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Reverse Shoulder Arthroplasty

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Reverse Shoulder Arthroplasty

Reverse Shoulder Arthroplasty (RSA) is an advanced surgical procedure designed to restore shoulder function in patients with severe shoulder joint damage. Unlike traditional shoulder replacement, where the ball-and-socket joint is replaced in its natural orientation, RSA reverses the anatomy by placing a metal ball where the socket was and attaching an artificial socket where the ball was. This innovative design allows the deltoid muscle to take over shoulder movement, compensating for damaged rotator cuff muscles.

Causes Leading to Reverse Shoulder Arthroplasty

RSA is typically recommended for patients with:

  • Massive Rotator Cuff Tears: Irreparable tears that cause loss of shoulder function.
  • Cuff Tear Arthropathy: Severe arthritis caused by long-standing rotator cuff damage.
  • Severe Shoulder Arthritis (Osteoarthritis or Rheumatoid Arthritis): Advanced joint degeneration leading to pain and stiffness.
  • Complex Shoulder Fractures: Particularly in elderly patients where conventional fracture repair may not be effective.
  • Failed Previous Shoulder Surgery: When prior treatments, including traditional shoulder replacement, have not provided relief.
  • Chronic Shoulder Instability: Due to muscle or ligament deficiencies.

Symptoms Indicating the Need for RSA

Patients requiring RSA often experience:

  • Persistent shoulder pain that does not improve with non-surgical treatments.
  • Weakness and loss of function in the affected shoulder.
  • Inability to lift the arm above shoulder level due to rotator cuff damage.
  • Grinding or clicking sensations in the shoulder joint.
  • Severe stiffness and reduced range of motion, affecting daily activities like dressing, lifting objects, or personal hygiene.

Treatment: Reverse Shoulder Arthroplasty Procedure

  • Pre-Surgical Evaluation: A thorough assessment, including X-rays, MRI, and physical exams, to determine the need for RSA.
  • Surgery: Performed under general anesthesia, the procedure involves:
    • Removing damaged bone and cartilage.
    • Reversing the ball-and-socket orientation.
    • Fixing the new prosthetic components securely.
  • Post-Surgical Rehabilitation: Includes:
    • Pain management through medications and physical therapy.
    • Gradual mobilization with controlled exercises.
    • Physical therapy to restore strength and function. Full recovery typically takes 3-6 months, with significant improvement in mobility and pain relief.

Prevention and Long-Term Care

While some causes of shoulder degeneration are unavoidable, you can take steps to maintain shoulder health:

  • Early treatment of rotator cuff injuries to prevent further degeneration.
  • Regular exercise and strengthening of shoulder muscles to maintain stability.
  • Avoiding overuse and repetitive strain to prevent joint wear and tear.
  • Managing conditions like arthritis with medications and lifestyle modifications.
  • Following post-surgery rehabilitation guidelines to ensure long-term success and function.

Reverse Shoulder Arthroplasty is a highly effective solution for patients with severe shoulder damage, offering pain relief, improved function, and restored quality of life. If you're experiencing persistent shoulder pain and dysfunction, consult an best orthopaedic surgeon in Sambhaji Nagar to determine if RSA is the right option for you.

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