Shoulder & Ankle Joint Arthroplasty
Reverse Total Shoulder Replacement and Total Ankle Replacement reconstruct severe Glenohumeral and Talocrural joint arthritis, restoring arm lifting and foot walking function.
Clinical Overview & Disease Information
Reverse Total Shoulder Replacement and Total Ankle Replacement reconstruct severe Glenohumeral and Talocrural joint arthritis, restoring arm lifting and foot walking function.
Signs & Symptoms
- • Shoulder pain when reaching overhead
- • Ankle pain when stepping on uneven ground
- • Joint stiffness in morning
- • Inability to raise arm above shoulder height
- • Severe ankle stiffness preventing normal stride
- • Night pain disturbing sleep
- • Grinding sensation during shoulder or ankle motion
- • Sudden inability to feel or move fingers/toes
- • Acute shoulder dislocation
- • Severe ankle swelling with skin breakdown
Causes & Risk Factors
Primary Causes & Etiology
- Rotator cuff tear arthropathy (shoulder)
- Post-traumatic ankle osteoarthritis after fracture
- Rheumatoid arthritis affecting small joints
Who is at Higher Risk?
- Elderly patients with massive irreparable rotator cuff tears
- Athletes with history of severe ankle fractures
Diagnostic Evaluation & Testing
| Diagnostic Test | Clinical Purpose / What It Shows |
|---|---|
| 3D CT Scan of Shoulder & Ankle Joints | Evaluates glenoid bone stock and talar dome cartilage loss |
| MRI Shoulder / Ankle | Assesses rotator cuff tendon integrity and ankle ligaments |
Comprehensive Treatment Options
Minimally Invasive: Arthroscopic Joint Resurfacing & Debridement
Keyhole removal of bone spurs and loose bodies.
Surgical: Reverse Total Shoulder & Total Ankle Replacement
Reverses shoulder biomechanics using deltoid muscle; replaces ankle talus and tibia.
Advanced Medical Technologies Available in Partner Hospitals
Possible Complications If Untreated
Recovery Timeline, Diet & Lifestyle Care
Recovery Timeline
| Procedure / Stage | Expected Recovery Duration |
|---|---|
| Sling / Ankle Boot Immobilization | 2 to 4 weeks |
| Passive Range of Motion Exercise | 4 to 6 weeks |
| Active Strengthening & Walking | 8 to 12 weeks |
Recommended Post-Treatment Diet
- Protein rich diet
- Vitamin D3 & Calcium
- Collagen peptides
Essential Lifestyle Changes
- Wear shoulder sling or ankle walker boot as directed
- Avoid heavy lifting > 5kg
- Engage in dedicated physiotherapy
Prevention & Long-Term Health
Frequently Asked Questions
What is Reverse Shoulder Replacement?
It relies on the deltoid muscle instead of the torn rotator cuff to power and lift the arm.
Is ankle replacement better than ankle fusion?
Ankle replacement preserves walking motion, whereas ankle fusion locks the joint permanently.
Top Recommended Specialists Available
Dr. I P S Oberoi
Chairperson - Orthopaedics Program & Chief – Robotic Joint Replacement & Arthroscopy Surgery
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Dr. (Col) Suvasish Chakraberty
Sr. Consultant - Orthopaedics & Joint Replacement
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Dr. (Prof.) Ravi Sauhta
Chief and HOD - Orthopaedics & Joint Replacement (Unit VI)
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Dr. Sanjay Sarup
Head – Orthopaedics (Unit-II) & Chief – Paediatric Orthopaedics & Spine Surgery
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Global Cost Comparison Matrix
| Procedure | USA (Avg) | India (ISG) | Turkey (Avg) | Thailand (Avg) |
|---|---|---|---|---|
| Shoulder & ankle replacement | $52,000 | $7,500 | $9,500 | $11,000 |
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Get Free Treatment EstimateCommonly Prescribed Medications
- Etoricoxib 90mg daily
- Paracetamol 1g as needed
- Topical Diclofenac Gel
International Patient Guide
- Passport & Visa
- Shoulder / Ankle CT & MRI CDs
- Doctor Referral