Shoulder Replacement Surgery
Indications:
Total Shoulder Arthroplasty (Shoulder Replacement Surgery) is recommended for patients with severe shoulder joint damage that leads to persistent pain, stiffness, and significant restriction in daily activities. The most common indication is advanced osteoarthritis, where the smooth cartilage covering the joint surfaces gradually wears away, resulting in painful bone-on-bone contact.
Other conditions that may require shoulder replacement include rheumatoid arthritis, which causes chronic inflammation and joint destruction, rotator cuff arthropathy associated with large tendon tears, and complex fractures of the proximal humerus that cannot be effectively treated with fixation. In some cases, avascular necrosis of the humeral head may also lead to joint collapse and require replacement.
Surgery is generally considered when conservative treatments such as medications, physiotherapy, activity modification, and intra-articular injections fail to provide adequate and sustained relief.
Technique:
The procedure is performed under strict sterile operating room conditions using advanced surgical techniques and specialized instruments. A deltopectoral approach is commonly used, where an incision is made along the front of the shoulder to safely access the joint without disturbing major muscles.
The humeral head (ball) is exposed and resected using precise cutting guides. The humeral canal is then prepared to accommodate a metallic stem, which provides stable fixation within the upper arm bone. Attention is then directed to the glenoid (socket), where the worn-out cartilage is removed, and the surface is carefully prepared.
A polyethylene glenoid component is implanted into the socket to create a smooth articulating surface. The humeral component, typically made of cobalt-chromium or similar durable alloy, is then inserted and aligned properly. In selected cases, especially where the rotator cuff is deficient, a reverse shoulder replacement design may be used to improve joint mechanics.
Soft tissue balancing is performed to ensure joint stability, proper tension, and optimal range of motion before closure.
Objective:
The primary objective of Total Shoulder Arthroplasty is to relieve chronic shoulder pain, restore joint function, and improve overall mobility of the upper limb. The procedure aims to re-establish smooth articulation between the joint surfaces, allowing improved range of motion, particularly in elevation and rotation of the arm.
By replacing the damaged joint with durable prosthetic components, shoulder replacement enables patients to perform daily activities such as lifting, reaching, and grooming with significantly less discomfort. It also helps improve strength, stability, and quality of life, especially in patients with long-standing joint degeneration.
Shoulder Replacement Surgeon in Hisar – Dr. Sahil Girdhar
If you are dealing with persistent shoulder pain, stiffness, or difficulty in lifting your arm, shoulder replacement surgery may be the right solution. Dr. Sahil Girdhar is a trusted name in Hisar for advanced orthopaedic care, known for his patient-focused approach and use of modern surgical techniques.
With over 7+ years of experience in joint replacement and minimally invasive procedures, Dr. Girdhar has helped many patients regain shoulder function and return to a more active and comfortable lifestyle. His focus is not only on relieving pain but also on restoring strength and improving overall quality of life.
What Is Shoulder Replacement Surgery?
Shoulder Replacement, also known as Shoulder Arthroplasty, is a surgical procedure used to treat severe damage to the shoulder joint caused by arthritis, injury, or degeneration.
In this procedure, the damaged parts of the shoulder joint are replaced with artificial components (prosthesis), allowing smooth and pain-free movement.
The main goals of shoulder replacement surgery include:
- Reducing or eliminating chronic shoulder pain
- Restoring joint movement and flexibility
- Improving strength and arm function
- Helping patients return to daily activities comfortably
Patients suffering from osteoarthritis, rheumatoid arthritis, rotator cuff arthropathy, or complex fractures often benefit from this procedure.
Step-by-Step Process of Shoulder Replacement Surgery
Understanding the process helps patients feel more confident and prepared.
1. Pre-Surgery Preparation
Consultation and Diagnosis
The process begins with a detailed evaluation by Dr. Sahil Girdhar. Imaging tests such as X-rays, MRI, or CT scans are used to assess the extent of joint damage and determine the need for surgery.
Pre-Surgical Planning
Before surgery, the doctor discusses:
- Type of shoulder replacement (total or reverse)
- Implant selection and durability
- Expected recovery timeline
- Patient’s medical history and existing conditions
Proper medical clearance is taken to ensure safe surgery.
Day Before Surgery
Patients are usually advised to:
- Avoid eating or drinking after midnight
- Stop certain medications if required
- Follow all pre-operative instructions carefully
2. During the Surgery
Anesthesia
The procedure is performed under general or regional anesthesia to ensure comfort.
Surgical Approach
A carefully planned incision is made over the shoulder to access the joint.
Removal of Damaged Joint
The damaged humeral head (ball) and worn-out cartilage are removed.
Placement of Artificial Implant
The artificial joint typically includes:
- A metal ball component replacing the humeral head
- A stem inserted into the upper arm bone
- A socket component (if needed) placed in the shoulder blade
These components work together to restore smooth movement.
Closure
After proper placement and alignment, the tissues are repaired and the incision is closed.
3. Recovery After Shoulder Replacement
Immediate Post-Surgery Care
Patients are monitored closely, and pain is managed with medications.
Physiotherapy and Rehabilitation
Rehabilitation usually starts within a few days. Gradual exercises help improve strength and mobility.
Recovery Timeline
- Sling support for a few weeks
- Gradual return to daily activities
- Full recovery typically in 3–6 months
Who Should Consider Shoulder Replacement Surgery?
You may need to consult a shoulder specialist if you experience:
- Persistent shoulder pain not relieved by medication
- Difficulty lifting or rotating the arm
- Stiffness and reduced range of motion
- Pain that affects sleep or daily activities
- Weakness in the shoulder joint
- Arthritis not improving with non-surgical treatment
Benefits of Shoulder Replacement Surgery
Shoulder replacement is a highly effective procedure with long-term benefits:
- Significant pain relief
- Improved shoulder movement and flexibility
- Better strength and function
- Ability to perform daily tasks independently
- Long-lasting results with durable implants
- Improved overall quality of life
Why Choose Dr. Sahil Girdhar for Shoulder Replacement in Hisar?
Patients trust Dr. Sahil Girdhar for his expertise and patient-centered care.
Key reasons include:
- Advanced and precise surgical techniques
- Personalized treatment planning
- Use of modern diagnostic tools
- Comprehensive post-operative care
- Structured rehabilitation programs
Patients are treated in a well-equipped medical facility with a skilled support team focused on safe and effective recovery.
Dr. Sahil Girdhar – Orthopaedic Specialist in Hisar
The shoulder joint plays a vital role in everyday activities like lifting, reaching, and carrying. Any problem in this joint can significantly impact daily life.
Dr. Sahil Girdhar specializes in:
- Shoulder replacement surgery
- Joint replacement procedures
- Minimally invasive orthopaedic surgery
- Treatment of complex joint conditions
His approach focuses on accurate diagnosis, patient education, and long-term recovery outcomes.
Take the First Step Toward Pain-Free Movement
Living with shoulder pain can limit your independence and comfort. With the right treatment, you can regain strength, movement, and confidence.
Dr. Sahil Girdhar is committed to helping patients achieve pain-free mobility through advanced care and compassionate treatment.
Your recovery and well-being are always the top priority.
“When we care, it’s love — not work.”
Dr. Sahil Girdhar
1. When is shoulder replacement surgery recommended?
It is recommended when severe shoulder pain and stiffness do not improve with medications, physiotherapy, or injections, especially in cases of arthritis or joint damage.
2. How long does shoulder replacement surgery take?
The surgery usually takes around 1.5 to 2 hours, depending on the complexity of the case.
3. How long does it take to recover after surgery?
Basic recovery takes a few weeks, while full recovery with strength and mobility may take 3–6 months.
4. Will I regain full movement of my shoulder?
Most patients experience significant improvement in movement and pain relief, especially with proper physiotherapy.
5. How long do shoulder implants last?
Modern shoulder implants can last 15–20 years or longer, depending on usage and care.
6. Is physiotherapy necessary after shoulder replacement?
Yes, physiotherapy is essential for restoring strength, flexibility, and proper joint function.