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Here s what you can expect after surgery. This is then replaced with a metal ball. Replacement Of Half Of The Shoulder Joint Shoulder Replacement Surgery Reverse Shoulder Replacement Knee Replacement In a reverse total shoulder replacement a surgeon removes the rounded head of the upper arm bone. Reverse shoulder surgery . The reverse shoulder replacement changes the center of rotation for the joint and allows other tissues to stabilize it. The surgeon also removes part of the socket of the shoulder blade. Doctors sometimes recommend reverse shoulder replacement surgery for patients with a rotator cuff tear that cannot be repaired or when other types of treatments have not worked for chronic shoulder pain that isn t associated with arthritis. A reverse shoulder replacement is a treatment option for people with severely damaged shoulder joints. Reverse shoulder replacements can be used for people with damage to both the rotator cuff and the cartilage of the shoulder joint.