Shoulder replacement surgery : Prosthesis cost in Türkiye 2024

Shoulder replacement prosthesis: An overview

A shoulder replacement prosthesis is an artificial joint that is surgically implanted to replace worn or damaged joint surfaces in the shoulder.

This treatment is generally considered a last resort when conservative treatments (medications, physical therapy) are no longer able to relieve pain and stiffness or improve range of motion. Osteoarthritis is one of the most common indications for shoulder replacement surgery.

When should you consider a shoulder replacement?

Does persistent pain and loss of shoulder mobility interfere with your daily activities? Have conservative treatments reached their limits? A shoulder replacement may be the right solution for you.

The main indications for shoulder replacement include:

• Severe osteoarthritis of the shoulder: when the cartilage of the joint is worn away, causing severe pain and limited range of motion.
• Irreparable tear of the rotator cuff: A group of muscles and tendons that hold the shoulder joint in place. If these tendons are severely damaged, a prosthesis may be required.
• Complex shoulder fractures: Some fractures can cause irreversible damage to the joint, requiring reconstruction with a prosthesis.
• Humeral head necrosis: The death of bone cells in the head of the humerus, which can be caused by a variety of factors.

Types of shoulder replacement prosthesis in Türkiye

The choice between the various types of shoulder prostheses depends on several factors. These include the quality of the bone tissue, the type of pathology, the condition of the soft tissues, and the patient's age. The procedure, performed in Türkiye, consists of the resection of the joint components which are replaced by artificial prosthetic components composed of different metal alloys and plastic materials (polyethylene).

This table summarizes the different types of shoulder prostheses and their indications:

Total and reverse shoulder replacements can be used to treat other conditions, such as chronic shoulder infections or autoimmune diseases that affect the shoulder.

Advances in shoulder replacement technology in Türkiye

Over the years, there have been many advances in shoulder replacement technology in Turkey. These developments are aimed at improving the durability, longevity, and overall performance of shoulder replacements.

One notable advancement is the use of 3D printing in the manufacture of shoulder prostheses. This technology enables the creation of custom implants that better match the patient's anatomy, resulting in improved fit and functionality.

In addition, new prosthetic designs incorporate materials with increased wear resistance, reducing the need for future revisions or replacements. These advances contribute to improved success and satisfaction rates in shoulder replacement surgery.

How a shoulder prosthesis is fitted?

The orthopedic surgeon will tailor the surgical technique to the condition of your shoulder and the type of prosthesis chosen.

Shoulder replacement surgery is performed under general anesthesia, combined with local anesthesia of the arm to help manage pain after surgery. The surgeon makes an incision in the shoulder to gain access to the joint. The damaged parts of the shoulder are then removed and replaced with the prosthetic components.

For an inverted prosthesis, an additional step involves smoothing the surface of the shoulder socket (glenoid) to optimize fixation of the prosthesis.

The individual components of the prosthesis are fixed to the bone with screws and bone cement.

Postoperative phase

After the shoulder prosthesis is fitted, you will be admitted to the hospital for about 48 hours under medical supervision. An elbow sling will keep your arm immobile for the first few weeks to promote healing.

It's important to ice your shoulder regularly and perform gentle pendulum movements to limit pain and stiffness. Your physical therapist will guide you in the exercises you need to do to regain optimal range of motion.

Full recovery usually takes 4 to 6 months. Regular follow-up visits with your surgeon will allow you to monitor your progress.

Advantages of shoulder prosthesis

These artificial joints provide durable and adaptable options, whether due to degenerative conditions, trauma, or arthritis. By reproducing the natural movements of the shoulder, they restore the range of motion and relieve chronic discomfort.

Additionally, shoulder prostheses not only improve physical well-being, they also impact mental and emotional well-being. They allow people to regain their independence, participate in activities they enjoy, and ultimately regain their independence.

The transformative power of shoulder prostheses is undeniable, as demonstrated by the many success stories. By considering this life-changing solution, individuals can free themselves from pain, and regain vitality and a sense of well-being.

Risks of shoulder replacement surgery

Your general health will affect the success of your surgery. Shoulder replacement surgery carries risks, although it is generally well tolerated. Possible complications include

• Infection: Infection can occur, sometimes requiring removal and replacement of the prosthesis. Signs of infection include persistent pain, fever, and swelling.
• Dislocation: The prosthesis may dislocate, causing pain and limited movement.
• Loosening: The fixation of the prosthesis may loosen over time, requiring additional surgery.
• Nerve damage: Nerves may be damaged during surgery, causing weakness or numbness in the shoulder.

Your surgeon will discuss the specific risks associated with your situation.