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Reverse total shoulder replacement
Reverse total shoulder replacement is surgery to replace the damaged parts of the shoulder joint with artificial parts. This type of surgery may be used for people who cannot have regular shoulder replacement surgery or for whom the reverse approach may give a better result.
Description
You’ll receive anesthesia before surgery. Two types of anesthesia can be used: General anesthesia , which means you'll be unconscious and unable to feel pain. Regional anesthesia to numb your arm and shoulder area so you don't feel any pain in this area. You'll also be given medicine to help you relax during the…
Why the Procedure Is Performed
A regular anatomic shoulder replacement relies on the rotator cuff to move the arm and shoulder. The muscles and tendons of the rotator cuff hold the ball and socket of the shoulder joint in place. Reverse total shoulder replacement is usually performed when you have a rotator cuff tear and severe arthritis. With this…
Risks
Risks of anesthesia and surgery in general are: Reactions to medicines or breathing problems Bleeding , blood clot , or infection Risks of shoulder replacement surgery are: Blood vessel damage during surgery Bone break during surgery Nerve damage during surgery Dislocation of the artificial joint Loosening of the…
Before the Procedure
Tell your health care provider what medicines you are taking. This includes medicines, supplements, or herbs you bought without a prescription. During the 2 weeks before your surgery: You may be asked to stop taking blood thinners. These include aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), warfarin…
After the Procedure
You may stay in the hospital for 1 to 3 days after your surgery. While there, you may receive physical therapy to help keep the muscles around your shoulder from getting stiff. Before you go home, the physical therapist will teach you how to move your arm by using your other (good) arm to help. Your arm will need to…
Outlook (Prognosis)
Reverse total shoulder replacement surgery relieves pain and stiffness for many people. You should be able to resume most of your daily activities without much problem. Your new shoulder joint will last longer if less stress is placed on it. With normal use, a new shoulder joint can last around 10 years.
References
American Academy of Orthopaedic Surgeons website. Reverse total shoulder replacement. orthoinfo.aaos.org/en/treatment/reverse-total-shoulder-replacement/ . Last reviewed August 2022. Accessed May 2, 2023. Duquin TR, Matsen FA, Lippitt SB, Rockwood CA, Wirth MA. Evaluation and management of glenohumeral arthritis. In:…
This is a summary. Read the full article at www.ucsfbenioffchildrens.org (reviewed 21/05/2023).
This page is general information and is not medical advice. It does not replace a registered doctor, and it is not a prescription or a recommendation to use any medicine or test. Prices are listed prices and may change. Always follow the advice of your doctor or pharmacist.