Reverse Shoulder Replacement

What is Reverse Shoulder Replacement?

Reverse Shoulder Replacement, or Reverse Total Shoulder Arthroplasty (RTSA), is a specialized procedure primarily used for patients with massive rotator cuff tears, cuff tear arthropathy, or complex shoulder fractures. Unlike traditional TSR, the ball-and-socket orientation is reversed, meaning a metal ball is placed on the shoulder blade (glenoid), and a plastic socket is placed on the upper arm (humerus). This unique design allows the deltoid muscle to take over the function of the damaged rotator cuff, improving shoulder stability and motion.

Who is a Candidate for Reverse Shoulder Replacement?

You may benefit from RSR if you have:

• A massive irreparable rotator cuff tear
• Severe arthritis combined with rotator cuff dysfunction
• Failed previous shoulder surgeries
• Complex proximal humerus fractures
• Chronic shoulder dislocations

Procedure Overview

1. Preoperative Evaluation: Imaging studies assess bone quality and muscle function.
2. Surgical Approach: A front-of-shoulder incision is made under general anaesthesia.
3. Implant Placement: The ball-and-socket structure is reversed to enhance stability and function.
4. Soft Tissue Balancing: Ensures proper alignment for optimal movement.
5. Closure & Recovery: Wound is closed, and early rehabilitation starts.

Benefits of Reverse Shoulder Replacement

• Restoration of Function: Enables shoulder movement even without an intact rotator cuff
• Pain Reduction: Significant improvement in chronic shoulder pain
• Improved Stability: Reduces dislocations in unstable shoulders
• Better Quality of Life: Enhances ability to perform daily activities

Recovery & Rehabilitation

• Hospital Stay: Typically 1-3 days
• Sling Use: Required for 4-6 weeks
• Physical Therapy: Focused on regaining motion and strength
• Full Recovery: Around 3-6 months, depending on adherence to rehab protocols