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Reverse Shoulder Replacement

Dr. Lingaraju A P - Consultant Orthopaedic & Joint Replacement

What is Reverse Shoulder Replacement Surgery?

The total shoulder replacement involves replacing the arthritic joint surfaces with a highly polished metal ball attached to a stem, metal cup in the glenoid and an ultra-high molecular weight polyethylene insert.

In a Reverse Shoulder Replacement, the socket and metal ball are switched. The metal ball is fixed to the socket and the plastic cup is fixed to the upper end of the humerus.

What are the common conditions requiring Reverse Shoulder Replacement Surgery?

Reverse Shoulder Replacement may be recommended if you have:

  1. A completely torn rotator cuff that cannot be repaired
  2. Cuff tear arthroplasty
  3. A previous shoulder replacement that was unsuccessful
  4. Severe shoulder pain and difficulty lifting your arm away from your side or over your head
  5. A complex fracture of the shoulder joint
  6. A chronic shoulder dislocation
  7. A tumor of the shoulder joint
How safe is Reverse Shoulder Replacement Surgery?

Total Reverse Shoulder Replacement surgery is a safe and effective solution. It’s not a complicated surgery. This will reduce the pain and increases the quality of life. 90% satisfaction rate.

Any age limit to undergo Reverse Shoulder Replacement Surgery?

No age bar to undergo this surgery. Your physical fitness and medical conditions are important.

How the Reverse Shoulder Replacement surgery done?

During a Reverse Shoulder Replacement surgery, the damaged humeral head is removed and replaced with a metal stem that is placed into the hollow center of the humerus. The humeral stem may be either cemented or “press-fit” into the bone.  An ultra-high molecular weight polyethylene plastic cup is fixed to the humeral stem. Glenoid base plate is fixed and the metal ball is fixed to this base plate. Now your shoulder joint moves in a normal way.

How is the humeral component fixed in Reverse Shoulder Replacement?

Depends on the age, quality of bone. At a young age with good bone quality un-cemented humeral component used and fixed by press-fit with bone grafting harvested from the removed humeral head. In elderly cemented humeral stem is used which was fixed with cement. 

How is the glenoid component in Total Shoulder Replacement fixed?

The bone of the glenoid is precisely shaped with a glenoid reamer and then the glenoid component is secured with a combination of press-fitting and screws.

How early I can resume my activities?

Pendulum and gentle mobilization exercises will be started immediately after the surgery.

At 6 weeks most people with sedentary employment can return to work. You can do your regular day to day activities.

At 3 months u can completely resume all your activities including sports and heavy work.

For Best Advice and Consultation reach out to Doctor for Orthopedics in Jayanagar

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