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Reverse Shoulder Replacement in India

Advanced shoulder replacement for rotator cuff arthropathy and complex shoulder conditions.

Overview

Reverse shoulder replacement, also known as reverse total shoulder arthroplasty, is an innovative surgical procedure designed for patients with severe rotator cuff tears, rotator cuff tear arthropathy, or failed previous shoulder replacements. Unlike conventional shoulder replacement, the reverse design switches the ball and socket components, allowing the deltoid muscle to compensate for the damaged rotator cuff. Dr. Gurudeo Kumar at Arthoscenter has performed over 120 reverse shoulder replacement procedures with a 94% success rate, making him one of the most experienced reverse shoulder surgeons in Bihar. This revolutionary procedure has transformed outcomes for patients who previously had limited treatment options, particularly elderly patients with massive irreparable rotator cuff tears. The procedure is particularly beneficial for patients over 65 years old with rotator cuff tear arthropathy, those with failed rotator cuff repairs, and patients with complex proximal humerus fractures. The reverse design provides stability through the deltoid muscle, enabling patients to regain functional range of motion and pain relief even without a functioning rotator cuff. Book your online video consultation at ₹999 to determine if reverse shoulder replacement is right for your condition.

Symptoms & Indications

This surgery may be recommended if you experience:

Severe shoulder pain, especially at night

Inability to raise arm above shoulder level

Weakness when lifting or rotating arm

Previous failed rotator cuff repair

Pseudoparalysis of the shoulder

Grinding or catching sensation in shoulder

Difficulty performing daily activities

Pain that doesn't respond to conservative treatment

Massive irreparable rotator cuff tear

Rotator cuff tear arthropathy diagnosis

Procedure Details

Duration

2.5-3.5 hours

Anesthesia

General anesthesia with regional nerve block

Preparation for Surgery

Pre-operative evaluation includes detailed shoulder imaging (X-rays, MRI, CT scan), assessment of bone quality, measurement of glenoid wear patterns, evaluation of deltoid muscle function, and medical optimization. Patients undergo physical therapy assessment and receive education about post-operative rehabilitation requirements.

Surgical Steps

General anesthesia with regional nerve block for pain control

Deltopectoral approach incision to access shoulder joint

Careful preservation of deltoid muscle attachment

Removal of damaged humeral head and preparation of humerus

Reaming and preparation of glenoid bone for baseplate

Secure fixation of glenosphere to glenoid baseplate

Insertion of reverse humeral stem into humerus

Precise balancing of soft tissues and tension

Trial reduction to check range of motion and stability

Final implant insertion with cement or press-fit

Closure in layers with preservation of deltoid integrity

Application of sterile dressing and shoulder immobilizer

Recovery Timeline

What to expect during your recovery journey

Week 1-2

Immediate post-operative period with shoulder immobilizer, pain management, gentle hand and wrist exercises, wound care, and prevention of blood clots

Week 3-6

Gradual introduction of passive range of motion exercises, pendulum exercises, continued immobilizer use for comfort, early scapular strengthening

Week 7-12

Progressive active-assisted range of motion, gentle strengthening with resistance bands, functional activity training, discontinuation of immobilizer

Month 4-6

Advanced strengthening exercises, full active range of motion work, return to most daily activities, improvement in overhead function

Month 7-12

Maximum medical improvement, restoration of functional activities, continued strengthening program, potential return to light recreational activities

Long-term

Lifelong activity modification, avoidance of heavy lifting overhead, regular follow-ups, maintenance exercise program for optimal longevity

Frequently Asked Questions

Common questions about this procedure

Q1.How is reverse shoulder replacement different from traditional shoulder replacement?

In reverse shoulder replacement, the ball and socket are switched - a metal ball is attached to the shoulder blade (scapula) and a plastic socket is attached to the upper arm bone (humerus). This design allows the deltoid muscle to power the shoulder instead of the damaged rotator cuff, making it ideal for patients with rotator cuff arthropathy.

Q2.What is the success rate of reverse shoulder replacement at Arthoscenter?

Dr. Gurudeo Kumar has performed over 120 reverse shoulder replacements with a 94% success rate. Most patients experience significant pain relief and functional improvement, with satisfaction rates exceeding 90% for properly selected candidates.

Q3.Am I too old for reverse shoulder replacement surgery?

Reverse shoulder replacement is actually designed for older patients, typically 65 years and above. Age alone is not a contraindication - overall health status and bone quality are more important factors. Dr. Kumar has successfully performed this surgery on patients in their 80s with excellent outcomes.

Q4.What are the limitations after reverse shoulder replacement?

While most patients regain excellent forward elevation and pain relief, external rotation (reaching out to the side) may be limited compared to a normal shoulder. Heavy overhead lifting, contact sports, and repetitive overhead activities should be avoided. However, most daily activities including dressing, eating, and light household tasks can be performed comfortably.

Q5.How long do reverse shoulder implants last?

Modern reverse shoulder implants have shown excellent durability, with survival rates of 90-95% at 10 years. Factors affecting longevity include patient age, activity level, bone quality, and proper surgical technique. Younger, more active patients may eventually need revision surgery.

Q6.Can I drive after reverse shoulder replacement?

Driving is typically restricted for 6-12 weeks after surgery, depending on which shoulder was operated on and your vehicle type (automatic vs manual). You must be off narcotic pain medications and have sufficient strength and control to operate the vehicle safely before resuming driving.

Q7.What is the cost of reverse shoulder replacement in Bihar?

At Arthoscenter, reverse shoulder replacement costs between ₹3.5-5.5 lakhs depending on implant selection (Indian vs imported), hospital stay duration, and other factors. The procedure is covered under PMJAY and BSKY schemes for eligible patients. Book a consultation at ₹999 for detailed cost breakdown.

Q8.Is physiotherapy necessary after reverse shoulder replacement?

Yes, physiotherapy is absolutely essential for optimal outcomes. A structured rehabilitation program typically lasts 4-6 months and focuses on regaining range of motion, strengthening the deltoid muscle, and restoring functional activities. Patients who comply with therapy protocols have significantly better outcomes.

Q9.What are the risks of reverse shoulder replacement?

Risks include infection (1-2%), instability/dislocation (2-4%), nerve injury (<1%), fracture, component loosening, and scapular notching. Dr. Kumar uses advanced surgical techniques and implant designs to minimize these risks. Proper patient selection and adherence to post-operative protocols further reduce complications.

Q10.Can I play golf or tennis after reverse shoulder replacement?

Light recreational activities like golf may be possible 9-12 months after surgery, but tennis and other overhead racquet sports are generally not recommended due to risk of implant wear and loosening. Swimming and walking are excellent long-term exercises. Discuss specific activity goals during your consultation.

Considering This Surgery?

Book an online video consultation with Dr. Gurudeo Kumar for just ₹999 and get all your questions answered

Book Consultation Now +91 72580 65424

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