Reverse shoulder replacement is a surgical intervention where the positions of the ball and socket of the shoulder joint are switched. This procedure is primarily intended for individuals experiencing shoulder fractures, shoulder arthritis, or damage to the rotator cuff tendons. It aims to alleviate pain and enhance functional capacity.
Indications for Surgery
Your healthcare provider may recommend this surgery under the following circumstances:
Alternative Name
Reverse Arthroplasty
Anatomical Focus
Shoulder socket (glenoid) and upper arm bone (humerus)
Type of Procedure
Prior to the surgery, the following preparations will take place:
Investigations:
Blood tests and radiological assessments (such as ECG, X-rays, CT scans, and MRIs) are essential to evaluate the extent of damage and ensure anesthetic fitness.
Medications:
Notify your doctor about all medications, including vitamins and supplements. Certain medications, particularly blood thinners, may need to be discontinued before the surgery.
Diet:
You may consume a regular diet until the day before the surgery. Fasting is required after midnight on the night prior to the procedure.
Clothing:
Wear loose-fitting clothing. A button-front shirt is recommended, as the affected arm will be immobilized in a sling post-surgery, allowing for limited shoulder movement during the initial 2-4 weeks to promote healing.
Surgical Procedure
The operation is conducted under general anesthesia. During the procedure, the damaged joint surfaces of the shoulder are replaced, effectively reversing the typical ball-and-socket configuration, which gives the surgery its name.
The procedure restores shoulder function by replacing the damaged bone. Screws secure the socket to the shoulder blade, and the ball is attached to the socket. The entire operation typically lasts about two hours.
Hospital Stay:
Patients generally remain in the hospital for approximately five days: one day before surgery and three to four days following the operation.
Post-Surgery Follow-Up
1 Day Post-Surgery: Wound dressing will be performed, and physiotherapy will begin within pain tolerable limits.
After surgery, your arm will be kept in a sling. To enhance mobility and endurance, your doctor will recommend gentle range-of-motion exercises. A structured physical therapy program may be suggested to strengthen the shoulder and improve flexibility.
Stitches will usually be removed 14-15 days after surgery, and your surgeon may recommend follow-up X-rays to track recovery progress.
Risks Associated with Reverse Shoulder Replacement
Although reverse shoulder replacement is generally a successful procedure, there are some potential risks and complications, including:
Recovery After Surgery
Post-operative care will involve keeping your arm in a sling, and your doctor will prescribe antibiotics to prevent infections and analgesics to manage pain.
For short-term pain relief, various analgesics such as NSAIDs, opioids, local anesthetics, or combinations may be recommended.
Patients can expect to be discharged from the hospital two to three days after surgery. Adhering to the home exercise program provided by your doctor is crucial.
You should avoid activities like lifting more than five pounds and extreme arm positions for at least six weeks post-surgery.
Frequently Asked Questions
What is the average cost of reverse shoulder replacement at ANS Super Specialty Hospital?
The cost varies based on the patient's health condition and may differ due to factors such as hospital fees, surgeon's fees, duration of stay, and any additional medical services required.
What are the success rates of reverse shoulder replacement?
The success rate is approximately 85%, with many patients reporting improved shoulder function and reduced pain. Individual success may vary depending on overall health and adherence to rehabilitation protocols.
Are there support groups for patients undergoing reverse shoulder replacement?
Yes, there are support groups and patient communities in Delhi that offer a platform for individuals to share experiences and seek emotional support.
Are non-surgical alternatives available for shoulder conditions?
Yes, non-surgical options like physical therapy, medication, and corticosteroid injections may be recommended, depending on the specific condition and individual needs.
What can lead to failure of a reverse shoulder replacement?
Failures can occur due to various reasons, including infection, implant loosening, dislocation, nerve injury, restricted motion, poor bone quality, or non-compliance with rehabilitation protocols.
