Reverse Total Shoulder Replacement (RTSA)
An advanced shoulder replacement in which the ball-and-socket positions are reversed — allowing the deltoid muscle to restore arm movement when the rotator cuff is severely damaged.
What is Reverse Total Shoulder Replacement (RTSA)?
Reverse Total Shoulder Replacement (RTSA) is an advanced shoulder replacement surgery used to treat patients with severe shoulder arthritis combined with significant rotator cuff damage. When the rotator cuff tendons are torn or no longer functioning properly, conventional shoulder replacement may not provide adequate stability or arm movement. In RTSA, the normal ball-and-socket structure of the shoulder joint is reversed — a metal ball is attached to the shoulder socket (glenoid) and a socket component is placed on the upper arm bone (humerus). This design allows the deltoid muscle to take over the role of lifting the arm, compensating for the damaged rotator cuff and restoring meaningful arm elevation and daily function.
SUITABLE FOR Patients with advanced shoulder arthritis combined with significant rotator cuff damage — including rotator cuff arthropathy, failed previous shoulder surgery, severe shoulder pain and stiffness, or complex shoulder fractures in older adults.
How the Procedure Works
Pre-operative Imaging & Planning
X-rays and MRI assess the severity of arthritis and rotator cuff damage; implant sizing is planned and anaesthesia is administered on the day of surgery.
Surgical Access
A carefully planned incision over the shoulder exposes the damaged joint; surrounding muscles and soft tissues are gently moved aside.
Removal of Damaged Joint Surfaces
Worn-out cartilage and damaged bone from the humeral head and glenoid socket are removed to prepare both surfaces for the reversed prosthetic components.
Glenoid Ball Component Placement
A metal ball component is fixed to the glenoid (shoulder socket), reversing the normal anatomy and creating the new fulcrum for joint movement.
Humeral Socket Component Placement
A socket-shaped implant is fixed to the humerus; this configuration allows the deltoid muscle to power arm elevation and stabilise the joint.
Stability Testing & Wound Closure
Shoulder stability, alignment, and range of motion are confirmed; the incision is closed with sutures and the arm is placed in a sling.
Outcomes
Who Needs This Treatment?
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Specifically engineered for patients with combined arthritis and rotator cuff failure
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Restores arm elevation and movement even when the rotator cuff cannot function
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Significantly reduces chronic, disabling shoulder pain
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Improves ability to perform daily tasks including some overhead activities
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Durable, long-lasting implant construction
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Physiotherapy after surgery maximises functional shoulder recovery
“Reverse shoulder replacement has transformed outcomes for patients with both severe arthritis and rotator cuff failure. By reversing the mechanics of the joint, we allow the deltoid to do the work the cuff can no longer do — giving patients back their independence and quality of life.”
— Dr. Satish Reddy Gandavarapu, Senior Orthopaedic Consultant and Trauma Surgeon , Lux Hospitals, Hyderabad
Reverse Total Shoulder Replacement (RTSA) Cost in Hyderabad
The cost of reverse total shoulder replacement (rtsa) in Hyderabad depends on the complexity of the condition, the technology and implants used, and the care needed before and after the procedure. Your treating doctor will share a personalised estimate after your consultation.
| Procedure | Approximate Cost Range |
|---|---|
| Reverse Total Shoulder Replacement (RTSA) | Shared after consultation |
The final cost may vary depending on your individual condition, findings during the procedure, and whether any additional procedures are required.
Factors That Influence Reverse Total Shoulder Replacement (RTSA) Cost
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Complexity and severity of the condition being treated
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Type of anaesthesia and surgical technique used
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Pre-operative investigations and evaluations required
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Duration of hospital stay and post-operative care needed
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Any additional procedures performed during the same surgery
Is Reverse Total Shoulder Replacement (RTSA) Covered by Insurance?
Reverse Total Shoulder Replacement (RTSA) may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and the approval process.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Satish Reddy Gandavarapu
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Satish Reddy Gandavarapu will evaluate your symptoms, medical history, and investigation reports to determine whether Reverse Total Shoulder Replacement (RTSA) is right for you, and will guide you on the expected outcomes and estimated cost based on your individual condition.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Satish Reddy and get a personalised treatment plan.