Reverse shoulder replacement
A reverse total shoulder replacement is a special type of shoulder replacement surgery for severe shoulder problems that significantly affect daily activities and have not responded to conventional treatment methods. In this surgery, the damaged part of the shoulder joint is removed and replaced with an artificial joint. In contrast to a regular shoulder replacement procedure, this innovative technique ‘reverses’ the normal anatomy of the shoulder. Reverse total shoulder replacement enables the deltoid muscle (the muscle that forms the rounded contour of the shoulder) to take over the function of the damaged rotator cuff.
Reverse shoulder replacement surgery is performed on patients with:
- Severe shoulder arthritis: When arthritis has extensively damaged the shoulder joint, leading to intense pain and limited movement.
- Irreparable rotator cuff tears: Those who have large, irreparable tears in their rotator cuff that cannot be fixed through other means.
- Prior unsuccessful shoulder surgery: Providing a solution when prior surgeries have not yielded successful outcomes.
- Complex fractures: In cases where the shoulder joint is severely fractured and cannot be repaired with conventional methods.
Benefits of Reverse Shoulder Replacement
- Pain reduction: After surgery, most of patients report significant pain alleviation.
- Increased Mobility: Patients can carry out everyday tasks more easily due to improved shoulder mobility.
- Enhanced Strength: By using the deltoid muscle to compensate for the damaged rotator cuff, the shoulder’s strength is restored.
The Role of 3D Planning
The latest advancements in reverse shoulder replacement surgery is the use of 3D planning technology. A CT scan of the shoulder is taken before the surgery which enables pre-operative planning virtually. This allows for:
- Precise Component Placement: The 3D planning ensures the greater precision for components placement, personalized to each patient’s unique anatomy.
- Higher Success Rates: With detailed planning, the success rates of the surgery are considerably higher, leading to better patient outcomes.
- Improved Safety: The virtual plan aids to detect any possible issues earlier. Thus, making the surgery safer and effective.
Frequently Asked Questions
What does the surgery involve?
The procedure involves removing the damaged parts of the shoulder and replacing them with artificial components. The “reverse” configuration changes the mechanics of the shoulder, allowing the deltoid muscle to compensate for the deficient rotator cuff. With 3D planning, the entire process is mapped out in advance to ensure accuracy.
Is the surgery safe?
Yes, the surgery is generally safe. Like any surgical procedure, it carries some risks, but the benefits often outweigh these risks for those suffering from severe shoulder pain and immobility. The use of 3D planning further enhances the safety of the procedure.
How long is the recovery period?
Recovery typically takes a few months. Patients will undergo physical therapy to regain strength and mobility in the shoulder. Most patients can return to their normal activities within six months.
What is the success rate of reverse shoulder replacement?
The success rate is high, with most patients experiencing significant improvements in pain and function. Studies show a satisfaction rate of over 90% among patients who have undergone the procedure.
Will I need to stay in the hospital?
Yes, patients usually stay in the hospital for a few days post-surgery for monitoring and initial rehabilitation.
Dr. Karthik Reddy Pammi: Leading the Way in Shoulder Surgery
As one of the few surgeons in the city performing reverse shoulder replacement, Dr. Karthik Reddy Pammi brings advanced surgical expertise and compassionate care to his patients. His extensive training and experience ensure that patients receive the highest standard of treatment, combining state-of-the-art techniques with a personal touch. The integration of 3D planning technology in his practice underscores his commitment to achieving the best possible outcomes for his patients.
