Reverse total shoulder replacement is different than a total hip replacement, total knee replacement, partial joint replacement, or any other joint replacement. The reverse total shoulder replacement has only been approved by the Federal Drug Administration since March of 2004 but has been widely used in Europe for over 20 years. Since it is a relatively new joint replacement surgery, there are some specific limitations and expectations during your recovery from reverse total shoulder replacement.
At the Joint Replacement Surgery Center of Excellence, our shoulder surgeons are experts in the field of joint replacement and preservation, and possess extensive training in the most advanced shoulder joint replacement techniques. Our team of shoulder specialists is committed to providing comprehensive and individualized treatment plans for each patient. To schedule a consultation with a Los Angeles orthopedic surgeon, please contact us by calling (888) 318-2842.
Who Qualifies for Reverse Total Shoulder Replacement?
There are several options for shoulder surgeries, but if you have any of the following conditions or symptoms, you may be a good candidate for reverse total shoulder replacement:
- Completely torn rotator cuffs
- Severe arm weakness
- Arthritis from the associated rotator cuff tear
- Had a previous shoulder replacement that failed
Reverse Total Shoulder Replacement
In this newly designed surgical method, the metal ball prosthetic is attached to the shoulder bone, while the socket is attached to the humerus. Basically this is the opposite of the total shoulder replacement. In doing this sort of manipulation, the patient is able to use the deltoid muscle – instead of a torn rotator cuff – for mobility.
Phases Following Your Reverse Total Shoulder Replacement
After a reverse total shoulder replacement, there are several physical therapy phases with specific goals that you will need to complete:
Phase I – Immediate Post Surgical Phase/Joint Protection
- Day 1 – 6 Weeks
- Goals will be joint protection, passive range of motion (PROM), promotion of soft tissue healing, restoring active range of motion (AROM) of elbows, wrist, and hand. During this time your arm will be in a sling and there should be NO lifting of heavy objects.
Phase II – Active Range of Motion/Early Strengthening Phase
- Weeks 6-12
- Goals during this time of recovery will be to gradually restore AROM into full external rotation, and bring the arm and shoulder elevation to less than 140 degrees.
Phase III – Continue Active Range of Motion and Strengthening the Joint
- Weeks 12+
- Goals during this time are to improve glenohumeral joint mobility in elevation and external rotation, and maximize the shoulder girdle strength, especially the deltoid.
Contact a Los Angeles Orthopedic Surgeon
Shoulder replacement is a highly technical procedure that should only be performed by an experienced orthopedic surgeon. The Joint Replacement Surgery Center of Excellence houses a team of highly skilled orthopedic surgeons who specialize in the latest minimally-invasive joint replacement surgeries. For more information on shoulder replacement, or to schedule a consultation with one of our renowned orthopedic shoulder surgeons, please contact us at (888) 318-2842.