Reverse Shoulder Replacement
Advanced solution for complex shoulder problems
How It Works
The reverse shoulder replacement (RSA) was designed by Dr. Paul Grammont in France and revolutionized treatment of shoulders where the rotator cuff is absent or non-functional.
Biomechanics: By reversing the ball-and-socket anatomy and medializing/lowering the center of rotation, the deltoid muscle gains mechanical advantage and can elevate the arm even without a functioning rotator cuff.
Indications
• Cuff tear arthropathy
• Massive irreparable rotator cuff tears with pseudoparalysis
• Failed rotator cuff repair with arthritis
• Complex proximal humerus fractures (elderly)
• Revision of failed shoulder arthroplasty
• Tumor reconstruction
• Rheumatoid arthritis with cuff insufficiency
• Selected fracture sequelae
Outcomes
90-95%
Pain relief satisfaction
120-140°
Average forward elevation
10+ years
95% implant survival
1. Grammont PM, Baulot E. Delta shoulder prosthesis for rotator cuff rupture. Orthopedics. 1993
2. Australian Orthopaedic Association National Joint Replacement Registry Annual Reports
Last Updated: January 2025 | Content reviewed by Dr. Deepthi Nandan Reddy, FRCS (Ortho)
