✦ Natural Anatomy Shoulder Replacement

Anatomic Total Shoulder Replacement (TSA)

Q: How do I decide between anatomic and reverse shoulder replacement?

The rotator cuff is the decisive factor. If the cuff is intact and functional, anatomic replacement is the appropriate choice. If the cuff is significantly torn, absent, or non-functional, reverse replacement is required to enable deltoid-powered movement.

Q: What is the recovery timeline after anatomic shoulder replacement?

A sling is worn for 4–6 weeks. Passive physiotherapy begins early; active exercises are introduced progressively. Most patients achieve functional daily activity within 3 months and full strength and motion restoration by 4–6 months.

Q: What is the most common long-term concern after anatomic shoulder replacement?

Glenoid component loosening is the principal long-term concern — typically occurring many years after surgery. Advances in modern glenoid design and fixation techniques have substantially improved implant survival rates compared to earlier generation components.

Q: Can anatomic shoulder replacement be converted to reverse replacement?

Yes. If rotator cuff function subsequently deteriorates and the anatomic replacement fails, conversion to reverse total shoulder replacement is possible. The conversion is more complex than a primary reverse replacement but still produces good outcomes.

Both the ball and socket of the arthritic shoulder are replaced with components that faithfully reproduce the natural joint anatomy — delivering reliable pain relief and smooth, powerful movement when the rotator cuff is intact.

75–105 min PROCEDURE

3–4 Days HOSPITAL STAY

>90% SUCCESS RATE

3-6 Months RETURN TO SPORT

What is Anatomic Total Shoulder Replacement (TSA)?

Anatomic total shoulder replacement (TSA) reproduces the geometry of the native glenohumeral joint — a metal ball on a humeral stem replicates the femoral head, and a polyethylene glenoid component resurfaces the socket. Because the mechanics mirror normal anatomy, the rotator cuff continues to function as the primary power source for movement. It is the operation of choice for primary glenohumeral osteoarthritis, post-traumatic arthritis, avascular necrosis, and certain inflammatory arthritides in patients with a preserved, functional rotator cuff. Dr. Sai Kishan performs anatomic TSA at Lux Hospitals for carefully evaluated patients in whom this design provides the best biological and mechanical environment for long-term implant function.

Appropriate for patients with glenohumeral osteoarthritis, post-traumatic arthritis, avascular necrosis, or selected inflammatory arthritis presenting with significant pain and functional limitation, adequate glenoid bone stock for component fixation, and a rotator cuff confirmed to be intact and functional.

How the Procedure Works

Anaesthesia & Positioning

General anaesthesia with interscalene block for extended post-operative pain control; beach-chair position for the deltopectoral approach.

Deltopectoral Exposure

The standard anterior incision provides access through the deltopectoral interval; the subscapularis is released to expose the joint.

Humeral Head Resection & Stem Insertion

The humeral head is resected at the anatomic neck; the canal is prepared with broaches and the stem is trialled before final selection.

Glenoid Preparation & Component Fixation

The glenoid articular surface is removed; the polyethylene glenoid component is cemented in the correct version and inclination.

Head Assembly, Trial & Closure

The humeral head is assembled; stability and movement are confirmed; the subscapularis is repaired and the wound is closed in layers.

Outcomes

75–105 minDURATION

3–4 DaysHOSPITAL STAY

>90%SUCCESS RATE

3–6 MonthsRETURN TO SPORT

Who Needs This Treatment?

→Dependable pain relief from advanced glenohumeral arthritis in a single procedure
→Faithful reproduction of natural shoulder geometry for smooth, intuitive movement
→The intact rotator cuff continues to provide powerful active shoulder function
→High patient satisfaction — significant improvement in daily comfort and activity
→Contemporary implant designs with proven 15–20 year durability data
→Appropriate for active patients with preserved cuff function and adequate bone stock

Anatomic shoulder replacement respects what nature designed — when the rotator cuff is healthy, there is no better way to eliminate arthritis pain and restore a shoulder that moves the way the patient remembers it moving.

— — Dr. Sai Kishan Sirasala, Knee and Hip Joint Replacement & Robotic Surgery

Common Questions

Frequently Asked

How do I decide between anatomic and reverse shoulder replacement?+

What is the recovery timeline after anatomic shoulder replacement?+

What is the most common long-term concern after anatomic shoulder replacement?+

Can anatomic shoulder replacement be converted to reverse replacement?+

Not sure which treatment is right for you?

Book a consultation with Dr. Sai Kishan and get a personalised treatment plan.

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