Reverse Shoulder Replacement

If shoulder pain and limited mobility have taken a toll on your daily life, reverse shoulder replacement surgery might be the solution you’ve been seeking. This innovative procedure is often recommended for patients who cannot benefit from traditional shoulder surgery, particularly those with severe rotator cuff issues.

Benjamin W. Szerlip, DO, is a fellowship-trained shoulder and sports medicine surgeon based in Austin, Texas, who specializes in advanced shoulder surgeries, including reverse total shoulder replacement. Contact our office today to explore your treatment options!

What Patients Are Saying

“I thank him for his expert medical advise and surgery after a broken arm diagnosis and worn out shoulder accident. This 56 year old mother and her 16 year old daughter are so grateful for such a speedy recovery. I cannot recommend him enough in one day. I am so blessed to have had him as my surgeon and doctor. If you hurt, don’t wait. He is awesome! Thanks for getting me back to work in 8 weeks.” — Danette S.

What is Reverse Shoulder Replacement Surgery?

Reverse shoulder replacement surgery is a specialized procedure designed to treat severe shoulder joint issues, especially those caused by rotator cuff tear arthropathy or a massive rotator cuff tear. Unlike traditional shoulder replacement, where the ball and socket anatomy of the shoulder joint is preserved, reverse total shoulder replacement reverses the structure. The ball component is placed on the shoulder blade (scapula), and the socket is attached to the upper arm bone (humerus).

This reversal shifts the mechanics of the joint, allowing the deltoid muscle to take over the function of the damaged rotator cuff muscles. This approach is highly effective for restoring mobility and reducing pain when the rotator cuff tendons and muscles are no longer functioning properly.

A woman experiencing severe shoulder pain in Austin, Texas.

Who Can Get Reverse Shoulder Replacement Surgery?

Reverse shoulder replacement is typically recommended for patients with:

  • Massive rotator cuff tears that cannot be repaired.
  • Rotator cuff tear arthropathy is a condition where rotator cuff dysfunction leads to arthritis in the shoulder joint.
  • Severe shoulder pain and limited mobility that interferes with daily activities.
  • Failed previous shoulder surgery or complications from a total shoulder replacement.
  • Complex fractures of the upper arm bone (proximal humerus) that are challenging to treat with other methods.
 

If you’re unsure whether you’re a candidate for reverse shoulder replacement, Dr. Szerlip offers comprehensive evaluations to determine the best treatment for your specific condition.

When is Reverse Shoulder Replacement Surgery Recommended?

This surgery is generally recommended when non-surgical treatments, such as medications, injections, and physical therapy, have failed to provide relief. Additionally, patients experiencing chronic pain, weakness, or instability in the shoulder joint due to extensive damage are prime candidates. Reverse total shoulder replacement is particularly effective for individuals with irreparable rotator cuff tears and those who have significant arthritis or instability in the shoulder.

How to Prepare for the Surgery

Proper preparation is essential for a successful reverse shoulder replacement surgery. Dr. Szerlip and his team will guide you through every step of the process. Here are some key preparations:

Medical Evaluation

You will undergo a comprehensive examination to assess your overall health and readiness for surgery. This may include imaging tests like X-rays or MRIs to evaluate the condition of your shoulder blade, shoulder joint, and arm bone.

  • Medication Review: We will discuss any medications or supplements you’re taking to avoid potential complications during surgery.
  • Lifestyle Adjustments: You may need to make temporary changes, such as quitting smoking or managing weight, to optimize surgical outcomes.
  • Home Preparation: It is advised to arrange your home for post-operative recovery by setting up a comfortable space and moving everyday items to a level you will be able to reach.
  • Pre-Surgical Instructions: You will need to follow fasting or medication guidelines provided by your surgical team.

What to Expect During the Procedure

Reverse shoulder replacement surgery is performed under general anesthesia and typically takes about two hours. Here’s an overview of the procedure:

  1. Incision and Access: Dr. Szerlip will make an incision to access the damaged shoulder joint.
  2. Preparation of the Shoulder: The worn or damaged portions of the shoulder blade and upper arm bone are carefully removed.
  3. Implant Placement: The reverse shoulder prosthesis is secured, with the ball placed on the shoulder blade and the socket attached to the upper arm bone.
  4. Closure and Recovery: Once the implants are in place, the incision is closed, and a bandage is applied. You’ll then be moved to a recovery room for monitoring.

Recovering from Reverse Shoulder Replacement Surgery

Recovery is a critical part of achieving a successful outcome. After surgery, you’ll likely spend one night in the hospital for observation. Dr. Szerlip’s team will provide a detailed recovery plan, which typically includes the following:

  • Pain Management: You will be prescribed medication to relieve pain following surgery. Cold therapy, such as using an ice pack, can also be used to reduce discomfort.
  • Physical Therapy: You will be given a customized rehabilitation program to restore strength and mobility in the shoulder joint.
  • Gradual Return to Activities: You’ll begin with light activities and progress to more demanding tasks under your surgeon’s guidance.
 

Most patients can expect significant pain relief and improved shoulder function within a few months, although full recovery may take four to eight months. Regular follow-up appointments ensure your progress is on track.

Why Choose Dr. Benjamin W. Szerlip for Reverse Shoulder Replacement?

Dr. Benjamin W. Szerlip brings a combination of expertise and compassionate care to every patient. As a fellowship-trained shoulder and sports medicine surgeon, he specializes in advanced shoulder procedures, including reverse total shoulder replacement. With a focus on individualized treatment plans and state-of-the-art surgical techniques, Dr. Szerlip ensures that his patients receive the best possible care.

If you’re struggling with chronic shoulder pain or limited mobility due to massive rotator cuff tears or rotator cuff tear arthropathy or have questions about joint replacement surgery, don’t let it hold you back. Contact Dr. Szerlip in Austin, TX, today to schedule a consultation and take the first step toward a pain-free, active life!

Medically reviewed by Benjamin W. Szerlip, DO