Reverse Total Shoulder Replacement in Manhattan, NY
Formed where the humerus (arm bone) fits into the scapula (shoulder blade), the shoulder is one of the most complex ball and socket joints in the body. It is supported by the rotator cuff, a collection of muscles and tendons which allow for its wide range of motion. Due to the shoulder's mobility, however, it is vulnerable to injury and degenerative conditions.
Age, injury and certain medical conditions like osteoarthritis can all lead to the degradation of the shoulder joint, especially the rotator cuff. Chronic shoulder pain can seriously impede your everyday function and jeopardize your quality of life. If you are suffering from frequent shoulder pain, reverse total shoulder replacement surgery could provide you sustained relief.
Similar to a standard total shoulder replacement surgery , a reverse total shoulder replacement (also referred to as reverse total shoulder arthroplasty) utilizes metal and plastic implants to replace the humerus head and socket of the shoulder. The distinction between the two procedures is the location of the new ball and socket implants. The current state of your shoulder will drive the decision on which shoulder replacement surgery is best for you.
To schedule a consultation with an orthopaedic specialist in Manhattan that specializes in reverse total shoulder replacement, call (929) 244-4466 or contact Manhattan Integrative Medicine online.
Candidates for Reverse Total Shoulder Replacement
There are several reasons your healthcare provider may recommend a reverse total shoulder replacement procedure over a standard total shoulder replacement for your shoulder pain. They include:
- Advanced rotator cuff damage
- Severe arthritis including rotator cuff arthropathy
- Previous unsuccessful replacement attempt using the standard total shoulder replacement protocol
- Severely impaired shoulder mobility
- Humerus fracture
Your healthcare provider will conduct several tests prior to your surgery to help determine the best surgical approach and to ensure you are healthy enough for surgery. These tests will likely include a physical exam, X-ray, CT scan, blood test or electrocardiogram (EKG). Your healthcare provider will also review your medical history and discuss your current medications, as certain arthritis medication can have a detrimental effect during surgery.
Reverse Total Shoulder Replacement Procedure & Recovery
A reverse total shoulder replacement will require 1-2 days in a hospital. For the procedure you will be placed under general anesthesia, regional anesthesia or a combination of the two. Your surgeon will make an incision over the front of the shoulder and will remove arthritic bone, bone spurs and scare tissue. Then, your surgeon will implant a metal ball to the shoulder socket and implant a plastic cup to the humerus. The entire procedure takes approximately 2 hours to complete, after which you will begin your road to recovery.
After surgery, your arm will be placed in a sling to limit mobility. You will need to repeatedly change your dressings over the next few days and you may have a small drainage tube inserted into the shoulder joint to prevent the buildup of blood and other fluids in the joint. Your reverse total shoulder recovery will consist of physical therapy which will begin during your hospital stay. It will continue at-home and in an outpatient physical therapy facility for 2-3 months post-op and get more challenging as time progresses. Reverse total shoulder replacement exercises should be completed slowly as to not cause damage to the shoulder, however slight discomfort is normal as you begin the rehabilitation process.
As you increase your shoulder's range of motion and improve its strength, you will be able to return to normal activities. For most patients, a reverse total shoulder arthroplasty alleviates previous shoulder pain and gives them the ability to lift the arm overhead.
If you suffer from debilitating shoulder pain and are looking for a solution, a reverse total shoulder replacement is an excellent option. Discuss your needs with an orthopaedic surgeon in Manhattan and find out if you are an ideal candidate for reverse total shoulder replacement today! Call (929) 244-4466 or contact Manhattan Integrative Medicine online.
Manhattan Integrative Medicine
Address308 5th Ave
New York, NY 10001
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