Reverse shoulder replacement is a surgical option designed for individuals with severe shoulder arthritis or massive rotator cuff tears. Unlike traditional shoulder replacement, this procedure switches the positions of the ball and socket. A metal ball is fixed to the shoulder blade, and a plastic cup is attached to the upper arm bone. This reversed design helps restore shoulder function by allowing the deltoid muscle to move the arm instead of the damaged rotator cuff. It's especially effective when the rotator cuff is irreparably torn, making traditional repair techniques ineffective. The procedure improves arm mobility and reduces pain for patients who previously had limited use of their shoulder. Surgery is typically performed under general anesthesia and may require a short hospital stay. After the procedure, patients wear a sling for a few weeks and begin physical therapy to regain strength and mobility in the shoulder. Recovery time varies but often takes several months. Many patients experience significant improvements in daily activities, pain relief, and arm function. Reverse shoulder replacement has become a trusted solution for restoring shoulder movement in complex cases where conventional methods fall short.

What is a Reverse Shoulder Replacement?

Shoulder arthritis is a degenerative condition that causes chronic pain, weakness, and limited mobility. It is common in older individuals and can develop due to injury or natural wear and tear. While some patients benefit from non-surgical treatments, others may require surgical intervention if symptoms worsen.

Dr. Khaleel, Senior Consultant Arthroscopic Shoulder and Sports Surgeon at Kims Alshifa, Perintalmanna, Kerala, India, offers reverse shoulder replacement surgery for patients who have not responded to conventional treatments.

When is Reverse Shoulder Replacement Recommended?

1. Rotator Cuff Tear Arthropathy: A condition where a chronic rotator cuff tear causes the humerus (upper arm bone) to shift abnormally.
2. Irreparable Rotator Cuff Tear: When the rotator cuff muscles are too damaged to be repaired.
3. Failed Traditional Shoulder Replacement: Patients with unsuccessful previous surgeries who continue to experience pain and instability.

How is Reverse Shoulder Replacement Different?

Unlike traditional shoulder replacement, which relies on the rotator cuff muscles for movement and stability, reverse shoulder replacement shifts the function to the deltoid muscle. This modification allows patients with severe rotator cuff damage to regain shoulder mobility and function.

The Reverse Shoulder Replacement Procedure

1. A small incision is made at the front of the shoulder.
2. Damaged bone and cartilage are removed.
3. Instead of a traditional implant, the ball and socket positions are reversed.
4. The socket is placed on the humerus, and the ball is placed on the glenoid.
5. This allows the deltoid muscle to take over movement and stability.

Benefits of Reverse Shoulder Replacement

1. Pain Relief: Eliminates chronic shoulder pain.
2. Improved Mobility: Restores function and range of motion.
3. Stability: Enhances joint stability, particularly for patients with irreparable rotator cuff tears.
4. Return to Activity: Enables patients to resume daily tasks with greater ease.

Dr. Khaleel provides personalized treatment plans to ensure optimal results for patients undergoing reverse shoulder replacement. His expertise helps patients regain mobility, strength, and a pain-free lifestyle.