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Reverse Shoulder Replacement: Who Needs It and What to Expect

Reverse shoulder replacement is a game-changer for massive rotator cuff tears. Learn who qualifies, recovery, and outcomes.

What Is It?

Switches the ball and socket positions, allowing the deltoid muscle to power arm motion when the rotator cuff is deficient. Approved in the US in 2004, it now accounts for over 60% of shoulder replacements.

Who Qualifies?

Rotator cuff tear arthropathy, failed previous replacement, complex fractures in elderly, severe arthritis with rotator cuff deficiency. Generally best for patients over 65.

Outcomes

90%+ pain relief. Reliably restores ability to raise arm overhead. Limitations: external rotation is reduced. Heavy lifting permanently restricted.

Costs

$25,000 to $60,000 before insurance. Slightly more than standard replacement due to implant complexity.

Frequently Asked Questions

How long does it last?
90%+ implant survival at 10 years. Long-term data still being collected as the procedure is relatively new in the US.
Can I lift weights after?
Light weights (under 10-15 lbs) are generally safe. Heavy overhead lifting should be permanently avoided.

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