Reverse Shoulder Replacment was developed by Dr. Gramont in France in the early 1990’s as a way of treating patients with rotator cuff arthropathy, which is arthritis and a torn rotator cuff. Traditional shoulder replacement had a very high failure rate in cuff-deficient patients. As a result, Dr. Gramont developed an implant in which the ball and socket were reversed. Doing this changed the biomechanics of the shoulder, allowing the Deltoid muscle to be the primary muscle elevating the arm. This allowed patients to regain shoulder elevation with decreased failure rate. Reverse shoulder replacement was approved in the United States in 2003 and as technology and surgeon familiarity with the implants increased, surgical indications have been expanded.
Dr. Miguel Ramirez is a fellowship-trained shoulder and elbow specialist specifically trained in complex shoulder replacement techniques. Dr Ramirez uses the latest technologies available to assist patients in achieving unprecedented pain-free movement in their shoulder once again. If you are having pain, from arthritis that is affecting your quality of life, you may be a good candidate for reverse shoulder replacement. Contact our office at (309) 676-5546 to make your appointment for reverse shoulder replacement in Peoria, IL.
Anatomic Replacement vs. Reverse Shoulder Replacement
Shoulder replacements are typically done for patients who have significant arthritis in their joint. However, when would a patient consider reverse shoulder replacement as opposed to conventional shoulder replacement? Patients who have experienced a cuff tear arthropathy, a type of specific arthritis, would need a reverse shoulder replacement to help relieve pain and obtain improved use of the shoulder.
What Is the Process for Reverse Shoulder Replacement in Peoria, IL?
Surgical procedure involves making a 6-inch incision in the front of the shoulder. The subscapularis tendon is detached to open the shoulder like a book. The arthritic head is removed and a new metal stem is placed in the arm. A plastic socket is attached to arm side. On the socket side, the socket is somoothed and metal ball is secured to the socket, thus “reversing” the shoulder.
Who Is a Good Candidate for Reverse Shoulder Replacement?
There are a few particular diagnoses that would qualify a patient for being a good candidate for a reverse shoulder replacement in Peoria, IL. The decision to pursue a reverse shoulder replacement over a conventional shoulder replacement is based on the particular patient’s injury, diagnosis, and medical history. A few common reasons people consider reverse shoulder replacement include…
- Patients with shoulder arthritis and an irrepairable rotator cuff tear
- atients with an irrepairable rotator cuff tear withouth arthritis
- Elderly patients with a fracture of the proximal humerus
- Patients who have failed anatomic total shoulder replacement
Recovery After Total Shoulder Replacement
Full recovery after total shoulder replacement is different for every patient. However, most patients are back to most activities 3-4 months after surgery. Recovery after surgery is as follows:
- Most patients leave the hospital the next day after surgery.
- Patients are in a sling for 4-6 weeks.
- Patients are allowed to come out of the sling for waist-level activities (such as writing, typing, eating, etc.) right away as long as they are lifting less than 1 pound.
- Therapy begins at 4 weeks. Most patients will do their own therapy at home without the need of seeing a therapy.
- At 3 months, patients are released to full activity without restrictions.