Reverse Shoulder Replacement

1. What is Reverse Shoulder Replacement?

Reverse shoulder replacement is a type of shoulder arthroplasty in which the normal positions of the ball and socket are reversed. A metal ball is attached to the shoulder blade, while the artificial socket is placed on the upper arm bone.

2. When is it recommended?

It is commonly recommended for severe rotator cuff tear arthropathy, complex shoulder fractures, irreparable rotator cuff tears with arthritis, failed previous shoulder replacement, and certain severe degenerative shoulder conditions.

3. How does it work?

The reversed joint changes the biomechanics of the shoulder, allowing the deltoid muscle to compensate for a poorly functioning or irreparable rotator cuff and help elevate the arm.

4. What does the surgery involve?

The damaged portions of the shoulder joint are removed and replaced with prosthetic components. The surgeon positions the baseplate and glenosphere on the shoulder blade and the humeral component inside the upper arm bone.

5. What types of implants are used?

Implants may differ in design, fixation method, materials, and size. The choice depends on bone quality, anatomy, age, previous surgery, and the surgeon's assessment.

6. How long does the procedure take?

The operation generally takes around 1.5–3 hours, although complex revision or fracture cases may require longer. Hospitalization is commonly a few days, depending on recovery.

7. What are the expected benefits?

Patients may experience substantial reduction in shoulder pain and improvement in arm elevation and everyday activities such as dressing, eating, and reaching. Functional improvement depends on muscle condition, nerve function, rehabilitation, and the underlying disease.

8. What are the risks?

Potential complications include infection, dislocation, fracture, nerve injury, implant loosening, instability, stiffness, blood clots, and wear or failure of the prosthesis. Revision surgery may occasionally be required.

9. Why consider Reverse Shoulder Replacement in India?

India has experienced orthopedic and joint-replacement specialists, advanced imaging and surgical facilities, internationally used implant systems, and comparatively affordable treatment costs for international patients.

10. How can Medavelle help?

Medavelle can coordinate medical-record review, identify an appropriate orthopedic/shoulder specialist, obtain a treatment plan and estimated cost, assist with hospital coordination, travel arrangements, accommodation, and follow-up during the patient's medical journey in India.