Reverse Shoulder Replacement
A reverse replacement swaps the geometry of the joint so the deltoid lifts the arm instead of the rotator cuff — restoring function where a cuff tear cannot be repaired.
3D Animation (1:18)Watch how a reverse shoulder replacement is performed
Watch. Understand. Feel Confident.
1:18Reverse Shoulder Replacement — 3D Animation
See how the procedure is performed step-by-step in this animation.
1:12Reverse Replacement Technique (Real Footage)
For medical professionals: the surgical technique of a reverse shoulder replacement, step by step.
For Medical Professionals
1:26Recovery After Reverse Replacement
How overhead function returns without a rotator cuff, and what to expect month by month.
Deltoid Powered
1–3 Nights Stay
90–120 Minutes
Reliable LiftSurgical Steps (Overview)
Planning
CT planning accounts for bone loss and sets implant position.
Approach
A deltopectoral or superolateral approach exposes the joint.
Glenoid Baseplate
A baseplate and glenosphere are fixed to the socket.
Humeral Component
The humerus is prepared and the tray implanted at planned height.
Tension Check
Deltoid tension and stability are verified through the arc.
Recovery Timeline (Step by Step)
Week 1–2Sling · Gentle assisted motion · Pain control
Week 3–6Progressive assisted and active motion · Sling weaned
Week 6–12Active motion against gravity · Deltoid strengthening
Month 3–6Functional strengthening · Daily tasks and overhead reach
Month 6–12Settled function · Light sport and activity*When the rotator cuff is irreparably torn, an anatomic replacement fails because nothing holds the ball in the socket. Reversing the geometry lets the deltoid become the lifting muscle.
It is the standard solution for cuff-tear arthropathy, massive irreparable tears, failed previous replacements and certain complex fractures — and it is highly reliable at restoring overhead function.
- Massive, irreparable rotator cuff tear with weakness
- Cuff-tear arthropathy on imaging
- Inability to lift the arm overhead (pseudoparalysis)
- A failed previous shoulder replacement or complex fracture
- CT planningBone loss and implant position are planned in three dimensions
- Medical work-upHealth, dental and medication review before admission
- Set expectationsExcellent for lifting and comfort; rotation gains are more modest
- Home supportArrange help for two to three weeks of one-handed living
The reverse replacement changed what we can offer patients who had simply been told to live with a useless arm. It is not a cuff repair substitute — it is a different mechanical solution, and a dependable one.
Questions & Answers
Will I be able to lift my arm again?
What about rotation behind my back?
How long does it last?
What are the limits afterwards?
Can it dislocate?
Is it suitable after a failed replacement?
Note: This information is for general education only and should not replace a consultation with your doctor.
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