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Reverse® Shoulder Prosthesis Implant Procedure
The Reverse® Shoulder Prosthesis is a device made of metal and polyethylene. Contrary to the shoulder’s natural ball-and-socket anatomy, the implant design reverses the structure of the joint so that the ball portion is attached to the scapula and the socket is positioned at the upper end of the humerus. This arrangement makes the joint more mechanically stable, which improves comfort and function by allowing the patient to take advantage of the muscles that are still present.
Mark A. Frankle, M.D., Florida Orthopaedic Institute, inventor of the Reverse® Shoulder Prosthesis, will perform the procedure that will be narrated by Mark A. Mighell, M.D., a surgeon at the Florida Orthopaedic Institute.
Candidates for this procedure are typically older and suffer from what is known as the “terrible triad” of rotator cuff deficiency, glenohumeral arthritis, and anterosuperior instability - a combination for which all other methods of treatment have been unsuccessful. Patients who have undergone the surgery, which received FDA approval in November of 2004, have benefitted from significantly restored motion, pain relief and increased stability. Patients have gone from having severe shoulder dysfunction to 90 to 100 degrees full elevation allowing them to perform simple daily tasks that were difficult prior to the procedure.
The surgery, performed under general anesthesia, typically takes about one hour and requires a two day hospital stay. The patient will require outpatient physical therapy for approximately three months, generally the time it takes for full recovery.
TGH was named to U.S.News & World Report’s list of America’s Best Hospitals in Orthopedics in 2005, 2006, 2007 and 2008. A regional referral center for complex orthopedic surgery, TGH has received disease-specific certification from The Joint Commission for its joint replacement and orthopedic trauma programs.
