Anatomic Total Shoulder Replacement (TSA)
The arthritic shoulder ball and socket are replaced with prosthetic components that preserve the natural ball-and-socket geometry — restoring smooth motion and pain-free function for advanced arthritis.
What is Anatomic Total Shoulder Replacement (TSA)?
Anatomic Total Shoulder Replacement (TSA) is the surgical replacement of the arthritic glenohumeral joint using prosthetic components that preserve the natural ball-and-socket configuration. The diseased humeral head is replaced with a polished metal ball, and the worn glenoid is resurfaced with a polyethylene cup — provided the rotator cuff is functionally intact. The procedure is the standard treatment for advanced primary osteoarthritis, post-traumatic arthritis and selected inflammatory arthropathies of the shoulder. Dr. Hithesh performs anatomic total shoulder replacement in Hyderabad to deliver reliable long-term pain relief and restored shoulder motion for patients with intact cuff function.
Indicated for patients with advanced glenohumeral osteoarthritis, intact functional rotator cuff and adequate glenoid bone stock, where conservative care including physiotherapy, NSAIDs and corticosteroid injections has failed completely.
How the Procedure Works
Anaesthesia & Approach
General anaesthesia with interscalene block; a deltopectoral approach exposes the front of the shoulder joint cleanly.
Humeral Head Resection
The arthritic humeral head is precisely cut at the anatomic neck angle; the proximal humerus is prepared for the stem.
Glenoid Preparation
The arthritic glenoid is reamed to a smooth concave surface ready to accept the polyethylene cup component securely.
Implant Placement
The polyethylene glenoid cup is cemented; the humeral stem with appropriate metal head is press-fit or cemented in place.
Reduction & Closure
The shoulder is reduced; stability, range of motion and rotator cuff balance are confirmed; layered closure precedes rehabilitation.
Outcomes
Who Needs This Treatment?
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Excellent long-term pain relief from advanced shoulder osteoarthritis
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Restores smooth, natural-feeling shoulder motion across all directions
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Preserves the natural ball-and-socket geometry of the original joint
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Modern implant designs reliably last fifteen to twenty years comfortably
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Returns patients to recreational sports including golf, swimming and tennis
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Outstanding long-term satisfaction in international shoulder replacement registries
When the rotator cuff is healthy and the glenoid has good bone, anatomic shoulder replacement remains hard to beat. It restores the natural geometry of the joint — and patients regain a shoulder that genuinely feels like theirs again.
— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist, Lux Hospitals, Hyderabad
Anatomic Total Shoulder Replacement (TSA) Cost in Hyderabad
The cost of anatomic total shoulder replacement (TSA) in Hyderabad depends on the condition of the shoulder joint, integrity of the rotator cuff, severity of arthritis, implant requirements, complexity of surgery, investigations required, and the care needed before and after the procedure.
For patients with shoulder arthritis and an intact rotator cuff, the approximate cost of anatomic total shoulder replacement ranges between ₹3,50,000 and ₹6,50,000.
| Procedure | Approximate Cost Range |
|---|---|
| Anatomic Total Shoulder Replacement (TSA) | ₹3,50,000 – ₹6,50,000 |
The final cost may vary depending on your individual condition, findings during evaluation, type of implant used, and whether any additional procedures are required.
Factors That Influence Anatomic Total Shoulder Replacement (TSA) Cost
The overall cost may depend on:
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Severity of shoulder arthritis: The extent of joint damage, cartilage loss, bone changes, range of motion, and condition of the rotator cuff may influence treatment planning.
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Pre-operative evaluation: Required investigations, clinical examination, X-rays, CT scans, MRI scans, and medical assessments before surgery may affect the overall cost.
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Implant and surgical requirements: The type of shoulder implant, surgical technique, bone preparation, and any additional procedures required during replacement may influence the cost.
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Hospital stay and post-operative care: The duration of admission, medicines, physiotherapy, rehabilitation plan, and follow-up requirements may influence the final estimate.
Is Anatomic Total Shoulder Replacement (TSA) Covered by Insurance?
Anatomic total shoulder replacement (TSA) may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Hitesh Bathini
Orthopaedic Surgeon
During consultation, Dr. Hitesh Bathini, Orthopaedic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether anatomic total shoulder replacement is suitable for you. He will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.