AANA19 Shoulder Access Pass-It's Not Loco! Reverse is the Only Real Option-Dr. Patrick St. Pierre, M.D.

It's Not Loco! Reverse is the Only Real Option-Dr. Patrick St. Pierre, M.D.

Video Transcription

Video Summary

The speaker discusses treatment options for massive rotator cuff tears, emphasizing that reverse shoulder replacement is not the only option but is optimal for patients over 60 with large tears and limited arm mobility. Studies show high survival rates, low complications, and successful return to high-level activities post-reverse replacement. The speaker highlights their experience with over 200 shoulder surgeries annually, using a lateral offset and 135-degree neck shaft angle implant, combined with a rigorous home exercise program. Patients achieve remarkable recovery, including activities like weightlifting, swimming, and golf. Reverse replacement is recommended for older patients or those with arthritis after other treatments fail.

Keywords

massive rotator cuff tears

reverse shoulder replacement

shoulder surgery outcomes

elderly shoulder treatment

postoperative rehabilitation