Contact Us Problems Unique To the Reverse Total Shoulder Replacement Shoulder joint replacement surgery also called shoulder arthroplasty is a great treatment for many people with shoulder pain from arthritis. Instead, a different type of shoulder replacement, called reverse shoulder replacement has been developed.
There are also risks of anesthesia and blood transfusion although transfusions are not usually necessary. An experienced shoulder joint replacement team will use special techniques to minimize these risks but cannot totally eliminate them.
After surgery there is a risk of fracture if excessive loads are applied to the arm. Thus, prevention of falls is very important. Managing Surgical Risk Some of the risks of shoulder replacement surgery with a reversed prosthesis can be effectively managed if they are promptly identified and treated.
Infections may require a wash out in the operating room. Sometimes complete removal of the prosthesis is necessary. Blood vessel or nerve injury may require repair. Fracture may require surgical fixation.
Stiffness or instability may require exercises or additional surgery. Loosening of the prosthesis may require surgical revision. If the individual has questions or concerns about the course after surgery the surgeon should be informed as soon as possible.
How to Prepare for Reverse Total Shoulder Surgery Shoulder joint replacement surgery with a reversed prosthesis is considered for healthy and motivated individuals in whom cuff tear arthropathy is complicated by instability that interferes with the comfort and function of the shoulder.
Successful shoulder replacement depends on a partnership between the individual and the experienced shoulder surgeon. Individuals should optimize their health Reverse shoulder prothesis that they will be in the best possible condition for this procedure.
Smoking should be stopped a month before surgery and not resumed for at least three months afterwards. Any heart, lung, kidney, bladder, tooth, or gum problems should be managed Reverse shoulder prothesis surgery. Any infection may be a reason to delay the operation.
The shoulder surgeon needs to be aware of all health issues including allergies and the non-prescription and prescription medications being taken. Some of these may need to be modified or stopped.
The reverse shoulder replacement does exactly as the name suggests: reverses the socket and the ball, placing the ball portion of the shoulder where the socket used to be and putting the socket where the ball or humeral head would normally be. The reverse total shoulder replacement arthroplasty enables experienced shoulder surgeons to treat patients with rotator cuff athropathy and conditions that previously had no solution. Rotator cuff tear arthropathy (arthritis with a large cuff defect) is a devastating condition that seriously compromises the comfort and function of the shoulder. The major difference between a standard shoulder replacement and a reverse procedure is that in a reverse shoulder replacement the ball and socket parts of the shoulder joint switch sides. This means their natural position is reversed. Reverse total shoulder replacement is a complex procedure and is.
For instance, aspirin and anti-inflammatory medication may affect the way the blood clots. The area of the skin incision must be clean and free from sores and scratches. Before surgery the individual should consider the limitations, alternatives, and risks of surgery.
Individuals should also recognize that shoulder replacement with a reversed prosthesis cannot restore normal function to the severely damaged shoulder. The individual needs to plan on carefully protecting the arm for three to six weeks after the procedure.
Driving, shopping, and performing usual work or chores may be difficult after surgery. Plans for necessary assistance need to be made before surgery. For individuals who live alone or those without readily available help, arrangements for home help should be made well in advance.
Surgical team Shoulder replacement arthroplasty with a reversed reverse Delta prosthesis for cuff tear arthropathy complicated by instability is a technically demanding procedure that should be performed by an experienced surgeon in a medical center experienced in performing similar shoulder joint replacements.
Individuals should inquire as to the number of shoulder arthroplasty procedures that the surgeon performs each year and the number of these procedures performed in the medical center each year.
Finding an experienced surgeon Because relatively few shoulder arthroplasties are performed in the United States each year it is unlikely that every community has an experienced shoulder arthroplasty surgeon who frequently performs arthroplasties for cuff tear.
Facilities Shoulder replacement arthroplasty is usually performed in a major medical center that performs these procedures on a regular basis. These centers have surgical teams and facilities specially designed for this type of surgery.
They also have nurses and therapists who are accustomed to assisting individuals in their recovery from shoulder replacement surgery. Anesthetic Shoulder joint replacement surgery is usually performed under a general anesthetic.
Length of reverse shoulder replacement surgery The procedure usually takes approximately two hours, however, the preoperative preparation and the postoperative recovery may add several hours to this time. Individuals often spend two hours in the recovery room and two to four days in the hospital after surgery.
Pain and pain management Recovery of comfort and function after humeral prosthetic arthroplasty with a cuff tear arthropathy head is progressive after the surgery. Often the benefits become apparent to the individual after two to six weeks. This replacement procedure is a major surgical procedure that involves cutting of skin, tendon, and bone and removal of scar tissue, as well as resuturing of tendon back to bone.
The pain from this surgery is managed by the anesthetic and by pain medications. Immediately after surgery, strong medications such as morphine or Demerol may be given by injection and by mouth as needed. Within a day or so, oral pain medications such as hydrocodone or Tylenol with codeine are usually sufficient.
On the other hand, some individuals need surprisingly little pain medication after this procedure.The Reverse® Shoulder Prosthesis manufactured by Encore Medical is a metallic titanium alloy and polyethylene prosthesis for the shoulder. It is specifically designed for patients with a damaged rotator cuff (tendons that attach the shoulder muscles to the arm) and severe shoulder arthritis.
The reverse total shoulder replacement arthroplasty enables experienced shoulder surgeons to treat patients with rotator cuff athropathy and conditions that previously had no solution. Rotator cuff tear arthropathy (arthritis with a large cuff defect) is a devastating condition that seriously compromises the comfort and function of the shoulder.
Reverse Shoulder Prosthesis Reverse shoulder prosthesis, where the positions of the ball and socket joint are reversed so that the socket joint is at the top of the humerous. This arrangement has some unique mechanical advantages for people who, as a result of massive rotator cuff tears, have lost the normal mechanics of their shoulder.
Shoulder replacement arthroplasty with a reversed (reverse Delta) prosthesis for cuff tear arthropathy complicated by instability is a technically demanding procedure that should be performed by an experienced surgeon in a medical center experienced in performing similar shoulder joint replacements.
The shoulder joint is formed by the upper arm (humerus) and the shoulder socket (Glenoid). Shoulder Prosthesis: Shoulder Replacement or Shoulder Arthroplasty. Fact Sheet Total Shoulder Replacement Surgery.
Reverse Shoulder Prosthesis Reverse shoulder prosthesis, where the positions of the ball and socket joint are reversed so . Reverse® Shoulder Prosthesis A forward-thinking reverse Center of Rotation The Reverse Shoulder Prosthesis (RSP®) was the first reverse shoulder design to successfully incorporate a center of rotation (COR) lateral to the glenoid.