Anatomic Total Shoulder Replacement (TSA)
A shoulder replacement procedure replicating the natural ball-and-socket anatomy — for patients with advanced shoulder arthritis and a fully functioning rotator cuff.
What is Anatomic Total Shoulder Replacement (TSA)?
Anatomic Total Shoulder Replacement (TSA) replaces the damaged ball and socket of the shoulder with artificial components designed to replicate the natural joint anatomy. The humeral head is replaced with a metal ball and the glenoid socket with a smooth plastic component, restoring comfortable, pain-free movement. TSA is the preferred option when shoulder arthritis is advanced but the rotator cuff tendons remain intact and functioning. It is performed for osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, and severe cartilage damage — where the intact rotator cuff can support and power the replacement.
SUITABLE FOR Patients with advanced shoulder arthritis — including osteoarthritis, rheumatoid arthritis, and posttraumatic arthritis — where the rotator cuff tendons are intact and functioning, and conservative treatments no longer provide adequate relief.
How the Procedure Works
Pre-operative Assessment
X-rays and CT scans evaluate joint damage and confirm rotator cuff integrity; anaesthesia is administered on the day of surgery.
Surgical Access
An incision over the shoulder exposes the joint; surrounding muscles are carefully moved aside to access the humeral head and glenoid socket.
Humeral Head Preparation
The damaged humeral head is removed and the upper arm bone is shaped to receive the metal prosthetic ball accurately.
Glenoid Socket Preparation
Worn cartilage is removed from the glenoid and the socket is reshaped to allow stable placement of the plastic socket component.
Implant Placement
The metal ball is attached to the humerus and the plastic socket to the glenoid — replicating the natural ball-and-socket anatomy of the joint.
Motion Check & Wound Closure
The shoulder is moved through its full range to confirm alignment, stability, and smooth movement; the incision is closed and the arm placed in a sling.
Outcomes
Who Needs This Treatment?
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Replicates the natural shoulder anatomy for smooth, balanced movement
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Significant and lasting relief from chronic arthritis pain
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Restores shoulder strength, stability, and functional range of motion
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Well-established procedure with excellent long-term clinical outcomes
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Structured physiotherapy maximises post-operative functional recovery
“Anatomic shoulder replacement is the ideal solution for patients with advanced arthritis and an intact rotator cuff. By replicating the natural anatomy of the joint, we can restore smooth, comfortable shoulder movement and give patients back the independence that arthritis has taken away.”
— Dr. Satish Reddy Gandavarapu, Senior Orthopaedic Consultant and Trauma Surgeon , Lux Hospitals, Hyderabad
Anatomic Total Shoulder Replacement (TSA) Cost in Hyderabad
The cost of Anatomic Total Shoulder Replacement (TSA) in Hyderabad generally ranges from ₹3,50,000 to ₹6,50,000, with an indicative average cost of around ₹5,00,000. Anatomic total shoulder replacement may be considered for selected patients with advanced shoulder arthritis when the rotator cuff is sufficiently functional to support the replacement. The final cost depends on implant selection, bone and soft-tissue condition, surgical requirements and postoperative rehabilitation.
| Procedure | Approximate Cost Range |
|---|---|
| Anatomic Total Shoulder Replacement (TSA) | ₹3,50,000 – ₹6,50,000 |
The above range is indicative; the final package and inclusions should be confirmed with the hospital before publication. Anatomic shoulder replacement is generally considered when the rotator cuff and other structures are suitable. Patients with significant rotator cuff deficiency may require evaluation for an alternative shoulder replacement approach.
Factors Affecting the Cost of Anatomic Total Shoulder Replacement
The overall cost of anatomic total shoulder replacement can vary depending on the severity of arthritis, implant selection, bone quality, rotator cuff condition, surgical requirements and postoperative rehabilitation.
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Shoulder joint condition: The extent of arthritis, joint deformity, bone loss and other structural changes may influence the complexity of surgery and treatment planning.
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Implant selection: The type, design and quality of the shoulder replacement components can significantly affect the overall package cost. Implant selection depends on the patient's anatomy and clinical requirements.
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Rotator cuff condition: Anatomic shoulder replacement generally requires a functioning rotator cuff. Assessment of tendon integrity and muscle function is therefore an important part of preoperative planning.
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Bone quality and deformity: Significant bone loss, glenoid deformity or other anatomical changes may require specialised implants or additional surgical techniques, potentially increasing the cost.
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Preoperative investigations: X-rays, CT scans, blood tests and other investigations may be recommended to evaluate the shoulder and prepare for surgery. These may be billed separately when not included in the package.
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Anaesthesia and hospital charges: Operating-room charges, anaesthesia, implants, medicines, nursing care and hospitalisation may be included according to the hospital's package structure.
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Rehabilitation and physiotherapy: Structured postoperative rehabilitation is generally required to restore shoulder movement and strength. Physiotherapy and follow-up costs may be separate from the surgical package.
Insurance Coverage for Anatomic Total Shoulder Replacement
Anatomic Total Shoulder Replacement may be covered by health insurance when medically necessary, subject to the patient's policy terms, exclusions, waiting periods, insurer approval and hospital coverage arrangements. Patients should confirm pre-authorisation requirements and applicable coverage with their insurer before treatment.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Satish Reddy Gandavarapu
Orthopaedic & Joint Replacement Surgeon
Dr. Satish Reddy at Lux Hospitals, Hyderabad, can evaluate patients with advanced shoulder arthritis and other conditions that may require shoulder replacement and help determine whether anatomic total shoulder replacement is appropriate based on clinical examination and imaging findings. During the consultation, the doctor may assess: Shoulder symptoms: The doctor may review pain, stiffness, weakness, reduced range of motion and difficulty with activities such as dressing, reaching, lifting or overhead movements. Joint examination: Shoulder movement, strength, tenderness, stability and functional limitations may be evaluated to understand the extent of joint dysfunction. Rotator cuff function: The doctor may assess rotator cuff strength and review imaging to determine whether the tendons and muscles are sufficiently functional for an anatomic replacement. Imaging findings: X-rays and, when indicated, CT or MRI scans may be reviewed to assess arthritis, bone loss, glenoid condition, joint alignment and rotator cuff status. Previous treatment: Medicines, physiotherapy, injections, activity modification and other treatments previously attempted may be discussed along with the patient's response. Surgical suitability: Based on the overall findings, the doctor may determine whether anatomic total shoulder replacement is appropriate or whether another treatment approach should be considered.
Consultation with Dr. Satish Reddy. Consultation with Dr. Satish Reddy.Common Questions
Frequently Asked Questions
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