries (that is high tibial osteotomy) will work and sometimes only the damaged part of the knee can be replaced (Unicondyler knee), and the person can have a more comfortable life. Partial knee replacement surgery gives freedom to a patient to perform all activities which he was doing earlier. There are absolutely no restrictions of movements after partial knee replacement surgery. A feeling of natural knee and movement is an advantage of partial over total replacement.
Knee injuries are the most complex injuries of bone and cartilages. A direct hit can lead to this situation. You may get this injury while doing your daily activities. An activity as simple as walking or a deadly accident can lead to this injury. You never know, when you are left with a damaged knee. In critical cases, you are advised to undertake a joint replacement surgery. According to the latest studies, doctors replace more than a million knees or hips in a year in the United States. It is a life-changing procedure. But you need to know whether you are the right candidate or not? Follow the below-mentioned points to get a clear picture:
Reasons to replace your knee-
When joint replacement may not help?
There are a number of situations when the joint replacement may not help. These are as follows:
The knee is a hinge joint where the lower leg bone tibia meets the thigh bone femur. During osteoarthritis, cartilage or ligament defects and degenerative arthritis, knee replacement surgery is recommended worldwide to get relief from extreme pain. Knee replacement surgery, also known as knee arthroscopy, is a surgical procedure, in which the affected knee joint is replaced with synthetic material. The most likely candidates for total knee replacement are the patients with severe destruction of the knee joint coupled with progressive pain and impaired function.
Modern technological advances have made computer-assisted knee replacement surgery extremely popular around the globe. In this surgery, the surgeon is assisted by a computer to remove the optimum amount and angle of the bone, which otherwise is done by inspecting manually. This is an excellent example of surgery through small incision and it eliminates the chances of human error. Perfect alignment and balance are achieved and hence longevity is also increased to 20 - 30 years. Knee replacement surgery is also specific to gender as the anatomy of male and female patients is different.
There are many types of knee replacements, most common being the total knee replacement or Total Knee Arthroplasty. In addition, there is a partial knee replacement, bilateral knee replacement, revision knee replacement and knee arthroscopy.
In knee replacement surgery, the worn out surfaces of joints of the knee are replaced with the artificial implant of plastic and metal. The lower end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channeled plastic implant with a metal stem. A plastic ball is also added under the kneecap depending on its condition. These artificial components are commonly referred to as prosthesis. The design of these highly flexible implants replicates knee, with the rotating knee replacement implants assist in the backward and forward swing of the legs.
Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. The post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, the patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, the patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping.
Knee replacement surgery — also known as knee arthroplasty (ARTH-row-plas-tee) — can help relieve pain and restore function in severely diseased knee joints. During knee replacement, a surgeon cuts away damaged bone and cartilage from your thighbone, shinbone and kneecap and replaces it with an artificial joint made of metal alloys, high-grade plastics and polymers.
Why is it done?
The most common reason for knee replacement surgery is to relieve severe pain caused by osteoarthritis. People who need knee replacement surgery usually have problems walking, climbing stairs, and getting in and out of chairs. Some also have moderate or severe knee pain at rest.
The procedure begins with you being administered general anesthesia, after which, an incision of 9-12 inches is made on the knee. The part of the joint that has been damaged is gotten rid of, following which the surfaces of the bone are redesigned to hold an artificial joint. Cement is used to attach the artificial joint to the shin, knee cap and the thigh bone. Once the fitting is complete, the artificial joint is supported by the surrounding muscles.
For most people, knee replacement provides pain relief, improved mobility and a better quality of life. Talk with your doctor about what you can expect from knee replacement surgery.
Three to six weeks after surgery, you generally can resume most daily activities, such as shopping and light housekeeping. Driving is also possible at around three weeks if you can bend your knee far enough to sit in a car and if you have enough muscle control to operate the brakes and accelerator.
After you've recovered, you can enjoy a variety of low-impact activities, such as walking, swimming, golfing or biking. But you should avoid higher impact activities — such as jogging, skiing, tennis and sports that involve contact or jumping. Talk to your doctor about your limitations.
The duration of the hospital stay is around 2-3 days. The effects of the surgery start becoming noticeable within a month of the surgery being carried out. Initially, you may require walking aids. It takes about 5-6 weeks to regain your ability to walk without any external or physical support.
You will have to undergo physical therapy after the surgery to improve your muscle strength. The physiotherapist may prescribe various exercises to strengthen the muscles around the knees. You need to follow certain precautions after the surgery; squatting and kneeling become certain activities which you should avoid. Avoid activities that places undue stress on the knees.
Lack of proper mobility due to stiffness and significant pain can be due to a number of bone and joint problems. Osteoarthritis, arthritis, rheumatoid arthritis, as well as injuries, trauma and inflammation of the knees are only some of the reasons why a patient may be experiencing joint pain. Apart from rest and medication, various surgical procedures may be considered as an option for, particularly severe cases. Partial knee replacement surgery is one such option. So, here are the five questions that you must ask an orthopaedic specialist about partial knee replacement surgery.
Get a complete check-up done in case you are facing persistent knee problems.