Shoulder Replacement Surgery in Jaipur — Total and Reverse Shoulder Arthroplasty | Dr. Harish Talreja

Shoulder Replacement Surgery in Jaipur

  1. Home
  2. Services
  3. Shoulder Replacement Surgery
Decorative page header shape
Shoulder replacement surgery in Jaipur — total and reverse shoulder arthroplasty by Dr Harish Talreja at Manipal Hospital
Total & Reverse Shoulder Arthroplasty · Jaipur

Shoulder Replacement Surgery in Jaipur

Severe shoulder arthritis or a completely failed rotator cuff can make even the most basic daily activities — dressing, reaching a shelf, sleeping on your side — genuinely painful and impossible. When conservative treatment no longer provides adequate relief, shoulder replacement surgery offers a reliable path back to a comfortable, functional life.

Dr. Harish Talreja is an experienced orthopaedic specialist in Jaipur performing both total shoulder arthroplasty (TSA) and reverse shoulder arthroplasty (RSA) at Manipal Hospital Jaipur — selecting the most appropriate implant system for each patient's specific diagnosis and anatomy.

TSA & RSABoth Types Available
85–95%Patient Satisfaction
6 MthsFull Recovery
15+ YrsImplant Longevity
Shoulder joint anatomy and conditions requiring replacement — arthritis rotator cuff arthropathy fracture
Who Needs Shoulder Replacement?

Conditions Treated with Shoulder Replacement

Shoulder replacement is recommended when significant, proven joint damage causes persistent pain and disability that is no longer controlled by physiotherapy, injections or medication. These are the principal indications.

Glenohumeral Osteoarthritis

Progressive cartilage loss in the shoulder joint causing severe pain, grinding, stiffness and restricted movement — the most common indication for total shoulder replacement.

Rotator Cuff Arthropathy

Massive, irreparable rotator cuff tear leads to superior migration of the humeral head and secondary joint destruction — the primary indication for reverse shoulder replacement.

Rheumatoid Arthritis

Autoimmune erosion of the shoulder joint despite DMARD therapy — producing progressive pain, instability and loss of elevation that requires surgical correction.

Avascular Necrosis of the Humeral Head

Blood supply disruption causes collapse of the humeral head. Shoulder hemiarthroplasty or total replacement depending on glenoid involvement and stage.

Complex Proximal Humerus Fracture

4-part and head-splitting fractures in elderly patients — where reconstruction of the native anatomy is not viable — are treated with hemiarthroplasty or reverse replacement.

Failed Previous Shoulder Surgery

Revision shoulder arthroplasty for failed primary implants, failed rotator cuff reconstruction, or post-surgical arthritis requiring revision to a new implant system.

Surgical Procedures

Types of Shoulder Replacement Surgery

Shoulder replacement is not a single operation. The correct procedure depends entirely on the state of your rotator cuff, glenoid bone stock, and the underlying diagnosis — each type has a different design philosophy and recovery pathway.

TSA
Total Shoulder Arthroplasty

Total Shoulder Replacement (TSA)

Best for: Arthritis with Intact Rotator Cuff

Total shoulder arthroplasty replaces both the humeral head (ball) with a metal stem and head component, and the glenoid (socket) with a polyethylene cup. The natural anatomy is preserved — the rotator cuff continues to power arm movement by pulling the new metal ball into the socket. TSA provides excellent pain relief and functional outcomes for arthritis patients with a functioning rotator cuff.

  • Anatomic reconstruction — preserves native shoulder biomechanics
  • Requires an intact and functional rotator cuff
  • Best pain relief and ROM for glenohumeral osteoarthritis
  • Implant longevity: 15 to 20+ years with appropriate activity
  • Procedure time: 1.5 to 2.5 hours
RSA
Reverse Shoulder Arthroplasty

Reverse Shoulder Replacement (RSA)

Best for: Rotator Cuff Arthropathy & Massive Cuff Tears

Reverse shoulder arthroplasty inverts the normal anatomy — the metal ball (glenosphere) is fixed to the glenoid and the socket (polyethylene cup) is placed on the humeral stem. This ingenious design allows the deltoid muscle to power arm elevation independently of the rotator cuff — restoring movement in patients where the cuff is completely absent or irreparably torn. RSA is the fastest-growing shoulder surgery in orthopaedics.

  • Works without a functioning rotator cuff — deltoid powers the arm
  • Primary choice for rotator cuff arthropathy and massive irreparable tears
  • Also used for complex fractures and revision arthroplasty
  • Excellent functional results — restores elevation where TSA cannot
  • Restricted heavy overhead activity long-term
HA
Hemi-Arthroplasty

Shoulder Hemiarthroplasty

Best for: AVN, Acute Fractures, Young Patients

Hemiarthroplasty replaces only the humeral head — the native glenoid socket is preserved. Used for avascular necrosis in early stages, complex fractures in younger patients where glenoid cartilage is healthy, and selected cases where glenoid bone stock is insufficient for a full socket implant.

  • Only the humeral head replaced — glenoid preserved
  • Faster, simpler procedure than total replacement
  • Appropriate when glenoid cartilage is intact (AVN, fracture)
  • Can be converted to TSA or RSA if required in future
TSA vs RSA

Total vs Reverse Shoulder Replacement — Key Differences

This is the most commonly asked question by patients considering shoulder replacement. The answer is determined by the state of the rotator cuff — not by patient preference.

Feature Total Shoulder Replacement (TSA) Reverse Shoulder Replacement (RSA)
How it worksMetal ball on humerus, plastic cup on glenoid — natural anatomyMetal ball on glenoid, plastic cup on humerus — reversed anatomy
Rotator cuff requirementIntact, functioning rotator cuff requiredWorks without a rotator cuff — deltoid powers the arm
Primary indicationsGlenohumeral arthritis, RA, AVN with intact cuffRotator cuff arthropathy, massive irreparable cuff tears, complex fractures
Expected arm elevationOften 140–160° with good rehab and intact cuffTypically 90–120° overhead elevation reliably achieved
Rotational strengthGood external and internal rotationExternal rotation may be limited without cuff repair
Typical patient ageOften younger (50–70s) with good bone qualityOften older (60–80s) or younger with massive cuff failure
Long-term restrictionsAvoid heavy overhead loadingAvoid heavy lifting; no shoulder pressing activities
All Shoulder Services

Other Shoulder Conditions We Treat in Jaipur

Shoulder replacement is just one part of the full spectrum of shoulder care available at Manipal Hospital Jaipur. Dr. Talreja treats the complete range of shoulder conditions.

Shoulder Arthroscopy

Keyhole shoulder surgery

Arthroscopic shoulder surgery for rotator cuff tears, labral repair, impingement, SLAP tears and shoulder instability — minimally invasive, day surgery, faster recovery.

Shoulder Arthroscopy →

Frozen Shoulder

Adhesive capsulitis treatment

Frozen shoulder (adhesive capsulitis) treatment — from physiotherapy and hydrodilatation to arthroscopic capsular release for resistant cases that don't respond to conservative management.

Frozen Shoulder →

Dislocated Shoulder

Reduction & stabilisation

Shoulder dislocation reduction, rehabilitation and surgical stabilisation (Bankart repair) for recurrent shoulder instability — preventing ongoing episodes that damage the joint.

Dislocated Shoulder →

Rotator Cuff & SLAP

Tendon & labral surgery

Arthroscopic rotator cuff repair, SLAP tear surgery and shoulder impingement treatment — restoring pain-free overhead function and return to sport and work activities.

Rotator Cuff →
Recovery

Shoulder Replacement Recovery — What to Expect

Most patients are surprised by how quickly they regain comfortable sleep, pain-free daily life and the ability to use their arm — within 6 to 8 weeks. Full strengthening takes 3 to 6 months.

Day 1–2
After Surgery

Arm in sling. Elbow, wrist and finger exercises started. Physiotherapy begins. Pain controlled with oral medication. Discharge Day 2 typically.

Week 2–4
Passive ROM

Sling continued. Passive range of motion exercises — physiotherapist moves the arm. Wound healed. Sleeping more comfortably.

Week 6–8
Sling Off

Sling discontinued. Active-assisted exercises. Driving permitted with surgeon clearance. Return to light desk work and daily activities.

Month 3
Strengthening

Progressive strengthening programme. Most patients are sleeping well, using arm for daily activities comfortably, and driving without restriction.

Month 6
Full Recovery

Full functional recovery. Return to swimming, golf, light recreational sport. Heavy overhead loading and contact sport restricted long-term.

Cost Guide

Shoulder Replacement Surgery Cost in Jaipur

Pristyn Care cited ₹1.5L–₹2L — this is a base estimate. The full range below reflects implant type, complexity and hospital stay at Manipal Hospital Jaipur.

Shoulder Replacement — Approximate Costs in Jaipur

A personalised estimate is provided after consultation, X-ray and MRI review.

Consultation + X-ray + MRI Shoulder₹4,000 – ₹10,000
Shoulder Hemiarthroplasty₹1,00,000 – ₹1,80,000
Total Shoulder Replacement (TSA)₹1,50,000 – ₹2,80,000
Reverse Shoulder Replacement (RSA)₹2,00,000 – ₹3,50,000
Revision Shoulder Arthroplasty₹2,50,000 – ₹4,00,000+
Insurance: Total and reverse shoulder replacement surgery is covered by most corporate health insurance policies and government schemes (CGHS, RGHS for Rajasthan government employees). The team at Manipal Hospital Jaipur provides full pre-authorisation and claims documentation assistance.
Dr Harish Talreja — shoulder replacement surgeon Jaipur total and reverse arthroplasty at Manipal Hospital
Why Choose Dr. Harish Talreja

Shoulder Replacement Specialist in Jaipur

Dr. Harish Talreja brings expertise in both total and reverse shoulder arthroplasty — selecting the correct implant type based on rotator cuff integrity, bone quality and patient functional goals — with comprehensive pre-operative planning and a structured post-operative rehabilitation programme at Manipal Hospital Jaipur.

00K+

Joint Replacement Procedures

15+

Years Experience

TSA & RSA

Both Techniques Available

  • Both total (TSA) and reverse (RSA) shoulder arthroplasty performed at Manipal Hospital Jaipur
  • Pre-operative MRI and CT planning — rotator cuff assessment, glenoid bone stock evaluation, implant templating
  • Implant selection based on rotator cuff integrity, bone quality and functional goals — not a one-size approach
  • Comprehensive shoulder care: also treats frozen shoulder, arthroscopy, rotator cuff, instability — see sub-pages
  • Advanced fellowship training at AIIMS Jodhpur, Medanta Gurgaon, Kasturba Manipal
  • Consultant Orthopaedic Surgeon — Manipal Hospital Jaipur, NABH-accredited
  • Centre of Excellence Fellowship — Rajasthan Orthopaedic Surgeons Association (2018)

Shoulder Pain Limiting Your Life? You Have Options.

Book a consultation with Dr. Harish Talreja at Manipal Hospital Jaipur for an expert assessment, MRI review, and a clear recommendation — surgery or not, and exactly which type if so.

Frequently Asked Questions

Shoulder Replacement — Common Questions

Shoulder replacement surgery cost in Jaipur ranges from approximately ₹1,00,000 for hemiarthroplasty to ₹3,50,000 for reverse shoulder replacement, depending on implant type, hospital facility and complexity. Total shoulder replacement (TSA) typically costs ₹1,50,000 to ₹2,80,000. Reverse shoulder replacement (RSA) costs ₹2,00,000 to ₹3,50,000. An accurate personalised estimate is provided after consultation, X-ray and MRI review. Most health insurance policies and government schemes (CGHS, RGHS) cover shoulder replacement surgery.

There is no strict age limit for shoulder replacement. The surgery is performed in patients from their 40s through to their 80s — the decision is based on the underlying diagnosis, general health and functional need. Younger patients with rotator cuff arthropathy or post-traumatic arthritis may require replacement in their 50s. Older patients in their 70s and 80s with good general health regularly undergo successful shoulder replacement. Overall health and functional status matter more than chronological age.

Most patients achieve significant pain relief and improved function — published studies show 85 to 95% patient satisfaction rates. Most patients return to comfortable daily activities, restful sleep and light recreational activities. Full overhead activity and heavy lifting are generally restricted long-term to protect implant longevity. Realistic expectations: excellent pain relief, comfortable sleep, improved function for daily activities and light sport — most patients describe the outcome as life-changing.

Total shoulder replacement (TSA) preserves the natural anatomy — metal ball on the humerus, plastic socket on the glenoid — and requires an intact functioning rotator cuff to power the arm. Reverse shoulder replacement (RSA) inverts the anatomy — ball on the glenoid, socket on the humerus — allowing the deltoid muscle to power arm elevation without needing a rotator cuff. RSA is specifically designed for patients with massive irreparable rotator cuff tears or rotator cuff arthropathy where TSA would fail.

The arm is in a sling for 4 to 6 weeks post-surgery. Physiotherapy begins within the first week. Return to light daily activities and comfortable sleep occurs at 6 to 8 weeks. Driving resumes with surgeon clearance at 6 to 8 weeks. Full functional strengthening and recovery is achieved at 3 to 6 months. Heavy lifting restrictions are maintained long-term to maximise implant longevity. Most patients are very pleased with how quickly their quality of life improves after surgery.

Yes — reverse shoulder replacement was specifically designed for patients with massive, irreparable rotator cuff tears and resulting arthropathy. When the rotator cuff is completely absent and the shoulder has developed secondary arthritis (rotator cuff arthropathy), RSA is the most appropriate surgical option. For patients with smaller, repairable rotator cuff tears without arthritis, arthroscopic rotator cuff repair is the first-line surgical option. See our dedicated Rotator Cuff page for more information.
Find Us

Clinic Locations in Jaipur

Divya Advance Joint Care Clinic

Shop No. 2/34, A Block

Vaishali Estate Township, Gandhi Path West

Jaipur – 302021

Book Appointment ›

Manipal Hospital Jaipur

Sector 5, Vidyadhar Nagar

Jaipur, Rajasthan

Book Appointment ›
Joint care decorative icon element
Shoulder care decorative icon element
Our Google Reviews

What Our Patients Are Saying About Us

Decorative abstract background shape
Decorative curved background design element
Our Social Media Posts

Our Social Media Posts

Get In Touch

Manipal Hospital

CONTACT US

Get in Touch

Thank you! Message sent successfully.
Error occurred. Please try again later.
Illustration of medical professional standing beside contact section
Decorative abstract shape beside contact section

Call Us Today for Consultations

Feel free to pay us a visit. You won’t regret it for sure.

Dr Harish Talreja orthopedic specialist
Decorative leaf illustration
Decorative airplane illustration