What is a Reverse Shoulder Replacement?
Reverse shoulder replacement is a revolutionary type of surgery which is done in rare cases where the patients have had no solution from other procedures and have suffered for years. This complicated and extremely technical surgery, which was originally designed in the 1980’s in Europe, is performed by highly skilled and experienced surgeons. To understand Reverse Shoulder Replacement, we must understand the basic anatomy of the shoulder. Our shoulder is a ball and socket-type joint made up of two main parts – the humerus (ball) and glenoid (socket). A reverse shoulder replacement uses an artificial device to replace the damaged shoulder joint but in a reversed manner. It has the ball of the shoulder joint where the socket should be and the socket where the ball normally is. Thus, the anatomy is reversed.
Why opt for a Reverse Shoulder Replacement?
The reason for opting a reverse shoulder replacement rather than a conventional shoulder replacement is that a standard shoulder replacement surgery can be performed only when the muscles and tendon around the shoulder are intact. These muscles and tendons together form the rotator cuff which help with the movement and stabilization of shoulder. If these rotator cuffs are completely torn or gone, the normal shoulder replacement surgery cannot be performed. Reverse prosthesis can help such patients. The reverse total shoulder replacement relies on the deltoid muscle, instead of the rotator cuff to stabilize and move the arm. Although, it does not give the complete range of motion back, but it is improved over the motion previously lost due to the severe condition and gives significant pain relief.
Ideal cases for a Reverse Shoulder Replacement?
Completely torn rotator cuff
Failed Shoulder Replacements
Rotator Cuff Arthropathy
Reverse Shoulder Replacement – the procedure
Reverse total shoulder replacement surgery is performed by giving general anesthesia along with an interscalene nerve block to numb the shoulder and arm. An incision is made over the affected area to expose the shoulder joint. The humerus is separated from the glenoid socket of the scapula. The damaged parts of the humeral head and the socket are removed and prepared for the insertion of the prosthesis. After fixing the prosthesis, the joint capsule is stitched together and the wound is closed with sutures.
Is recovery and rehabilitation different?
The main factor in the recovery process is whether the surgery is a primary one or a revision one done to remove the old prosthesis and fix the new one. In case or revision procedures, the recovery takes comparatively longer time. Otherwise, the rehabilitation is similar to that of the standard shoulder replacement surgeries.
For questions and enquiries regarding Reverse Total Shoulder Replacement, drop your enquiries here – www.BangaloreShoulderInstitute.com or call 9846789204