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Shoulder and Sports Medicine

Total Shoulder Replacement

Replacement of the worn ball and socket of the shoulder with a metal ball and polyethylene socket, for arthritis with an intact rotator cuff.

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Shoulder and Sports Medicine

Reverse Total Shoulder Replacement

A shoulder replacement that swaps the ball and socket positions so the deltoid can power the arm when the rotator cuff is torn beyond repair.

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Shoulder and Sports Medicine

Shoulder Arthroscopy

Camera-guided surgery through small incisions to diagnose and treat shoulder problems: impingement, bone spurs, loose bodies, biceps tendon issues and more.

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Shoulder and Sports Medicine

ACL Reconstruction

Rebuilding a torn anterior cruciate ligament with a tendon graft, arthroscopically, to restore a stable knee for pivoting sports and active life.

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Shoulder and Sports Medicine

Meniscus Repair

Arthroscopic stitching of a torn meniscus back together when the tear can heal, or trimming the torn piece when it cannot.

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Shoulder and Sports Medicine

Knee Arthroscopy

Camera-guided knee surgery through small incisions for meniscus tears, loose bodies, cartilage flaps and kneecap problems.

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Shoulder and Sports Medicine

Cartilage Restoration

Procedures that repair or regrow damaged articular cartilage in the knee, from cell-based restoration to cartilage autograft and allograft transplantation, for focal defects.

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Shoulder and Sports Medicine

Biologic Treatments

Injections of platelet-rich plasma and related preparations from your own blood or tissue to support healing of tendons and joints, as an alternative or complement to surgery.

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Shoulder and Sports Medicine

Regenerative Medicine

Evidence-first evaluation of stem cell-based and other biologic treatments for tendon, ligament, cartilage and joint conditions, with honest guidance on what the research supports.

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Shoulder and Sports Medicine

MCL Reconstruction

Repair or reconstruction of the medial collateral ligament on the inner side of the knee for severe tears, persistent instability and combined ligament injuries.

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Shoulder and Sports Medicine

MPFL Reconstruction

Reconstruction of the medial patellofemoral ligament with a tendon graft to stop recurrent kneecap dislocations and restore patellar stability.

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Shoulder and Sports Medicine

Quad and Patellar Tendon Repair

Surgical reattachment of a torn quadriceps or patellar tendon to the kneecap so the knee can straighten and bear weight again.

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What it is

Reverse Total Shoulder Replacement

A reverse replacement places the ball on the socket side and the cup on the arm side.

That changes the mechanics so the large deltoid muscle can raise the arm without a working rotator cuff.It was designed for shoulders where the cuff is torn beyond repair and the joint has worn as a result, a condition called cuff tear arthropathy.

At a glance

SettingUsually 1 night

AnesthesiaGeneral + nerve block

Surgery timeAbout 2 hours

Overhead reach6 to 8 weeks

Performed by

J. Ryan Taylor, MD, Shoulder and Sports Medicine surgeon at Ridgeline Orthopedic Specialists

Dr. TaylorShoulder and Sports Medicine

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or call801-640-0000

Reverse Total Shoulder Replacement

Who It Helps

Candidates have a massive irreparable rotator cuff tear, arthritis with cuff failure, certain complex shoulder fractures in older adults, or a failed previous shoulder replacement.Most are over sixty-five and have lost the ability to lift the arm overhead.

Reverse Total Shoulder Replacement

What to Expect

Surgery takes about two hours under general anesthesia with a nerve block, with a one-night stay for many patients.Dr. Taylor plans the implant position from a CT scan and discusses expected motion honestly: a reverse restores overhead reach and relieves pain, but rotation behind the back is often limited.Many reverse replacements here follow a fracture from a fall on ice; the goal is a shoulder that reaches a cupboard again by spring. Dr. Taylor operates at Utah Valley Hospital and Timpanogos Regional Hospital.

Reverse Total Shoulder Replacement

Recovery Timeline

A sling for three to four weeks, with gentle motion beginning early.Most patients lift the arm overhead within six to eight weeks and reach the bulk of their recovery by four to six months.We recommend avoiding lifting more than about twenty-five pounds with the replaced arm for life.

Milestones

Week 1Gentle motion begins

Week 3 to 4Sling off

Week 6 to 8Arm overhead

Month 4 to 6Full recovery

Reverse Total Shoulder Replacement

Risks and Considerations

Instability or dislocation of the new joint is the main early risk.Notching of the shoulder blade bone below the implant, fracture of the acromion, and infection are others.Long-term implant survival is now well documented and improving with modern designs.

Reverse Total Shoulder Replacement

Your Surgeons

Dr. Taylor performs this procedure at Utah Valley Hospital, Timpanogos Regional Hospital, Orem Community Hospital, American Fork Hospital, Spanish Fork Hospital and Mountain View Hospital.

Dr. Taylor, MD

Dual fellowship trained in sports medicine and in shoulder and elbow surgery. Former Division I football player.

Reverse Total Shoulder Replacement

Related Procedures and Conditions

Total Shoulder Replacement

Rotator Cuff Repair

Rotator Cuff Tear

Shoulder Arthritis

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Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.

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Provo1055 N 300 W, Ste 104

Orem700 W 800 N, Ste 330

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