Reverse total joint shoulder replacement, also known as reverse shoulder arthroplasty, is a surgical procedure designed to relieve pain and restore function in patients with severe shoulder arthritis or other conditions that have caused irreversible damage to the shoulder joint.

The procedure involves the replacement of the damaged shoulder joint with an artificial joint that is designed to allow the patient to move their arm more freely and without pain. Unlike a traditional shoulder replacement, a reverse total joint replacement involves placing the ball and socket components of the artificial joint in reverse positions.

The reverse total joint replacement procedure is typically recommended for patients with rotator cuff tear arthropathy, a condition in which a large, irreparable tear in the rotator cuff muscles has led to arthritis and shoulder pain. It may also be recommended for patients with other types of shoulder arthritis or for those who have had a previous shoulder replacement that has failed.

During the procedure, the surgeon will make an incision in the shoulder area and remove the damaged joint. They will then implant the artificial joint components, including a metal ball that is attached to the shoulder blade and a plastic socket that is attached to the upper arm bone.

Recovery from reverse total joint replacement surgery typically involves a period of physical therapy to help the patient regain strength and mobility in their shoulder. Most patients are able to resume their normal activities within a few months of the surgery.

As with any surgical procedure, there are risks associated with reverse total joint replacement surgery, including infection, bleeding, and nerve damage. Patients should talk to their doctor about the risks and benefits of the procedure before deciding whether to undergo surgery.

Overall, reverse total joint shoulder replacement can be an effective treatment option for patients with severe shoulder arthritis or other shoulder conditions that have not responded to other treatments. With proper care and rehabilitation, patients can often experience significant pain relief and improved function in their shoulder joint.