REVERSE SHOULDER ARTHROPLASTY
Dr Biren Nadkarni has specialization in performing Reverse Shoulder Arthroplasty.
Reverse shoulder arthroplasty is a procedure that has been used in recent times and has also been used to correct shoulder deformities for over 20 years. Repair shoulder arthroplasty can be a very difficult procedure. Still, if it is utilised appropriately on the patients, it can be called one of the most valuable orthopaedic patients’ tools. This process is not only valuable for the patients, but it is also very cost-effective as you don’t have to spend a lot of money. The previous attempts that were made to create a shoulder prosthetic that compensates for a non-functioning rotator cuff nearly failed due to the higher rates of glenoid impact failure.
Reverse shoulder replacement type of shoulder replacement in which the normal ball and socket relationship of the joint is reversed by creating a more stable joint with a fixed fulcrum. This type of shoulder replacement is generally used in cases where normal shoulder replacement surgery would not work and would also increase the chances of more failure rates. This surgery originally stays with the combination of a better-designed feature and excellent outcome data in shoulder replacement. Previously the primary indication for performing this reverse shoulder replacement was the cuff tear arthropathy that has glenohumeral arthritis in the lights of a big rotator cuff tear.
To perform this, a shoulder arthroplasty deltopectoral approach is used. In this deltopectoral approach the spaces between the deltoid muscle and the space between the pectoralis major muscle are developed. Before the surgery, one of the format cells present in the rotator cuff is detached to perform the operation. With the help of some very good and advanced technology and machines, the native humerus and scapula bones are prepared that helps in replacing the respective implants. In this procedure, some of the surgeons do not want to repair the muscle because it leads to excess tension placed on it because of the altered shoulder design’s altered mechanics, but the sub capillaries muscle is typically repaired. It is very important to know that acetone reverse shoulder design is disrupted and the normal anatomical relationship significant in this reverse shoulder replacement man-specific impact phenomenon. At the same time, some of the other attempts to restore these social do something which has known as normal anatomy.
When the surgery is done in modern times, then the reverse shoulder implants might consist of multiple parts. A metallic base plate is fixed on the scapula bone that grows into the bone to the native glenoid. It also consists of screws that help in holding them in their respective places, and it also consists of a circular metallic fear component that is fixed to the base plate with the help of several different mechanisms. On the humerus bone, a clean concave liner that helps in articulating is typically attached with the convex glenosphere, and it is also attached to a humorous term that at the ends grows in the native humorous for sometimes it is also cemented into its place. With the help of these structures, there are multiple different variations of implants that can be done during the reverse shoulder repair, but there are various studies done on this purpose, and some studies suggest that there are some designs that are considered to be superior and they also possess some more benefits. So the combinations can be considered very beneficial for the patients.
This process has been mainly designed to help the patients in getting relief from the pain, and after this process has been completed properly, the patients can experience free movement and also a better range of motions without having to suffer any pain. Traditional shoulder replacement was developed for curing glenohumeral arthritis. It consists of resurfacing the native humeral head and glenoid that helps create a very smooth and plain articular surface that ultimately offers free movement of shoulders. It also helps increase or improve the range of motion. The variations of this procedure have been used in treating the patients for a very long time, and many patients have achieved a good clinical improvement after the usage of this method, but the patients that have big rotator cuff tears have mostly complained about the poor outcomes. The poor outcomes are the result of the loose of stability that was provided by the business.
This procedure has been used for treating the patient since the year 1883. During the early years, a surgeon named Charles S Neer designed a fixed fulcrum shoulder replacement. In his design, he reversed the ball and socket geometry, but it resulted in failure because due to this design, there were many early failures. Because of these early failures, he had to abandon his concept of reversing the ball and socket geometry. Many other search engines around the world try to develop reverse ball and socket implants. During this time, some surgeons gained success in their work, but most of the time, the concept they used did not gain much traction until the French surgeon Paul Grammot developed his Trompette prosthesis in 1985. After his concept gained popularity, and people started to get positive outcomes, Grammont principles were known as Grammont principles.
In 1998 a US surgeon began and developed his reverse ball and socket prosthesis design that was not related to the commonly used Grammont Principles. A US surgeon started to practice on his device in 2002, and many people doubted that this device would not be very effective, and it would lead to high failure rates. This created many controversies. But after making some important changes to design, he created an implant that was able to show some very promising results. So, after all these years, there are many studies performed, and they all demonstrate the advantages of the design principles, and there are many modern processes that have exactly copied the reverse shoulder implant.
Consult Dr Biren Nadkarni for Reverse Shoulder Arthroplasty