Reverse Total Shoulder Replacement

Reverse total shoulder replacement is a specialized surgical procedure designed for patients with severe shoulder arthritis, rotator cuff tears, or complex fractures that cannot be addressed with traditional shoulder replacement techniques. Unlike standard shoulder replacements, this procedure reverses the normal structure of the shoulder joint by placing a ball implant on the shoulder blade (glenoid) and a socket on the top of the upper arm bone (humerus).

This reverse configuration allows the deltoid muscle to compensate for the damaged or torn rotator cuff, enabling improved shoulder stability and function. It is often recommended for patients with rotator cuff arthropathy or those who have undergone failed prior shoulder surgeries.

During the surgery, both the ball and socket components of the shoulder joint are replaced, but in reverse order, with the following steps involved:

• Removal of the damaged humeral head and glenoid
• Placement of the ball component onto the glenoid (shoulder blade)
• Fitting of the socket component onto the humerus (upper arm bone)
• Fixation of the components and post-surgical rehabilitation

Benefits of Reverse Total Shoulder Replacement

• Restores shoulder mobility and function
• Reduces pain from severe arthritis or rotator cuff injuries
• Allows return to daily activities with greater ease
• Provides long-term stability even with a damaged rotator cuff

Reverse total shoulder replacement is an effective solution for patients with complex shoulder conditions, offering improved mobility, reduced pain, and enhanced quality of life.