Tag Archives: India Reverse Anatomy Arthroplasty

Significant pain and disability is often associated with rotator cuff arthropathy. Individuals often have difficult with simple daily activities such as feeding themselves, getting dressed and combing their hair because of a significant loss of shoulder motion and strength. There is often associated pain, especially at night-time which interferes with normal sleep. Pseudo-paralysis and rotator cuff arthropathy can be seen in older patients with a degenerative massive rotator cuff tear.

Other causes of cuff arthropathy include prior failed rotator cuff repairs,  or individuals with prior failed shoulder replacement surgery. A reverse shoulder replacement  can also be useful in the cases of severe fractures of the proximal humerus (shoulder joint) in older individuals. In individuals with a massive rotator cuff tear that is not repairable, an initial trial of physical therapy may help restore function to an acceptable levels. If, however, significant functional loss and associated pain persist despite a course of conservative therapy, reverse arthroplasty is often the only surgical option.

Patients will work with a physical therapist to resume daily activities and strengthen shoulder muscles. Often the physical therapy is initiated during the hospital stay. The patient is taught a simple set of exercises that they can do on their own at home. Typically, full recovery is achieved by 3-4 months post-operatively. A reverse shoulder replacement can significantly decrease pain and improve function for patients and contribute significantly to an improved quality of life.

The Joint Replacement Surgery Hospital India center for complex shoulder problems and as such, we are specifically equipped to handle this type of complex operation. Patients benefit from our multidisciplinary approach to the treatment of shoulder disorders and have access to a full range of care. Our experienced team of physicians, certified physical therapists, and support staff all work together to help patients achieve success. In addition, our affiliated occupational and physical therapists are specially trained in rehabilitation of the shoulder and elbow prior to and after surgical reconstruction.

The surgical procedure is conducted under general or local anesthesia; and generally takes about 1 to 1½ hours to complete.

For decades, sufferers of severe shoulder arthritis have relied on traditional total shoulder replacement as a proven solution. But for individuals with more complex shoulder issues, such as a torn rotator cuff, this was not the best option. In recent years, a new shoulder replacement option called reverse total shoulder replacement has offered relief from pain and lack of mobility to those with more difficult shoulder problems.

In a traditional shoulder replacement, a plastic socket is placed in the shoulder and a metal ball and stem are inserted into the upper arm bone; the two fit together to form the new artificial joint. This solution still relies on a patient’s rotator cuff to move the arm.

Conversely, in a reverse total should replacement, the plastic socket is fitted into the arm bone and the metal ball is attached to the shoulder bone instead. This configuration is better for people with damaged rotator cuffs because the new joint does not rely on this muscle for movement of the arm. Instead, the deltoid muscle is used to move the arm.

Most patients are able to return to activities within a few months.

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