Comprehensive Shoulder System

ShoulderComprehensiveFor over 40 years anatomic shoulder joint replacement has been used for the treatment of osteoarthritis, fracture, and other difficult clinical management problems where other methods of treatment may not be suitable. The Comprehensive Total Shoulder System is an evolutionary design that allows for surgeon efficiency through surgical flexibility and multiple sizing options.1

  • The Comprehensive Shoulder System can allow patients to regain shoulder movement while reducing or eliminating pain.
  • The implant is designed to enable surgeons to replace the damaged shoulder joint.
  • Shoulder replacement surgery, also called arthoplasty, uses implants to resurface the bones in the joint, recreating the smooth gliding surfaces that were once intact. The word “replacement” makes one think that surgeons remove the entire shoulder. In truth, surgeons only resurface the damaged bone and cartilage at the ends of the bones in the joint.
  • During surgery, the joint is exposed by an incision made on the front of the shoulder. The damaged tissue is removed to allow for the replacement implants, which are made from a biocompatible (body friendly) metal alloy and polyethylene (plastic).
  • Surgery is performed while you are under anesthesia, which your physician will explain to you before your surgery. The length of surgery lasts approximately 1 1/2 – 2 hours. Care before surgery and time spent in the recovery room can add an additional 2-3 hours before you return to your hospital room.
  • While uncommon, complications can occur during and after surgery. Although implant surgery is extremely successful in most cases, some patients will experience pain and stiffness. To minimize the potential for complications, your surgeon may recommend a visit with your primary care physician prior to surgery to complete tests.
  • After surgery, you will probably be hospitalized for 1 to 3 days. The day after surgery, you will begin conservative physical therapy to restore motion and promote blood flow to your joint. You may wear a sling for up to 6 weeks after surgery to protect the soft tissues in your shoulder while they are healing. During this time, a physical therapist will teach you a variety of stretching exercises that will help restore motion to your shoulder.
  • Patients who have had total shoulder replacement typically require many weeks before returning to any type of lifting or repetitive movement activities. Driving can normally be resumed 4 weeks after surgery, but only if your doctor approves and you are not taking any pain medication. Every person’s recovery time will vary, but most people should be able to drive in 2-6 weeks, garden in 2-6 months, and golf in 3 months.
  • Exercise is necessary for proper healing. Gentle arm therapy 24-48 hours after surgery is recommended. Therapy will begin in the hospital and continue after discharge for approximately 6-8 weeks. A regular exercise program at home to promote strengthening and mobility usually continues for up to 12 months after surgery.

Comprehensive Reverse Shoulder Replacement

Comprehensive Reverse Shoulder Replacement
If you have experienced a rotator cuff tear, you may be a potential candidate for reverse shoulder replacement. For this implant, surgeons don’t replace the entire shoulder, they only replace the damaged bone and cartilage at the ends of the bones. Reverse shoulder replacement has revolutionized the treatment of rotator cuff tears, by reversing the original anatomy of the shoulder.

Top Images: Normal, health anatomy. These are examples of an intact rotator cuff ligament and a shoulder with healthy cartilage. Bottom Images: Unhealthy anatomy. These are examples of a torn rotator cuff ligament and eroded cartilage.

Rotator Cuff Tear
A rotator cuff tear causes your shoulder joint to lose much of its natural support, leading to increased instability. Often, this results in the shoulder becoming unstable, and moving out of socket completely. Over time, this instability may lead to bone-on-bone contact, moderate to severe pain, and extremely limited mobility.

This is an example of natural shoulder anatomy. The ball is part of the humerus, or long arm bone. The “cup” is part of the scapula, or shoulder blade.

The Comprehensive Reverse Shoulder Replacement:

  • Is designed so that the ball is attached to the shoulder blade (scapula) and the socket is placed on top of the upper-arm bone (humerus)
  • Enables the deltoid muscle to raise the arm, which used to be accomplished by the rotator cuff ligament

Is it right for me?

This is an example of a Reverse Total Shoulder. The “ball” is part of the scapula (or the shoulder blade) and the “cup” is part of the humerus (or long arm bone.)

Only an orthopedic surgeon can determine which treatment is appropriate for an individual patient. Generally, reverse shoulder replacement is indicated for those who:

  • Have extreme pain that is not rectified by traditional methods of shoulder pain relief
  • Have a shoulder joint or shoulder replacement that has a grossly deficient rotator cuff with severe arthropathy
  • Are anatomically and structurally suited to receive the implants and have a functional deltoid muscle
  • Need primary, fracture, or revision total shoulder replacement for the relief of pain and significant disability due to gross rotator cuff deficiency

 * Much of the information (post-operative care and suggested exercises) related to the Comprehensive Total Shoulder System also applies to the Comprehensive Reverse Shoulder Replacement.

What is Osteoarthritis?

Questions? Please call 318-388-4040.

Information courtesy of Biomet.