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Reverse Shoulder replacement is an alternative surgery for patients who have torn their rotator cuffs and have developed severe arthritis or who have had a previous total shoulder replacement that has failed to relieve their pain. Rotator cuff is the group of four tendons that join the head of the humerus (arm bone) to the deeper muscles provides stability and mobility to the shoulder joint.
To decide whether total shoulder replacement is a good option for you, Dr. Jay will evaluate your condition thoroughly. Dr. Jay reviews your medical history and performs a physical examination of your shoulder to assess the extent of mobility and pain. Imaging tests such as X-ray, CT scan and/or MRI (magnetic resonance imaging) are ordered.
The surgery is done under general anesthesia. You will be positioned in a reclining beach chair position. An incision is made over the affected shoulder to expose the shoulder joint. In total shoulder replacement procedure, metal ball is placed at end of upper arm bone and the socket into the shoulder bone. However in a reverse shoulder replacement, Dr. Jay will attach the metal ball to the shoulder bone and the socket will be placed at the end of the upper arm bone. By switching the prosthetics, the patient will now be able to use their deltoid muscle, instead of the torn rotator cuff, to enable lifting of their arm. After the artificial components are implanted the joint capsule is stitched and the wound is closed. Reverse Shoulder replacement surgery usually involves a hospital stay of a few days.
After allowing a few days for soft tissue healing exercises will be initiated. This will progress in a graduated manner under the guidance of Dr Jay Shah and the shoulder physiotherapy expert. You will also receive instructions on commencing activities of daily living as and when appropriate.
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