In special cases where a patient has both advanced shoulder arthritis as well as a major rotator cuff tear, a reverse total shoulder replacement may be needed. This surgery is also used in cases involving a complicated shoulder fracture. In a reverse total shoulder, the normal position of the ball and the socket are “reversed” in that the surgeon places a metal ball onto the socket and then places a cup or socket onto the arm bone in place of the ball. By changing the biomechanics of the shoulder, this technique enables the patient to move the arm without the need for a normal rotator cuff. This technique is often viewed as a “last resort” for patients with major shoulder problems. Dr. Bushnell has lectured on the state, national, and international level about reverse total shoulder replacements, and has extensive experience in the indications and use of this technique.
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