This post was most recently updated on April 29th, 2023
Reverse total shoulder replacement, also known as reverse total shoulder arthroplasty, is an innovative procedure designed to relieve pain in the shoulder and improve the range of motion. It’s a complex procedure and should be done by an experienced orthopedic surgeon. Patients who undergo this procedure often experience decreased pain, improved range of motion, and quality of life.
While this procedure can be beneficial, there are some risks and limitations that should be discussed with a doctor prior to undergoing the procedure. This article will provide an overview of reverse total shoulder replacement and 8 tips for successful reverse total shoulder replacement. As well as provide information on the limitations after reverse shoulder replacement.
II. What is Reverse Total Shoulder Replacement?
Reverse total shoulder replacement is a complex procedure that is used to treat shoulder arthritis, rotator cuff tears, and shoulder fractures. It involves replacing the ball and socket joint of the shoulder with an artificial implant.
The implant is made of metal components and plastic that are designed to restore the shoulder’s normal range of motion and reduce pain. This procedure is typically done on an outpatient basis, and patients typically recover in 6 to 12 weeks. During a reverse total shoulder replacement, the shoulder is replaced with a prosthetic shoulder joint that allows for a greater range of motion and stability.
III. 8 Tips for Successful Reverse Total Shoulder Replacement
A. Preoperative Evaluation:
Before undergoing reverse total shoulder replacement, it is important to have a thorough preoperative evaluation. This includes a physical examination, imaging studies, and laboratory tests. This will help the doctor understand the patient’s condition and determine the best approach for the procedure.
Proper positioning is essential for successful reverse total shoulder replacement. The patient should be positioned in a supine position with the shoulder abducted, and the arm externally rotated. This will help the surgeon to access the shoulder joint and ensure the implant is placed in the correct position.
Rehabilitation is an important part of recovery from reverse total shoulder replacement. After the procedure, patients should begin a physical therapy program to help them regain strength and range of motion. During the physical therapy program, patients should focus on range of motion exercises, strengthening exercises, and postural exercises.
D. Pain Management:
Pain management is essential after reverse total shoulder replacement. Doctors may prescribe medications to help manage pain and inflammation. Additionally, ice and heat therapy can be used to help reduce pain and swelling.
The incision for reverse total shoulder replacement can vary depending on the patient’s condition. In most cases, the incision is made on the front of the shoulder. The surgeon will then make an incision in the joint capsule and the rotator cuff muscles to access the shoulder joint.
F. Implant Preparation:
After the incision is made, the surgeon will prepare the implant for insertion. This involves measuring the arm and shoulder, determining the size of the implant, and making sure the implant is properly aligned.
G. Component Insertion:
The surgeon will then insert the metal and plastic components of the artificial shoulder joint. The components are designed to fit snugly together to restore the shoulder’s normal range of motion and reduce pain.
H. Postoperative Care:
After the procedure, patients should follow their doctor’s postoperative instructions. This includes resting the shoulder, avoiding strenuous activities, and attending physical therapy sessions. Additionally, patients should be monitored for signs of infection, such as redness, swelling, and drainage.
IV. What are the Limitations After Reverse Shoulder Replacement?
Despite the benefits ofreverse total shoulder replacement, there are some limitations that patients should be aware of. Patients may experience some loss of strength, difficulty reaching behind the back, and difficulty sleeping on the affected shoulder. Additionally, patients may experience scar tissue formation around the artificial joint, which can lead to stiffness and pain.
Patients should discuss any concerns about the limitations of reverse total shoulder replacement with their doctor prior to undergoing the procedure. That is why it is important to follow your doctor’s instructions and attend all follow-up appointments after your reverse total shoulder replacement. Direct Orthopedic Care can provide you with the necessary post-operative care and guidance to ensure your recovery is successful.
Reverse total shoulder replacement is an innovative procedure that can provide relief from shoulder pain and improve the range of motion. It is important for patients to understand the risks and limitations of the procedure prior to undergoing it.
Additionally, following the 8 tips for successful reverse total shoulder replacement can help ensure a successful outcome. At Direct Orthopedic Care, our team of experienced orthopedic surgeons can provide comprehensive care for patients looking to undergo reverse total shoulder replacement. Contact us today to learn more about the procedure and how we can help.