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A shoulder hemiarthroplasty is a surgical procedure to replace half of the shoulder joint--just the ball of the ball and socket joint. A shoulder hemiarthroplasty is a surgical procedure to replace half of the shoulder joint--just the ball of the ball and socket joint.
Reverse shoulder arthroplasty or replacement surgery is needed for complex shoulder problems, such as when the patient has a massive, irrepairable rotator cuff tear and has subsequently developed arthritis. Certain fractures in older patients are treated with reverse shoulder arthroplasty as well.