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A Diagram of a Reverse Shoulder Replacement |
Why is it needed? What's so great about it? Before the reverse total shoulder, there was no good way to treat the combination of shoulder arthritis and severe rotator cuff tendon tear. We could treat shoulder arthritis with a regular shoulder replacement. We could treat a tendon tear with a tendon repair. But the patient with both of these problems at once could not be effectively treated. There was literally no good answer for someone with that combination of problems. The reverse total shoulder replacement was developed to provide a solution to that problem, and so far it has proved enormously successful.
Reverse shoulder replacement is only appropriate for a small number of patients with a very specific set of problems. In my shoulder practice, I perform about 30-40 reverse shoulder replacements a year. Like any surgery, there is a risk of complications, and any decision to proceed with a replacement should only be undertaken after a careful evaluation and discussion with your surgeon.
To read more about reverse shoulder replacement, the American Academy of Orthopedic Surgery has a nice summary for patients at http://orthoinfo.aaos.org/topic.cfm?topic=A00504