Anatomic vs. Reverse Shoulder Replacement: Which One Is Actually Better?
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Shoulder replacement is not a one-size-fits-all operation. In this episode of The Shoulder Blueprint, Dr. Caleb Davis and Dr. Justin Givens take a deep dive into anatomic total shoulder replacement: how it works, who may benefit from it, and why reverse shoulder replacement has become increasingly common.
They discuss:
• Why a healthy rotator cuff is essential for an anatomic shoulder replacement
• The potential for more natural motion, strength, and function
• Polyethylene wear, implant loosening, and long-term bone loss
• Subscapularis-sparing shoulder replacement and how it may accelerate recovery
• How age, activity level, glenoid deformity, and future revision risk influence implant selection
• Why surgeons sometimes plan an anatomic replacement but change to a reverse replacement during surgery
The central message is simple: the best shoulder replacement is not necessarily the newest or most popular implant. It is the operation that best matches the patient’s anatomy, rotator cuff, goals, age, and long-term needs.