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.

Which is better Total shoulder replacement or reverse shoulder replacement?

Most people get a standard total shoulder replacement. However, reverse total shoulder replacement works better for people with certain injuries, including some rotator cuff injuries. If you have this type of injury, a standard shoulder replacement still might leave you with some pain and limited movement.

Why is a reverse shoulder replacement better?

A reverse total shoulder replacement works better for people with cuff tear arthropathy because it relies on different muscles to move the arm. In a healthy shoulder, the rotator cuff muscles help position and power the arm during range of motion.

What type of shoulder replacement is best?

Traditional shoulder arthroplasty, commonly known as total shoulder replacement surgery, is considered to be the most reliable surgical option for those looking to regain movement and function from a severely injured or damaged shoulder condition.

What are the 3 types of shoulder replacement surgeries?

There are three types of shoulder replacement surgeries:

  • Total shoulder replacement: This is the most common type. ...
  • Partial shoulder replacement: Only the ball gets replaced.
  • Reverse shoulder replacement: Usually, you'd get this if you have a torn rotator cuff.

Total Shoulder Replacement vs Reverse Shoulder Replacement - Dr. Eloy Ochoa

Is reverse shoulder replacement a major surgery?

Typically, reverse shoulder replacement is an elective surgery, which means that a person chooses to have it. Most people who choose to undergo reverse replacement have both: Significant shoulder joint damage, often from either osteoarthritis or rheumatoid arthritis.

How painful is reverse shoulder surgery?

Even though reverse shoulder arthroplasty is a very successful procedure, painful complications occur. During the initial postoperative years, the most common reasons for pain are instability, postoperative fracture of the acromion or spine, and periprosthetic infection.

What Cannot do after shoulder replacement?

Following Surgery

  1. Directly following shoulder replacement surgery, many patients are unable to move the wrist and /or fingers of the arm that was operated on. ...
  2. Patients should expect to have bruising and inflammation in their arm, and hand. ...
  3. The patient's arm will be in a sling.

How painful is total shoulder replacement?

Most patients are very satisfied with the degree of pain relief. However, these shoulder replacements are not perfect and may ache a little when the weather changes or if you are too active. Range of motion and function can be improved by this surgery but the amount of change is less predictable than pain relief.

What muscles are cut during a total shoulder replacement?

Traditional shoulder replacement requires that the bone attachment of the front rotator cuff muscle, the “subscapularis”, be cut to expose the joint and repaired at the end of surgery.

Does shoulder look different after reverse shoulder replacement?

A reverse shoulder replacement will make your arm slightly longer (about 1/2 inch). Most people do not notice this. The contour of the shoulder often looks slightly different. This is because the deltoid muscle looks thinner or hollow.

Can you reach behind your back after reverse shoulder replacement?

The most notable deficiency with reverse TSA is inability to reach behind your back (for example putting on a bra). The biomechanics of the reverse simply do not allow this to happen. Many patients are able to reach their low back or same side back pocket, but many are limited to their posterior hip.

What happens to rotator cuff in reverse shoulder replacement?

The surgeon removes the top of the arm bone and inserts a metal stem with a ball on the end. However, if the rotator cuff is severely damaged, the joint may not be stable or work properly. In a reverse shoulder replacement, the normal ball-and-socket structure is reversed.

How long does it take to fully recover from reverse shoulder replacement?

Recovery from Reverse Total Shoulder Replacement

You will have outpatient physical therapy to strengthen your shoulder and improve flexibility. You should be able to eat, dress and do most daily activities within the first week after surgery. Full recovery usually takes up to four months.

Does Total shoulder replacement include rotator cuff?

A total shoulder replacement replaces the joint's original anatomy and relies on the shoulder's rotator cuff muscles and tendons for strength and function.

Can you get full range of motion after reverse shoulder replacement?

Immediately following reverse shoulder replacement surgery, you won't have a vast range of motion; you'll likely be unable to move your arm over your head. Instead of mistakenly putting stress on your affected joint, you should have more critical objects moved to lower shelves to make them easier to access.

How do you go to the bathroom after shoulder surgery?

Stock a big supply of waterproof bandages or plastic bags and tape in the bathroom so you're prepared to shower without getting your incision wet. A detachable showerhead helps keep water away from your shoulder, and pump soap makes bathing easier when you can use only one arm.

How long do you stay in the hospital after shoulder replacement surgery?

Typically, you will stay in the hospital for two to three days, but this depends on each individual and how quickly he or she progresses. After surgery, you may feel some pain that will be managed with medication to make you feel as comfortable as possible.

How long should you sleep in a recliner after shoulder surgery?

Sleeping on an incline for 4-6 weeks after surgery is best. For the first week or two, a recliner may be the most comfortable option. Purchasing a 45 degree wedge from a medical supply store can also provide a stable base to prop yourself up in the bed. Wear your sling.

Which surgery is worse knee or shoulder?

In fact, the Johns Hopkins researchers say, their study shows that patients who undergo shoulder arthroplasty to relieve chronic and significant pain can expect significantly fewer complications, much shorter hospital stays and less costs than patients undergoing hip or knee replacement.

Can you have an MRI with a total shoulder replacement?

It should be noted that there is no absolute contraindication to MRI for these patients with shoulder prostheses (even with older prostheses).

Can I get disability for shoulder replacement?

To qualify for SSD benefits, you'll need to prove you're unable to work in your previous field of employment. You must also show your shoulder replacement imposes such severe limitations that you can't maintain gainful employment in any other field either.

How much weight can you lift after reverse shoulder replacement?

Following a reverse shoulder replacement surgery, just like a traditional total shoulder arthroplasty, there are life long restrictions. We advise no lifting of greater than 25lbs. over head repetitively. Our goal is for the patient to regain 150+ degrees of range of motion (ROM).

How strong is a reverse shoulder replacement?

Compared with normal healthy subjects (Table 1), patients with a reverse prosthesis who could generate sufficient force to perform the tasks had abduction and adduction torques of 19% to 78% of those of a normal shoulder at a velocity of 60° per second.

How long are you in a sling after reverse shoulder replacement?

Most patients will require the sling for 4-6 weeks total. WHAT MOTIONS SHOULD I AVOID? Do not lift shoulder out in front of body, out to your side, or reach behind your back until your physical therapist has progressed you to that point in therapy.