Total vs Reverse Shoulder Replacement

Total shoulder replacement and reverse shoulder replacement both treat serious shoulder problems, but they work in very different ways.

Total shoulder replacement

Anatomic total shoulder replacement recreates the normal ball-and-socket relationship. It is best for advanced arthritis when the rotator cuff is intact and functioning.

The rotator cuff must be able to center and power the shoulder for a standard total shoulder replacement to work well.

Reverse shoulder replacement

Reverse shoulder replacement changes the mechanics of the shoulder so the deltoid muscle can help lift the arm. It is used when the rotator cuff is deficient, in complex fractures, revision cases, or arthritis with cuff dysfunction.

The correct choice depends on anatomy, cuff function, bone quality, deformity, and goals.

Why the choice matters

Choosing the wrong implant for the wrong shoulder can lead to poor function, instability, pain, or revision surgery.

Advanced imaging, shoulder-focused experience, and careful surgical planning help guide the decision.