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Reverse shoulder replacement is a surgical procedure in which the position of the ball-and-socket joint in the shoulder is reversed. It is typically recommended for individuals with shoulder fractures, arthritis, or damage to the rotator cuff tendons. This procedure helps alleviate pain and improve functional mobility.
This surgery may be advised in cases such as:
Reverse Arthroplasty
Surgical
Investigations
Blood tests and imaging studies such as ECG, X-rays, CT scans, and MRI help assess the extent of damage and the patient’s fitness for anesthesia.
Medications
Inform the doctor about any ongoing medications, including vitamins and supplements. Blood thinners may need to be stopped before the procedure.
Diet
Patients should avoid eating or drinking after midnight the night before surgery.
Clothing
Wearing loose-fitting, button-front shirts is recommended, as the arm will be immobilized in a sling post-surgery, limiting shoulder movement for 2-4 weeks.
Under general anesthesia, the surgeon replaces damaged joint surfaces in the shoulder. The ball-and-socket arrangement of the shoulder is reversed, with screws securing the components. This realignment restores function and reduces pain. The surgery typically takes around two hours, with a hospital stay of approximately 3-5 days.
While reverse shoulder replacement is generally successful, potential risks include:
Post-operative recovery involves taking prescribed medications to manage pain and prevent infection. Adherence to a home exercise program and avoiding strenuous activities, such as lifting over 5 pounds or extreme arm movements, for at least six weeks can aid recovery. Full recovery, including regaining strength and mobility, typically takes a few months.
What is the typical recovery time?
Recovery varies by individual, but most patients regain significant mobility within a few months, with continued improvements over time.
What are the success rates for reverse shoulder replacement?
The procedure has a success rate of approximately 85%, offering significant pain relief and improved shoulder function for most patients.
Are non-surgical options available for shoulder conditions?
Yes, non-surgical alternatives such as physical therapy, medications, or corticosteroid injections may be viable for certain conditions.
What are common reasons for procedure failure?
Failure may result from infection, implant issues, poor bone quality, nerve damage, or inadequate post-operative care.
Are there support groups for patients undergoing this surgery?
Patient support groups are available to provide guidance, share experiences, and offer emotional support during recovery.