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Select articles on reverse shoulder replacements

For reverse shoulder replacements, especially for patients with multiple previous surgeries, a superior approach through the deltoid muscle may be used.

Sometimes there is a benefit to delaying shoulder replacement surgery as long as possible.

If the shots don't provide you with lasting relief, your doctor may suggest surgery.

What do I need to do to get ready for surgery?

When cuff tear arthropathy of the shoulder requires replacement of the painful shoulder with an artificial shoulder joint, a reverse shoulder replacement may be recommended.

Reverse® Shoulder Prosthesis Procedure - Excelcare

Patients who have had previous shoulder replacements that have failed of become loose will also require a reverse shoulder replacement to fix the loose or painful prosthesis.

In most cases, doctors see a shoulder replacement as the last option.

The power of the muscles cannot be transmitted to the humerus to raise the shoulder.

Older patients with very severe fractures of the head of the humerus appear to do very well with reverse shoulder replacements as opposed to a standard shoulder replacement.

edit on Wikidata] Shoulder replacement is a surgical procedure in ..

A CT scan is always required before any kind of shoulder replacement to determine the degree of damage to the bones (glenoid and humeral head) for surgical planning.

You may also need to spend time with the physical or occupational therapist who will be managing your rehabilitation after surgery.

The final result is a shoulder that functions better, is less painful and can last for years without loosening.

Other reasons to consider a reverse shoulder replacement include failed rotator cuff surgery leading to a pseudoparalytic shoulder even without arthritis.

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Problems Unique To the Reverse Total Shoulder Replacement

A different type of shoulder replacement, called reverse shoulder replacement, may be available for many of these patients and provide pain relief as well as a stable functioning shoulder.

This guide will help you understand

What parts of the shoulder are involved?

The shoulder is made up of three : the scapula (shoulder blade), the humerus (upper arm bone), and the clavicle (collarbone).

The connects the humerus to the scapula.

The reverse shoulder replacement ..

Limited studies have shown partial shoulder replacements to have benefit for patients with arthritis and a non-functioning rotator cuff or in patients with failed prior shoulder replacements. These partial replacements are typically reserved for patients with poor bone quality of the glenoid, or “socket”, and in situations with failure of a prior prosthesis where a reverse is not possible.

Reverse Shoulder Prosthesis (RSP) | DJO Global

Finally, patients with active infections are not candidates for a reverse prosthesis. Patients may undergo a reverse prosthesis only after an infection has been completely eradicated, typically a few months after having an antibiotic implant placed into their shoulder.

Reversed Shoulder Replacement | ShoulderDoc

The joint capsule has a considerable amount of slack, loose tissue, so that the shoulder is unrestricted as it moves through its large range of motion.

Related Document:

What conditions lead to reverse shoulder joint replacement?

The most common reason for undergoing shoulder replacement surgery is osteoarthritis.

Reverse Shoulder Replacement Surgery

Surgery will take place at one of our main hospitals (MGH or BWH). Depending on the preference of your surgeon, you may receive a preoperative nerve block for additional pain control (ISB – Quality Measures). Surgery will take place under general anesthesia, and usually lasts about 2 hours. If your case has a higher complexity, it may take longer. This is especially the case if surgery is being done to revise a failed prior shoulder replacement. The total time in the operating room may also be longer due to anesthesia requirements and setup time.
You are then admitted to the hospital for about 2-3 days, and are discharged either home or to an extended care facility depending on your level of need and independence. This is typically determined in collaboration with a case manager, physical/occupational therapist, and your surgeon. While you will receive strong pain medicine intravenously and by injection during and after surgery, upon discharge your pain can be managed by oral pain medications. Some patients may not need narcotic pain medications within a few weeks of surgery

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