← Return to Reverse shoulder replacement compared to rotator cuff repair arthropl

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Good afternoon @jprust. Well, you caught me. I think I fit your criteria. After a fall down a mountain, I went through three surgeries on my dominant shoulder. #1...Rotator cuff repair. The surgeon told me it was the Grand Canyon of holes. #2...Attempt at a cadaver rotator cuff repair. #3....Reverse shoulder replacement.

Briefly, here is how the attempts compared. And I can see why that didn't make a lot of sense to you when the more major surgery had the best recovery according to your surgeon.

The rotator cuff repair was the most painful recovery. After my fall, I was in the hospital for a couple of days and was treated with pain pills and given a sling. to wear. Eventually, I was able to get dressed and go to work by myself but the pain never receded as you might expect. My surgeon was not happy with the outcome and wanted to give it another chance to become functional. So....he suggested #2 but the donated rotator cuff just did not match up with my body. So, I went back home post surgery again.

At the time, the Reverse Shoulder Replacement was new in the US. It was developed in France and the Univ. of Washington handled the initial patients. My surgeon spent the time to become competent......and even brought back a video to share with me. Then came the big challenge. My insurance turned me down for the RSR because I was too young at 68. Evidently, they preferred the patients to be older for various reasons,

Once again, my surgeon won the battle and the surgery was scheduled. When they wheeled me into the operatng room it sounded like a party. The engineer who designed the replacement was there along with other professionals. I slept through the party......woke up with my surgeon sitting in my room. He wanted to make sure I was well taken care of and he wanted to personally experience any issues that arose. Even the anesthetist dropped by to see how the drugs had worked.

Within 3 days I was going out to dinner with friends. The pain was very moderate. I even argued with my surgeon about bedtime sleep aids but followed his directions.

So now you can have the replacement mechanism designed for you which might help with the ROM and other agillity issues. For the couple of years that I couldn't rely on my shoulder, I was forced to learn to use my non-dominant arm even for writing. So of course I now use both arms for just living.

Good luck to you. And I will be here for you next week and thereafter.

Chris

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Replies to "Good afternoon @jprust. Well, you caught me. I think I fit your criteria. After a fall..."

Thank you so much for your reply. Your experience helped me a lot. Right now, with surgery scheduled 4 days away, I am having second thoughts. The MRI listed many things wrong, including complete tear, and changes due to the prior repair. Then the surgeon had CT scans of the shoulder done on Thursday. That report was visible today and most things said unremarkable. It said it was mild to moderate arthritis . The clinic visit report showed good range of motion and strength. But I just completed 2 months of physical therapy.
Three surgeons have recommended a reverse shoulder replacement on that side. My pain is only at a 2, and only at a 3 or 4 if I do some more strenuous activities. Today I shoveled dirt from pots, swept the garage, and I had some pain and instability.
So now I am worried that I am making a big mistake and will never be able to do all the things I do now. The surgeon said I should be able to swim, kayak, do tai chi, vacuum, with little to no pain.
Maybe I am just starting to panic a little because it seems like a huge decision. I have had a total hip replacement and then a revision of that due to metallosis and that didn’t seem as scary as this. But I could hardly walk. I can still use my shoulder.
Now I am babbling. I will read your comment over before surgery to remind me that I will still have a shoulder when done.

Hi Chris, I had the reverse shoulder replacement Wednesday Sept 27. They kept me overnight, but never said why.
The nerve block kept me happy until the third day, then got very uncomfortable.
I am taking a few hydrocodone 5 mg a day and doing the passive exercises given to me.
My problem is I hurt all over-like I fell down several flights of stairs. I have a bad headache all the time and run hot and cold and clammy.
Did you feel like that? If so, how long did it last? I don’t think it is severe enough to call the doctor, but I do want to scream a little.