google_counter
background_img

Shoulder Arthritis — Shoulder Joint Replacement: treatment in the Best Hospitals in the World

ATOS Clinic Munich

9.5/10
location_onGermany, Munich

Department of Shoulder and Elbow Surgery

The Department of Orthopedics, Orthopedic Surgery, Spinal Surgery and Sports Traumatology offers the full range of medical services in these focuses. The competent team of the department provides high-quality diagnostics and treatment of foot, ankle, elbow, shoulder, knee and hip diseases. Also, the department specializes in the treatment of spinal diseases and sports traumatology.

Include:
people Interpreter up to 12 hours
list Translation up to 10 pages
card_membership Visa support
book Insurance against increased costs in case of complications with a cover of 200,000 €

Vitos Orthopedic Clinic Kassel

9.2/10
location_onGermany, Kassel

Department of Adult and Pediatric General Orthopedics, Trauma Surgery

The Department of Adult and Pediatric General Orthopedics, Trauma Surgery offers the full range of diagnostics and treatment of musculoskeletal pathologies. The specialization covers joint replacement surgery, foot and hand surgery, shoulder surgery, treatment of rheumatic joint lesions, treatment of injuries, sports orthopedics, treatment of orthopedic problems in children and adolescents, as well as pain therapy. The key to successful clinical practice is the highest professionalism and unique experience of the department's medical team combined with the very latest infrastructure and advanced equipment.

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult and Pediatric Orthopedics, Traumatology

According to the Focus magazine, the Department of Adult and Pediatric Orthopedics, Traumatology ranks among the top German departments specializing in endoprosthetic joint replacement! The department offers the full range of services in the field of diagnostics and treatment of all diseases of the musculoskeletal system. In addition to surgical treatment, a number of effective conservative treatments are available in the department, for example, physiotherapy, occupational therapy, therapeutic exercise. The highly qualified doctors who have a rich experience and outstanding treatment results take care of the patients' health. 

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Orthopedics, Traumatology

According to the Focus magazine, the Department of Adult and Pediatric Orthopedics, Traumatology ranks among the top German medical facilities in the field of its specialization! It offers the full range of conservative and surgical treatment of musculoskeletal diseases. The department's priorities include knee and hip surgery, including endoprosthetics, spinal surgery, shoulder and elbow surgery, surgical oncology of the musculoskeletal system and the treatment of injuries of varying severity. With an annual number of more than 8,000 inpatients, the department has the status of one of the largest and most reputable in the field of its competence.

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Traumatology, Hand Surgery, Plastic and Reconstructive Surgery

The Department of Traumatology, Hand Surgery, Plastic and Reconstructive Surgery covers the whole range of services in these focuses. The department specializes in joint replacement, treatment of tumors of the musculoskeletal system, endoscopic treatment methods for spinal injuries, arthroscopic treatment of joints, etc. The department is also a recognized Center for Sports Orthopedics.

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Traumatology and Reconstructive Surgery

The Department of Traumatology and Reconstructive Surgery offers the full range of treatment of acute and chronic, acquired and congenital injuries of the musculoskeletal system of any severity. In addition, the department specializes in reconstructive interventions. The operating rooms of the department are equipped with the advanced medical devices to provide effective medical care, including emergency. A competent team of doctors works in the department around the clock and it is ready to help in urgent clinical cases at any moment.

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery

The Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery offers the full range of diagnostics, conservative and surgical treatment of musculoskeletal diseases and injuries. The department is a certified Endoprosthetics Center – more than 1,000 primary joint replacement surgeries are performed here annually. The surgeons of the Endoprosthetics Center also specialize in particularly complex clinical cases and revision procedures for the replacement of previously implanted artificial joints. In addition, the department has the status of the interregional Trauma Center certified in accordance with the standards of the German Trauma Society. The department has also been awarded a Certificate of Excellence from the German Orthopedic Foot and Ankle Society (DAF) in the field of foot surgery. A separate area of ​​clinical activity is the treatment of diseases, injuries and congenital malformations of the musculoskeletal system in children. Depending on the severity of the clinical case, both conservative and surgical techniques are used in the treatment of orthopedic pathologies in children. The department's medical team prefers sparing low-traumatic surgery, while open operations are performed only if other therapeutic options are ineffective.

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General Orthopedics and Orthopedic Oncology

The Department of General Orthopedics and Orthopedic Oncology offers the full range of conservative and surgical treatment of all musculoskeletal diseases. The department ranks among the largest medical facilities of this kind in Germany, as well as among the specialized authoritative departments for the treatment of bone and soft tissue tumors in the European medical arena. The treatment is carried out both on an outpatient and inpatient basis, including the outpatient operations. In addition to its successful clinical activities, the department is proud of its productive research work, which has given birth to many innovations in orthopedics, for example, the department's specialists have patented the very latest prosthetic systems, particularly in the field of orthopedic oncology.

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Orthopedics and Traumatology

According to the Focus magazine, the Department of Orthopedics and Traumatology ranks among the top German medical facilities specializing in the treatment of injuries of any severity! The department offers the full range of diagnostic and therapeutic services to patients with diseases and injuries of the musculoskeletal system. The department has been certified by the German Society of Traumatology as a supra-regional Trauma Center. In addition, the medical institution is a certified Center for Gerontological Traumatology, the Center for Arthroscopy and Joint Surgery.

University Hospital Giessen UKGM

9.5/10
location_onGermany, Giessen

Department of Adult and Pediatric Orthopedics, Orthopedic Surgery

The Department of Adult and Pediatric Orthopedics, Orthopedic Surgery offers all the diagnostic and therapeutic options for patients with musculoskeletal diseases. The main clinical tasks of the department include arthroscopic surgery, endoprosthetics, foot surgery, orthopedic rheumatology, sports orthopedics, orthopedic oncology, septic surgery, spinal surgery. The department’s specialists also have excellent qualifications and rich experience in the treatment of children with diseases of the orthopedic spectrum. The doctors of the department have at their disposal all modern conservative and surgical treatments that have proven their effectiveness at the international level.

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Orthopedics

The Department of Adult and Pediatric Orthopedics offers the full range of accurate diagnostics and effective treatment of diseases of the musculoskeletal system in patients of all age groups. The clinical focuses of the department's specialists include the treatment of diseases of the joints, spine, hand, foot, bone and soft tissue tumors, bone tissue and joint infections, orthopedic pathologies in children, and orthopedic rheumatology. The therapeutic options include both conservative and surgical therapy.

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Trauma Surgery, Orthopedic Surgery

The Department of Adult and Pediatric Trauma Surgery, Orthopedic Surgery offers the full range of surgical and conservative treatment methods for musculoskeletal diseases and injuries. The department is a supraregional Trauma Center in Central Franconia. About 250 seriously injured patients receive medical care here every year. The department's specialists also annually admit more than 3,500 patients for inpatient treatment and provide outpatient care for about 25,000 patients. The department is recognized as one of the 10 largest and leading medical facilities specializing in the treatment of polytrauma in Germany. Its specialization also includes highly qualified medical care for patients with sports injuries. In addition, the department provides treatment for bone fractures, spinal fractures and polytrauma in children. The department successfully performs knee, hip, shoulder and elbow replacement surgery, including revision interventions to replace previously implanted prostheses. The surgeons of the medical facility have a perfect command of arthroscopic techniques and use them in the treatment of musculoskeletal diseases. The department is distinguished by its successful experience in spinal surgery (in cooperation with neurosurgeons) and interventions on the pelvic bones, as well as in septic surgery.

University Orthopedic Hospital Hannover-Annastift MHH

9.8/10
location_onGermany, Hannover

Department of Shoulder and Knee Surgery, Sports Orthopedics

The Department of Shoulder and Knee Surgery, Sports Orthopedics offers the full range of services in this fields. It uses the most modern treatments, high-quality endoprostheses of famous world manufacturers, which, in combination with the rich clinical experience and professionalism of doctors guarantees the optimal result. In addition, the department treats sports injuries of varying severity.

University Hospital Oldenburg

10/10
location_onGermany, Oldenburg

Department of Adult and Pediatric Orthopedics, Trauma Surgery

The Department of Adult and Pediatric Orthopedics, Trauma Surgery offers the full range of services in these medical fields. The department performs more than 2,500 planned and emergency surgeries. The department specializes in joint replacement surgery, arthroscopy, spinal surgery, treatment of cancerous bone and joint lesions, foot surgery, treatment of musculoskeletal and sports injuries. More than 25% of all operations are performed on an outpatient basis, which allows the patient to return home immediately after surgery.

University Hospital Saarland Homburg

9.8/10
location_onGermany, Homburg

Department of Adult and Pediatric Orthopedics, Orthopedic Surgery

The Department of Adult and Pediatric Orthopedics, Orthopedic Surgery offers the full range of diagnostic and therapeutic services in these medical focuses. The department specializes in conservative and surgical treatment of all diseases of the musculoskeletal system. Surgical interventions are performed in the state-of-the-art operating rooms, while conservative options include physiotherapy with therapeutic baths, gym, swimming, electrotherapy, massage and other therapeutic options.

Rambam Health Care Campus Haifa

9.8/10
location_onIsrael, Haifa

Department of Orthopedic Surgery

The Department of Orthopedic Surgery specializes in the diagnostics and treatment of the full range of diseases and injuries of the musculoskeletal system, including rehabilitation measures. The specialists demonstrate excellent results in hand surgery, reconstruction and lengthening of the lower limbs, arthroscopy, treatment of cancers, sports injuries, shoulder and hip diseases, spinal diseases, etc. The department has the status of one of the leading Trauma Centers in the country.

Shoulder injuries, hard physical work, previous inflammatory diseases – all this can lead to the development of shoulder arthrosis. The disease causes cartilage and bone structure lesions, constant shoulder pain, decreased range of motion, or the development of joint instability. Such situations require shoulder replacement surgery.

You can undergo treatment abroad. Doctors in developed countries perform effective surgery that completely eliminates pain and restores limb function. Modern artificial joints wear out very slowly, even in young and physically active patients. After surgery and rehabilitation, you can not only lead an active life, but also play sports or do physical labor.

Please use the services of Booking Health to undergo medical treatment abroad. On our website, you can see the cost of treatment and compare prices in order to book a medical care program at an affordable price.

Content

  1. Who may need shoulder replacement?
  2. When may the patient with arthrosis need shoulder replacement surgery?
  3. What are the success rates of joint replacement surgery?
  4. What types of joint replacement surgery can be performed?
  5. When is shoulder hemiarthroplasty performed?
  6. When can total shoulder replacement be performed?
  7. Joint replacement surgery for post-traumatic arthrosis?
  8. Why is it worth undergoing medical treatment abroad?
  9. Treatment in European hospitals with Booking Health

Who may need shoulder replacement? 

 

Arthrosis is the most common indication for replacement surgery of most large joints. Shoulder replacement surgery can also be performed for this disease. However, this indication is not considered the main one. The interventions are more often performed for such severe injuries as bone fractures and dislocations, if the problem cannot be solved with the help of other surgical procedures. Replacement surgery can also be used for rheumatoid arthritis and other rheumatic diseases, shoulder tumors, and irreparable rotator cuff tendon tears.

Tens of thousands of shoulder replacement procedures are performed every year in Europe. While replacement surgery for other large joints is mainly used in elderly patients, the shoulder is more often replaced for young people. Frequently, replacement surgery can be performed at the age of 20-30. Approximately two thirds of all operations are performed for patients under the age of 60, that is, patients of working age.

Given the age of the patients, it is very important that surgery gives good long-term outcomes. The prosthesis should last as long as possible, fully restore the function of the upper limb and give the opportunity to lead an active lifestyle, do physical labor.

In the early stages of arthrosis, drug therapy is usually used. Doctors achieve good results with the help of regenerative therapy: injection of stem cells and platelet-rich plasma into the joint. If this treatment does not work, they opt for surgery. It is performed arthroscopically. Doctors remove freely located cartilaginous bodies inside the joint, osteochondral outgrowths and resect the synovial membrane of the shoulder joint. If such treatment is ineffective, shoulder replacement surgery will be performed. 

Shoulder joint replacement is a surgery that includes substitution of the severely diseased joint with a prosthesis.

Cost of arthroplasty in shoulder arthritis starts from €11,887. You can find other treatment prices on the Booking Health website.

The best hospitals in Europe are:

  1. University Hospital Rechts der Isar Munich
  2. Vitos Orthopedic Clinic Kassel
  3. ATOS Clinic Munich
  4. University Hospital Frankfurt-am-Main
  5. University Hospital of Ludwig Maximilian University of Munich

When may the patient with arthrosis need shoulder replacement surgery?

 

If arthrosis of the lower extremities is common, shoulder joint is affected much less often. The upper limbs do not support body weight. Accordingly, they do not wear out with age, as they do with the knee or hip joint.

If shoulder arthrosis develops, it is usually secondary, that is, it has a very specific cause. Less common are cases of primary or idiopathic (unknown origin) osteoarthritis.

Types of shoulder arthrosis according to its origin:

  • Idiopathic – involutive (age-related degeneration) or microtraumatic (the result of repeated microtraumas).
  • Post-traumatic – a degenerative process develops after suffering a significant one-time injury, and may be the result of poor quality of treatment.
  • Post-infectious arthrosis-arthritis (develops after an infectious joint inflammation).
  • Shoulder arthrosis due to systemic diseases (often other joints are also affected at the same time).
  • Dystrophy of the head of the bone due to its instability (as a rule, a consequence of the habitual shoulder dislocation).

Joint replacement surgery for arthritis is the last-line treatment. It is used if conservative therapy is ineffective. The procedure is performed with persistent pain, impaired limb mobility, in the case of subluxation of the humeral head due to osteochondral growths formed at the posterior edge of the articular surface of the scapula.

What are the success rates of joint replacement surgery? 

 

Shoulder joint replacement surgery usually has good long-term outcomes. Surgical interventions are successful, and implanted endoprostheses wear out very slowly – they last for decades.

For the first time, shoulder replacement surgery was performed back in 1893. It happened in France. The operation was performed on a patient with tuberculous joint destruction, who refused to amputate a limb.

Unfortunately, the first surgeries were unsuccessful. Good results with the restoration of limb function were obtained only in 1950. Already in 1953, replacement surgery of the humeral head was performed with a prosthesis, which is similar to the modern one. In 1974, the second half of the shoulder joint located on the scapula was also replaced for the first time. This surgery was performed for osteoarthritis.

Since then, many types of endoprostheses have been developed. They are reliable, they can fuse well with the bone, completely restore the function of the shoulder and allow getting rid of pain forever. However, the success of treatment depends not only on the operation itself, but also on the subsequent rehabilitation. With high-quality recovery and sufficient patient motivation, the outcomes of even severe forms of osteoarthritis are significantly improved.

What types of joint replacement surgery can be performed? 

 

Joint replacement can be unipolar or total. A unipolar shoulder replacement involves the replacement of only one of its two components. As a rule, it is an artificial humeral head. Total shoulder replacement also involves the implantation of an artificial glenoid cavity of the scapula.

Total shoulder replacement is more common – about 60% of cases. Another 40% of patients undergo unipolar replacement surgery.

Shoulder replacement can be either anatomic or reverse. The anatomic prosthesis actually imitates the patient's own joint, replacing the tissues destroyed by the disease. It is used when the function of the rotator cuff muscles is preserved. Anatomical prostheses are used in 90% of patients.

Reverse replacement surgery is performed in 10% of cases. Such operations are mainly performed for irreparable rotator cuff lesions, rheumatoid arthritis, and for some types of injuries. In this case, the ball-shaped part of the prosthesis is not located on the humerus, as in anatomic replacement surgery, but on the scapular part of the artificial joint.

According to the number of surgical procedures, shoulder replacement can be primary or revision. Revision interventions are performed to replace a worn-out endoprosthesis.

When is shoulder hemiarthroplasty performed? 

 

Whenever possible, doctors use only shoulder hemiarthroplasty. That is, the joint is not totally replaced, but only partially – the humeral head is replaced. The patient retains his own glenoid cavity of the scapula.

The benefits of this approach:

  • Less traumatic surgery, which means it is safer for health.
  • Faster recovery. 
  • Slow wear and tear of the prosthesis. 
  • Lower cost of treatment. 

However, shoulder hemiarthroplasty is not always possible. The main indications and necessary conditions for this surgery are:

  1. The preserved cartilaginous part of the articular surface of the scapula. It must be in good condition to stabilize the shoulder while supporting the artificial humeral head. 
  2. Deficiency of scapular bone tissue, as there may be problems with fixation of the scapular part of the endoprosthesis in the case of total replacement surgery. 
  3. Upward displacement of the humeral head, which usually occurs when the muscles of the shoulder rotator cuff are damaged, less often in case of rheumatoid arthritis. 
  4. Previous shoulder infectious arthritis.
  5. High load on the shoulder joint. The patient is young, playing sports or doing physical labor. In this case, the wear and tear of the endoprosthesis occurs faster, and after partial replacement surgery, the outcomes last longer. 

When can total shoulder replacement be performed? 

 

Total shoulder replacement surgery is performed more frequently. With these operations, the cost of treatment is higher, and the life of the endoprosthesis is shorter. But the functional surgery outcomes are better. If a person does not heavily load the operated arm, the implanted endoprosthesis will be enough for him for the rest of his life.

Total shoulder replacement is the main treatment for severe osteoarthritis. It is effective when not only the shoulder head is damaged, but also the glenoid cavity of the scapula.

The benefits of the intervention, which become especially noticeable long after the surgery:

  • Complete absence of pain.
  • Full movements in the artificial joint due to the formation of a new center of rotation of the shoulder head.
  • Possibility of using it even for severe pathologies, including arthrosis at the advanced stage.
  • More muscle strength.
  • Higher quality of life. 

With a big stress on the operated arm, the polyethylene between the components of the prosthesis quickly wears out. This can lead to bone loss of the scapula and loosening of the endoprosthesis. In this case, a second operation can be performed for its replacement.

Joint replacement surgery for post-traumatic arthrosis?

 

A severe injury causes a quick joint destruction. The pathological process causes the development of severe arthrosis, which is difficult to treat even with surgery.

The main problems faced by the surgeon are shoulder contractures (stiffness), cicatricial changes in the surrounding soft tissues, gross deformities in the bone structures. First of all, both large and small tubercles are deformed. The tendons of the muscles responsible for shoulder rotation are attached to them. The shoulder nerves are often damaged and neurologic complications develop. The axillary nerve is usually affected, which reduces the strength of the deltoid muscle. The preservation of its strength is the most important condition for successful reverse shoulder joint replacement, which is performed when the muscles of the rotator cuff are affected.

Even in these cases, foreign specialists receive good treatment outcomes. Total replacement surgery helps restore limb function. More than 90% of patients experience complete pain relief. The risk of endoprosthesis loosening within 6 years of medical monitoring is only 10%.

Why is it worth undergoing medical treatment abroad? 

 

The important conditions for both effective and reliable shoulder replacement surgery are state-of-the-art equipment in the hospital, experience and skill of doctors, high-quality endoprostheses. All these things are available in the best hospitals in the world. The treatment in developed countries will permanently relieve pain and restore arm function. After surgery, patients can not only return to an active life, but they are also able to do physical labor or sports. Many surgical procedures are performed for young patients. Despite this, the implanted endoprosthesis will last for a lifetime for most of them.

The benefits of shoulder joint replacement abroad are the following: 

  • The use of the cutting-edge endoprostheses that ensure the full function of the shoulder joint. 
  • Complete absence of pain in the late postoperative period in 96% of patients. 
  • Precise preoperative planning allows doctors to perfectly plan surgery and select the most suitable endoprosthesis model.
  • Elimination of the deficiency of the glenoid cavity of the scapula for stable fixation of the components of the artificial joint. 
  • Successful surgery even after previous unsuccessful interventions, with pseudoparalysis of the shoulder, its instability, post-traumatic bone deficiency of the humerus. 

Treatment in European hospitals with Booking Health 

 

Please use the services of Booking Health to undergo treatment in European hospital. On our website, you can find information about the cost of treatment in different hospitals, compare prices and book a medical care program at an affordable price.

Please contact the Booking Health specialists to undergo treatment in European hospital. Here are our benefits for you:

  • We will select the best European hospital whose doctors specialize in shoulder replacement surgery.
  • We will help you overcome the language barrier, establish communication with your attending physician.
  • We will reduce the waiting time for the start of the medical care program and book a doctor's appointment on the most suitable dates. 
  • We will reduce the price. The cost of treatment in European hospitals will be decreased due to the lack of additional coefficients for foreign patients.
  • We will take care of all organizational issues: documents for entering the country, transfer from the airport, hotel, interpreter, etc.
  • We will prepare a program and translate medical documents. You do not have to repeat previously performed diagnostic procedures. 
  • We will provide communication with the European hospital after the completion of the medical care program.
  • We organize additional medical examinations and treatment in European hospitals, if necessary.
  • We will buy medicines abroad and forward them to your native country. 
  • We will help you keep in touch with the European hospital and the doctor after the completion of the medical care program. 

Booking Health makes treatment in European hospitals easier, faster and cheaper. We will fully organize your trip, and you will only have to focus on restoring your health. 

Authors: Dr. Nadezhda IvanisovaDr. Sergey Pashchenko




Feedback of our customers from other resources

Need Help?

Thank you!

We received your treatment application in the best Europe clinics. Our manager will contact you within the next 24 hours.