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Cuff-Tear Arthropathy

Reverse Shoulder Replacement Surgical Protocol

Led personally by Dr. Ketan Kheni (M.S. Orthopaedics) at Shiv Orthopaedic Hospital & Robotic Joint Replacement Center. Structured recovery protocol: 2 - 3 Days Discharge.

Consultant

Dr. Ketan Kheni

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Department

Shoulder Replacement

Verified

Cashless Support

100% PM-JAY & TPA

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Reverse Shoulder Replacement
Shoulder Replacement2 - 3 Days Discharge

Clinical Overview & Methodology

Reverse Shoulder Replacement is an ingenious biomechanical solution for patients with severe shoulder arthritis combined with massive, irreparable rotator cuff tears (Cuff Tear Arthropathy) or complex proximal humerus fractures. By switching the natural ball and socket—attaching a metal ball (glenosphere) to the socket and a cup to the arm bone—the strong deltoid muscle is recruited to lift the arm without needing the rotator cuff.

Ambulation Timeline: 2 - 3 Days Discharge

Key Clinical Benefits & Advantages

Evidence-based surgical precision focused on tissue preservation and rapid return to active daily living.

Empowers the deltoid muscle to lift the arm even with completely torn cuff tendons
Remarkable pain relief for previously hopeless pseudo-paralyzed shoulders
Stable joint kinematics that cannot slide upward or out of joint
Ideal reconstructive solution for complex elderly fractures and failed cuff repairs
100% Cashless hospitalization under PM-JAY and private mediclaim

Clinical Indications & Symptoms

You should consider clinical consultation with Dr. Ketan Kheni if you experience any of the following symptoms:

Inability to lift the arm above horizontal level ("pseudo-paralysis")
Severe chronic shoulder pain associated with long-standing rotator cuff tears
Previous unsuccessful rotator cuff repair surgeries with persistent joint failure
High-energy multi-part proximal humerus fractures in elderly patients

Step-by-Step Surgical & Recovery Protocol

A structured treatment pathway executed strictly within infection-controlled Class-100 Modular OT environments.

1

1. 3D Baseplate Positioning

Digital planning ensuring secure inferior tilt and locking screw fixation.

2

2. Glenosphere Implantation

Fixation of solid metal ball to the shoulder blade socket.

3

3. Humeral Cup Insetting

Inserting stemmed or stemless humeral socket matching deltoid tension.

4

4. Immediate Deltoid Activation

Guided active shoulder elevation starting within days of operation.

Book Priority Consultation

With Dr. Ketan Kheni (M.S. Orthopaedics)

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100% Cashless Available

Covered under Ayushman Bharat (PM-JAY), MAA Amrutam Yojana, and 30+ leading private mediclaim insurance TPAs.

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