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Shoulder Arthritis — Shoulder Joint Replacement: treatment in the Best Hospitals of Germany

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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.

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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 for Adult and Pediatric Orthopedics, Trauma Surgery

According to Focus magazine, the Department of Adult and Pediatric Orthopedics, Trauma Surgery ranks among the top German departments specializing in joint replacement surgery! The department offers the full range of diagnostics, conservative and surgical treatment of diseases, injuries of the musculoskeletal system. The department is the certified Center for Endoprosthetics (more than 1,000 primary joint replacement operations yearly), which also specializes in particularly complex clinical cases. In addition, the department has won the status of the Trauma Center of interregional significance, certified in accordance with the standards of the German Trauma Society.

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.

Hospital Bogenhausen Munich

7.8/10
location_onGermany, Munich

Department of Adult and Pediatric Orthopedics, Traumatology, Sports Medicine

The Department of Adult and Pediatric Orthopedics, Traumatology, Sports Medicine provides the full range of diagnostic and therapeutic services for the patients with musculoskeletal injuries and diseases, including sports injuries. The department provides treatment to both adults and children. In the field of pediatric orthopedics, the focus is on the treatment of hip dysplasia, clubfoot correction, as well as on the treatment of fractures and other injuries in children. The department is distinguished by its exceptional experience in the field of knee, hip and shoulder replacement surgery. In addition, the department provides effective treatment for shoulder, elbow and ankle diseases, performs surgery for the treatment of spinal diseases and interventions for the correction of foot deformities. The department is certified as the Trauma Center by the German Trauma Society (DGU). The department's doctors annually admit more than 4,500 inpatients. The main goal of all the employees of the medical facility is to eliminate pain and movement disorders, which worsen the patient's quality of life.

Severe osteoarthritis of the shoulder joint requires surgical treatment. The most effective surgery is shoulder replacement. Thousands of such procedures are performed every year in Germany. German doctors perform both partial and total replacement surgery. This operation gives very successful results. With high-quality treatment and recovery, a person gets rid of pain forever, restores joint mobility and stability, and can return to active life, do physical labor or sports. To travel to Germany for treatment, please use the Booking Health services. On our website, you can compare prices in different hospitals and book a medical care program at an affordable price.

Content

  1. Who may need shoulder replacement?
  2. In what cases is replacement surgery for shoulder arthrosis performed?
  3. Types of shoulder replacement surgery
  4. Partial shoulder replacement
  5. Total shoulder replacement
  6. Surgery outcomes
  7. Why is it better to undergo shoulder replacement in Germany?
  8. Treatment in Germany with Booking Health

Who may need shoulder replacement?

 

Osteoarthritis is one of the main, but far from the only indications for shoulder replacement. If in other diseases the vast majority of replacement surgeries are performed precisely for arthrosis, shoulder replacement in a significant number of cases is carried out in the following cases:

  • Severe injuries.
  • Post-traumatic deformities.
  • Damage to the tendons of the shoulder rotator cuff muscles.
  • Cancers.
  • Rheumatic pathologies.

Most joints are replaced in elderly patients. For example, the average age of patients who undergo hip replacement is 75 years, but the shoulder often has to be replaced even in young patients, since the main reason for its significant damage can be one-time severe injuries or repeated microtraumas. It is not uncommon for shoulder replacement to be performed before the age of 30. Two-thirds of patients are under 60 years at the time of surgery.

Since most of the surgical procedures are performed in people of working age, it is extremely important to completely get rid of pain and restore limb function. This requires several conditions: high-quality prosthesis, its high-quality implantation, experienced doctors and a well-equipped hospital. All this is available in Germany. The vast majority of operations in this country are successful, without complications and with long-term results.

In what cases is replacement surgery for shoulder arthrosis performed?

 

The specificity of shoulder arthrosis is that in most cases it is secondary. This means that it develops due to another disease. This pathology is significantly different from the lesions of other joints. Most of the replacement surgeries are performed for hip and knee arthrosis, which is primary in most patients.

Primary arthrosis develops due to the fact that the joint wears out with age, but in the case of the shoulder, this usually does not happen. The shoulder joint does not take on body weight. The load on it is not as significant as on the lower limb. For this reason, shoulder arthrosis is much less common and usually has particular causes. Shoulder replacement surgeries are not as common as major joint replacement surgeries in the legs.

The main types of shoulder arthrosis by origin are:

  • Primary.
  • Secondary.

In turn, the primary one can be:

  • Involutive – the result of aging of the body (very rare).
  • Microtraumatic – occurs due to heavy physical labor, as a result of the constant load on the shoulder, and repeated microtraumas.

Secondary arthrosis can be divided into the following types:

  • Post-traumatic – develops as a consequence of a one-time severe injury.
  • Post-infectious – the result of shoulder inflammation.
  • Arthrosis caused by systemic diseases.
  • Dystrophy of the humeral head, which develops as a result of long-term shoulder instability.

Replacement surgery is not considered the first-line therapy for the treatment of arthrosis. If with affected joints of the legs, osteoarthritis inevitably progresses, then with the shoulder lesions, the development of pathology often does not occur or the progression is very slow. In many cases, it is possible to treat the disease using conservative methods. Doctors use painkillers, orthoses, therapeutic exercises, physiotherapy, platelet-rich plasma or stem cell injections into the joint.

If surgery is required, good results can often be achieved with arthroscopic procedures. The doctors wash the shoulder joint cavity, remove bone and cartilaginous growths, freely located cartilage flaps. Sometimes the inflamed synovium can be resected.

The medical specialists resort to shoulder replacement only in cases where pathological changes in the joint become significant, the pain increases, and other treatment methods do not provide a sufficient effect. This operation is the most traumatic and requires a long recovery. At the same time, it is also the most effective. Unlike other techniques, shoulder replacement restores the patient's quality of life to the level it was before the onset of the disease.

The most severe form of pathology is post-traumatic arthrosis. As a result of injury, severe deformations occur, scars and contractures appear. The disease is often accompanied by neurological disorders, since 12% of patients damage the axillary nerve during the injury. Nonetheless, even in the most complex cases, German specialists manage to perform a successful surgical procedure and provide the patient with freedom of movements without pain.

Types of shoulder replacement surgery

 

The shoulder joint consists of two components: the femoral head, which rotates in the glenoid cavity of the scapula. During the operation, doctors can replace only one or both of these components at once.

Partial shoulder replacement (hemiarthroplasty) – replacement of only the shoulder component of the joint. The doctor removes the humeral head, replacing it with a prosthesis made of artificial materials. It rotates in the patient's own glenoid cavity.

Partial shoulder replacement has the following benefits:

  • Less traumatic surgery.
  • Fast recovery.
  • Minimal health risks.
  • Endoprosthesis wears out more slowly even under high load.
  • Lower cost of treatment.

Total shoulder replacement (total arthroplasty) – it is a more extensive and technically complex operation. It is performed for severe osteoarthritis. In general, total arthroplasty in replacement surgery is used more often than partial. Total shoulder replacement has the following advantages:

  • Better functional results (greater range of motion in the shoulder).
  • Complete absence of pain.
  • Possibility of treatment even for the most severe shoulder diseases.

By the type of total endoprosthesis used, anatomical and reverse replacement surgeries are distinguished. 

Anatomical replacement surgery is a standard option for this operation. These types of prostheses are implanted in 90% of patients. The femoral head looks like a ball. It is in contact with the flat surface of the scapular portion of the endoprosthesis. Namely, the configuration is exactly the same as in the patient's own shoulder.

Reverse replacement surgery involves the use of a type of the prosthesis with a reverse ball and a flat surface. The ball-shaped part is implanted in the scapula, and the flat part – in the humerus. This is necessary to compensate for the function of the damaged muscles of the rotator cuff of the shoulder. After the operation for reverse replacement surgery, the shoulder rotates mainly due to the contraction of the deltoid muscle, and therefore the function of this muscle must be completely preserved for a good functional outcome. Only 10% of patients require the use of reverse endoprostheses. Although the rotator cuff tendons are often damaged, they can be repaired in most cases. Reverse replacement surgery is indicated only for irreparable tendon tears.

According to the number of operations performed, replacement surgery can be primary and revision.

Primary interventions are those performed for the first time. During the operation, the doctor removes the patient's own joint and implants an endoprosthesis in its place.

Revision operation is repeated. It is performed with a previously implanted endoprosthesis. The reason for revision intervention is usually loosening of the endoprosthesis or infectious complications.

Partial shoulder replacement

 

Partial replacement surgery is historically the first shoulder replacement surgery. It involves replacing only one of the two components of the joint – humeral head. In about 4 out of 10 patients, doctors perform partial replacement surgery.

Whenever possible, this is the first-line treatment option. This is especially true for young patients who are going to do sports or physical labor. The probability of wear and tear of the prosthesis is lower than after total replacement.

However, not all of them can be fulfilled. The basic conditions and indications for partial replacement surgery include:

  • Preserved cartilaginous part of the scapula – it must reliably hold the artificial humeral head in the glenoid cavity.
  • Previous infectious arthritis.
  • Humeral head displaced upward.

Partial replacement is preferable in case of scapula bone tissue deficiency. In this case, problems may arise with fixing the scapular part of the endoprosthesis.

Total shoulder replacement

 

Total shoulder replacement is a technically more complicated operation. It is performed in severe cases of arthrosis. Doctors prefer total shoulder replacement in 6 out of 10 patients.

This surgical procedure is effective even in cases where the shoulder joint is completely destroyed by the pathological process, and the changes extend to the glenoid cavity of the scapula. The advantages of this treatment method include greater arm functionality, muscle strength, and complete absence of pain. In general, the quality of life of patients after total shoulder replacement is higher than after the partial one.

However, the technique also has some disadvantages: the cost of treatment is higher, the operation is more traumatic, and the risk of loosening the endoprosthesis is higher. After total shoulder replacement, the patient is advised to limit the load on the arm. The rapid wear and tear of the artificial joint is possible in high physical activity, as a result of hard work or during sports.

Surgery outcomes

 

Along with hip and knee replacement surgeries, shoulder replacement is one of the most successful orthopedic operations. It provides excellent functional results both in the immediate and late postoperative period.

Better results can be provided by total shoulder replacement. Patients have greater freedom of movement and are less likely to suffer from pain. In the vast majority of cases, a person does not have even minimal pain, including in a significant load on the operated joint.

The full recovery of shoulder function depends not only on the quality of the surgery, but also on the follow-up rehabilitation. Germany is one of the leaders in the quality of orthopedic rehabilitation of patients. The country has more than 1,500 Rehabilitation Centers. They have modern equipment and qualified specialists. After high -quality rehabilitation, the patient, even with an artificial joint, can withstand any kind of load, do sports or physical labor.

With the use of high-quality endoprostheses, the long-term results are often even better than in replacement of the joints of the lower limbs. There is no such heavy load on the shoulder as on the legs. This joint is very mobile, but it does not need to carry the weight of a person's body. An artificial shoulder can serve a person for decades. The likelihood that the need for revision surgery will appear during a patient's life is very low.

Why is it better to undergo shoulder replacement in Germany?

 

Shoulder replacement in Germany is reliable, safe and provides the best functional outcomes. After the surgical treatment in this country, you can undergo a full-fledged orthopedic rehabilitation.

Here are several reasons why you should undergo shoulder replacement in Germany:

  • Experienced surgeons with thousands of successful surgeries.
  • The very latest types of endoprostheses, which will serve for decades and with a high probability will never need to be replaced.
  • Low risk of infectious complications – the most unfavorable ones, requiring revision surgery early after replacement.
  • Minimal risk of endoprosthesis loosening, even in regular physical exertion.
  • High-quality rehabilitation of patients.
  • Complete elimination of pain in 96% of cases.
  • Successful operations even in complex cases: in post-traumatic osteoarthritis, shoulder instability, pseudoparalysis, humeral bone deficiency.

Treatment in Germany with Booking Health

 

To undergo shoulder replacement in Germany, please use the Booking Health services. On our website, you can see the cost of treatment in different German hospitals, compare prices and book a medical program at an affordable price.

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

  • We will choose the best orthopedic hospital whose doctors specialize in shoulder replacement surgery.
  • We will help you overcome the language barrier, establish communication with the German hospital and your attending physician.
  • We will reduce the waiting time for 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 Germany 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 elaborate a medical care program and translate medical records into German. You do not have to undergo previously performed diagnostic procedures.
  • We will provide communication with the hospital upon the completion of treatment in Germany.
  • We will organize additional medical examinations, treatment in Germany or rehabilitation, if necessary.
  • We will buy medicines in Germany and forward them to your native country.
  • We will help you keep in touch with the hospital after your treatment in Germany.

Booking Health makes treatment in Germany 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. Farrukh Ahmed




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