Mrs. Sarita   (Pilibhit - UP)
Tumour Removal and proximal femoral replacement
I was diagnosed with Giant Cell Tumour of my femur bone. I underwent surgery at Bareilley...
Mrs. Manju Kakkar   (Otrem Lines)
I had been suffering from pain in my knees for a long time. I was scared to undergo surgery because of...
What's New in joint Replacement Surgery
Unicondylar Knee Replacement  
The knee is made up of two halves. The inner half and the outer half. in very young patients...

Computer Assisted Knee Replacement  
Total knee replacement is a precision surgery. Use of a mini Computer pod assists the surgeon with ....

Personalized Knee Systemst  
Every year millions of people around the world undergo knee replacement surgery...
Shoulder Replacement
With increasing life span of our population is increasing the shoulder joint also undergoes degeneration like the hip and the knee joint. Osteoarthritis of the Shoulder is a very common problem in the elderly. State of the art shoulder prosthesis is now available which can be implanted in selected patients. This prosthesis gives very satisfactory pain relief. The patients who undergo such surgery regain a lot of their shoulder movement back. Shoulder replacement is also a good alternative in treating patients with fracture of the upper end of the arm bone (Humerus). In the elderly patients the bones of the arm are so weak that operative fixation often fails. A replacement of the shoulder joint gives early rehabilitation and pain relief

Some patients with arthritis of the shoulder also have poor strength in a specific group of muscles called rotator cuff. In these patients a regular total shoulder replacement does not give the desired shoulder movement. A reverse shoulder is a new type of prosthesis, which is useful in these patients helping them to regain functional range of movement.

Reverse total shoulder replacement arthroplasty enables experienced shoulder surgeons to treat patients with conditions that previously had no solution. These conditions include rotator cuff tear arthroplasty instability with anterosuperior escape pseudoparalysis and failures of surgery for arthritis and facture management.

After performing a clinical exam a shoulder surgeon experienced with rotator cuff tear arthropathy can suggest what type of surgery is most likely to be helpful to the individual with the condition. Individuals are most likely to benefit from this surgery if they are well motivated and in good health.

Rotator cuff tear arthropathy is a complex shoulder problem that occurs when there is a large tear of the rotator cuff tendons that causes arthritis in the glenohumeral (shoulder) joint. In a normal shoulder, the rotator cuff tendons hold the humerus (ball) centered in the glenoid (socket). When there is a large tear, the humerus migrates upward and there is loss of cartilage. In this condition, a stan dard rotator cuff repair will not be effective because it will not help the arthritis, and a traditional shoulder replacement will not be effective because the shoulder will continue to be in a position upward out of the joint.

This is a 70-year-old gentleman who sustained a very shattered fracture of the elbow joint. In such case scenario where there are multiple small bony fragments that cannot be fixed we opt for an elbow replacement. This gentleman under went total elbow replacement and he went home on the third day of surgery. Earlier these patients were treated in prolonged plaster cast. After an elbow replacement the patient can be mobilised early and is able to lift tolerable load from a very early period after surgery.
Case Study