Understanding the Procedure
PBNJ offers anatomic and reverse shoulder replacement. Anatomic replacement is generally used when the rotator cuff is functioning adequately. Reverse shoulder replacement changes the ball-and-socket relationship so the deltoid can help power the shoulder when the rotator cuff is not functioning normally. Appropriate cases may use 3D imaging and patient-specific planning.
Who May Be a Candidate?
A recommendation for surgery is based on the whole clinical picture, not one symptom or X-ray alone. Factors commonly considered include:
- Advanced shoulder arthritis with persistent pain and stiffness
- Rotator-cuff tear arthropathy or an irreparable cuff tear for reverse replacement
- Complex shoulder problems or selected failed prior surgery
- Symptoms that remain limiting despite appropriate nonsurgical treatment
Before Surgery
Your evaluation typically includes a medical history, physical examination and imaging. The team will review treatment options, medications, medical optimization, preparation for home, and what to expect after surgery. If surgery is selected, your plan is individualized to your health and functional goals.
Recovery & Rehabilitation
Recovery is progressive. Early goals usually include safe mobility, pain and swelling control, and gradually restoring function. Physical therapy and home exercises are tailored to the procedure and patient. The timing of driving, work, exercise and other activities varies, so follow the instructions provided by your surgeon and therapy team.