Dr Ravi Bhanushali

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ORTHOPAEDIC SURGERIES

Reverse Shoulder Replacement

Reverse shoulder replacement is a surgical procedure designed to address severe shoulder arthritis, irreparable rotator cuff tears, or certain complex fractures of the shoulder. Unlike traditional total shoulder replacement where the ball is replaced with a metal implant and the socket with a plastic component, reverse shoulder replacement reverses this configuration. In this procedure, the ball portion of the joint is replaced with a metal socket, and the socket is replaced with a metal ball. This reversal of the joint mechanics changes the biomechanics of the shoulder, allowing other muscles, such as the deltoid, to compensate for the loss of function of the rotator cuff muscles.

Here’s an overview of reverse shoulder replacement:

Indications: Reverse shoulder replacement is typically recommended for individuals with specific conditions, including:

  • Irreparable rotator cuff tears: When the rotator cuff tendons are severely damaged and cannot be repaired, leading to loss of function and mobility.
  • Rotator cuff tear arthropathy: A condition where long-standing rotator cuff tears result in degenerative changes to the shoulder joint, causing severe pain and dysfunction.
  • Complex fractures: In cases where a severe fracture of the proximal humerus (upper arm bone) cannot be adequately reconstructed with other techniques.

Preparation: Before the surgery, patients undergo a thorough evaluation, including imaging studies such as X-rays, CT scans, or MRI to assess the condition of the shoulder joint and surrounding structures. Patients may also undergo pre-operative tests to evaluate their overall health and fitness for surgery.

Recovery and Rehabilitation:

  • Recovery and rehabilitation after reverse shoulder replacement typically involve a period of immobilization followed by physical therapy to regain strength, mobility, and function in the operated shoulder.
  • Patients are instructed to follow specific post-operative guidelines, including activity restrictions, wound care, pain management, and use of assistive devices such as slings or braces.
  • Most patients can expect significant improvement in pain relief and function following reverse shoulder replacement, although the timeline for recovery varies from person to person.
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