How effective is reverse shoulder replacement for a rotator cuff tear?

In a reverse replacement, the artificial joint changes the position of the ball and socket so the deltoid muscle can help raise the arm when the rotator cuff is severely damaged or no longer repairable. It is different from a conventional shoulder replacement and is not needed for every tear. The surgeon considers pain, weakness, arthritis, shoulder stability, bone quality and the function of other muscles. Improvement is usually gradual as tissues heal and the shoulder is retrained.

Discuss what movements you need for work, dressing, sleep and recreation, because the rehabilitation plan is shaped by those goals. Before surgery, ask about strengthening that is safe and how to manage pain. Afterwards, follow restrictions on lifting and shoulder position, attend physiotherapy and progress exercises only as advised. Read more about [Reverse Shoulder Replacement](/treatments/joint-replacement/reverse-shoulder-replacement/) and [Rotator Cuff Tear](/conditions/rotator-cuff-tear/).

Contact the surgical team promptly for fever, wound drainage, spreading redness, a sudden increase in pain, new numbness or a shoulder that appears out of place. After recovery, seek review if pain or loss of function is worsening rather than gradually improving. Urgent assessment is needed after a fall or forceful movement that may have affected the replacement.

Why is a reverse replacement more suitable than cuff repair or another replacement for my shoulder? Which arm movements will rehabilitation target? What lifting and sleeping restrictions apply? What changes should prompt an urgent call after surgery?