As a medical journalist who regularly visits specialty orthopedic centers across India, I recently had the opportunity to meet Dr. Ponnanna K.M at Opera Bone and Joint Clinic. My focus during this visit was to understand the growing relevance of Total Shoulder Replacement in managing chronic shoulder pain and degenerative joint disease. While knee and hip replacements often dominate orthopedic discussions, shoulder arthroplasty is steadily becoming an important solution for patients struggling with severe joint dysfunction.
Academic Background and Professional Credentials
During our conversation, Dr. Ponnanna K.M detailed his academic qualifications and surgical training. He completed his MBBS followed by an MS in Orthopaedics and has undergone advanced fellowship training in arthroscopy, joint replacement, and sports injury management. Over the years, he has cultivated experience in complex joint reconstruction procedures, including knee, hip, and shoulder surgeries.
Recognized as an Orthopedic Surgeon in Bangalore, Dr. Ponnanna K.M has earned a reputation for handling advanced joint conditions using minimally invasive and evidence-based techniques. His profile also positions him among practitioners widely regarded as the Best Orthopedic Doctor in Bangalore, particularly in joint replacement and ligament reconstruction.
He emphasized that shoulder replacement surgery requires both anatomical precision and a thorough understanding of biomechanics.
Clinic Infrastructure and Surgical Setup
Opera Bone and Joint Clinic operates with a structured, patient-focused layout. During my walkthrough, I observed organized consultation areas, imaging coordination, and post-operative counseling spaces. The clinic collaborates with well-equipped surgical centers that maintain advanced arthroplasty systems and sterile operating environments.
Dr. Ponnanna K.M explained that modern Total Shoulder Replacement procedures rely on precision instrumentation, implant customization, and intraoperative imaging guidance. The surgical ecosystem includes laminar airflow operating theaters, specialized shoulder implants, and comprehensive anesthesia support.
The emphasis on protocol-driven care — from pre-operative evaluation to rehabilitation planning — was clearly visible.
Understanding Total Shoulder Replacement
The shoulder joint, or glenohumeral joint, is a ball-and-socket structure that allows extensive mobility. However, this mobility also makes it vulnerable to wear and tear.
Total Shoulder Replacement is typically recommended for patients experiencing:
- Severe osteoarthritis
- Rheumatoid arthritis
- Post-traumatic arthritis
- Irreparable rotator cuff damage (in selected cases)
- Advanced joint degeneration causing persistent pain
In the procedure, the damaged humeral head is replaced with a metal prosthesis, while the glenoid (socket) is fitted with a polyethylene component. Dr. Ponnanna K.M explained that careful alignment is essential to restore joint mechanics and reduce pain.
Benefits of the Procedure
From a clinical standpoint, the primary benefits include:
- Significant reduction in chronic shoulder pain
- Improved range of motion
- Enhanced ability to perform daily activities
- Improved sleep quality disrupted by joint pain
- Long-term joint stability
Many patients, he noted, regain functional independence after years of restricted movement.
Risks and Limitations
As with all major orthopedic surgeries, Total Shoulder Replacement carries potential risks:
- Infection
- Implant loosening over time
- Nerve injury (rare)
- Blood clots
- Limited range of motion in certain cases
Dr. Ponnanna K.M addressed these risks openly. He explained that patient selection, surgical precision, and post-operative compliance significantly influence outcomes.
He also mentioned that younger patients may need to consider implant longevity, as prosthetic components can wear out over decades.
The Consultation and Pre-Surgical Assessment
One of the most structured aspects of care I observed was the consultation process. Dr. Ponnanna K.M conducts a detailed clinical evaluation supported by imaging studies such as X-rays and, when necessary, CT scans.
Pre-operative assessment includes:
- Evaluation of bone quality
- Assessment of rotator cuff integrity
- General medical fitness testing
- Discussion of realistic recovery timelines
He emphasized that surgery is recommended only after conservative management — including physiotherapy and medication — fails to provide relief.
Approximate Cost Range in Bangalore
The cost of Total Shoulder Replacement in Bangalore varies depending on hospital infrastructure, implant type, and complexity of the case. On average, patients may expect expenses ranging between ₹2,50,000 to ₹5,00,000 or more.
Dr. Ponnanna K.M clarified that pricing reflects multiple components:
- Implant quality
- Operating theater facilities
- Surgical team expertise
- Hospital stay duration
- Post-operative rehabilitation
He reiterated that surgical safety and standardized protocols should remain primary considerations.
Rehabilitation and Aftercare
Recovery after shoulder replacement is gradual and structured. According to Dr. Ponnanna K.M:
- Arm support in a sling is required initially
- Gentle physiotherapy begins within days
- Passive motion exercises precede active strengthening
- Full functional recovery may take 3–6 months
Patients are advised to avoid lifting heavy weights during early recovery. Adherence to physiotherapy significantly impacts range of motion and overall outcome.
Pain management, wound care, and follow-up imaging are part of routine post-operative monitoring.
Long-Term Outlook
Modern implants are designed for durability and anatomical compatibility. Many patients experience long-term pain relief and improved mobility. However, high-impact activities or heavy manual labor may need to be modified after surgery.
Dr. Ponnanna K.M emphasized that patient education is central to long-term success. “Replacement surgery restores function, but patient awareness sustains it,” he remarked during our discussion.
A Broader Perspective on Shoulder Arthroplasty
As life expectancy increases and degenerative joint diseases become more prevalent, procedures like Total Shoulder Replacement are gaining recognition in orthopedic practice. My visit to Opera Bone and Joint Clinic underscored the importance of surgical expertise, technological infrastructure, and comprehensive rehabilitation in ensuring favorable outcomes.
The evolution of shoulder arthroplasty reflects advancements in biomechanics, implant design, and minimally invasive techniques — yet the cornerstone remains experienced surgical judgment.
A Reflective Closing Note
Serving you from Bangalore.
Persistent shoulder pain can significantly affect independence and quality of life. Consulting a qualified Orthopedic Surgeon in Bangalore can help clarify whether surgical or non-surgical management is appropriate.
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