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  • RSU is advertising for shoulder fellowship to start in August-September 2019 and begining of 2020
    a post-CCT shoulder fellowship for Two years. please send CV to Prof. Levy's PA Charlotte Bourne and arrange a visit to meet Prof Levy and Mr Sforza. [Read more]
  • For Patients, GPs & Physiotherapies - New!!! NHS Choose & Book
    The Unit at Berkshire Independent Hospital is open for NHS patients through Choose & Book (Extended Choice Network).
    Book online
    or contact the secretaries. [Read more]
  • Excellent clinical results over more than 13 years with the Verso rTSA.
    Very high patient satisfaction and return to full activities including sports. [Read more]
  • The least complications with the Verso shoulder compared with other reverse shoulder systems
    From the Royal National Orthopaedic Hospital, Birmingham, UK
    S. Robati, M.K. Shahid, J. Allport, A. Ray and G. Sforza
    Bone & Joint Journal 2013, Vol. 95-B Supp. 25-27

    Complication Rates From Three Commonly Used Reverse Polarity Total Shoulder Replacements: A Minimum Two Year Follow-Up Of 64 Cases
     
  • Excellent results with the Verso TSA were published in Italy! 
    A group of oorthopaedic surgeons from northern Italy from Piacenza and Verona published their first few years experience with the stemless reverse TSA - The VERSO. 
    They present Excellent clinical and radiologic results that mirror the results of the designing centre!
    (Read more) [Read more]
  • Applications for the Reading shoulder fellowship
    starting in late 2019 and for 2020
    is now open.
    Please apply by visiting the Unit and sending your CV to Jan Barker
    Visits to the Reading shoulder unit are welcome - Please liaise with Prof. Levy's PA Charlotte Bourne
    [Read more]
  • IDO Isometer Shoulder Muscle Strength Gauge.

    Available to buy online in idorth.com - Innovative Design Orthopaedics - [Read more]
  • Groundbreaking research from the Reading Shoulder Unit by Prof. Ofer Levy and his team regarding Propionibacterium Acnes and shoulder arthritis. 
    Propionibacterium acnes: an underestimated etiology in the pathogenesis of osteoarthritis?

    This is a very important article in that it suggests the presence of propionibacterium in previously unoperated shoulders with arthritis and furthermore that 'aseptic' failures of shoulder arthroplasty may, in fact, be related to indolent infections with this slow growing organism.
    Read comments by Dr Frederick A. Matsen III, M.D.
    [Read more]
  • Listen to the BBC Radio4 programme - a day in the operating theatre at the Reading Shoulder Unit at the Royal Berkshire Hospital - Case Notes with Dr Mark Porter on Regional anaesthesia for shoulder surgery [Read more]
  • Art at the Reading Shoulder and Elbow Centre
    Original fine art prints all dealing with human body in different situations by four artists are exhibited in the Reading Shoulder and Elbow centre 

    The prints on display are available to buy, with the artist contributing a donation to research. For more information please contact the secretaries in the unit.

    [Read more]
  • The Verso stemless rTSA is approved in Australia & New Zealand by the TGA.
    and it was launched and in increase use in Australia. 

Osteoarthritis

Shoulder Replacement


The shoulder is a ball and socket joint with a large range of movement. The joint sometimes needs replacing. This is usually when severe arthritis affects the joint surfaces and the shoulder becomes painful and difficult to move. The arthritis may result from various reasons: Osteoarthritis, Rheumatoid Arthritis, Instability Arthropathy, Post-traumatic (due to fracture malunion) arthropathy, Cuff arthropathy and other.

 

 


The Operation

The main reason for this operation is to reduce the pain in your shoulder. The operation replaces the damaged surface of the ball of the joint (see pictures) This shoulder replacement called "the Copeland Shoulder" was developed at the Reading Shoulder Unit. Occasionally a different type of replacement may be used. The doctors will discuss your individual surgery after the operation.

If the inner tendons of your shoulder (the rotator cuff) are severely torn or abscent you may need a different type of shoulder replacement  -"the Verso Shoulder" that was developed as well at the Reading Shoulder Unit.


General Advice

You will usually be in hospital for about a week after your operation. Following your surgery you will be in a sling. This is for comfort only and you may take it off as you wish.

A physiotherapist will see you in hospital to give you advice about using your arm and exercises. Outpatient physiotherapy will be arranged when you are discharged.

Your arm will be painful at first and in the first three to four weeks you will be quite one handed which will significantly affect your daily activities.

As your pain improves so will the amount you can use your arm.

Driving and most light activities are usually possible four to six weeks after the surgery. However the strength in your arm will take longer to improve, and will be dependent on the amount of pain and stiffness you had prior to the surgery.

A doctor or physiotherapist will discuss this with you.


Complications

As with all surgery there is a risk of some complications. These are rare, but you should be aware of them before your operation. They include:

  • Complications relating to the anaesthetic.
  • Infection
  • Unwanted prolonged pain and/or stiffness
  • Damage to the nerves or blood vessels around the shoulder.
  • Fracture
  • need to use different type of prosthesis (Stemmed, reversed)
  • Prostheis wear
  • Loosening
  • A need to redo the surgery.

If you require further information please discuss with the doctors either in clinic or on admission.

Patient Information Booklet CSRA RBH( pdf)

Consent forms CSRA


        ADLEIR Score