
Reverse & Total Shoulder Replacement
Our network of highly skilled orthopedic surgeons in Canada delivers advanced treatments designed to restore function and improve the quality of life for those suffering from severe shoulder conditions.

Reverse & Total Shoulder Replacement
Our network of highly skilled orthopedic surgeons in Canada delivers advanced treatments designed to restore function and improve the quality of life for those suffering from severe shoulder conditions.

Reverse & Total Shoulder Replacement
Our network of highly skilled orthopedic surgeons in Canada delivers advanced treatments designed to restore function and improve the quality of life for those suffering from severe shoulder conditions.
Why is the Shoulder Joint Important?
The shoulder is one of the most mobile joints in the body, allowing you to lift, reach, rotate, and carry. It’s made up of the humerus (upper arm bone), scapula (shoulder blade), and clavicle (collarbone)—held together by muscles, tendons, and ligaments.
When the shoulder joint is damaged by arthritis, injury, or degeneration, it can lead to:
Pain
Loss of motion
Weakness
Difficulty performing everyday tasks like dressing, lifting, or sleeping comfortably
What is Shoulder Replacement Surgery?
Shoulder replacement surgery involves removing the damaged parts of the joint and replacing them with artificial components (prosthetics) to restore smooth, pain-free movement.
There are two main types:
1. Total Shoulder Replacement (Anatomic)
This is used when the rotator cuff muscles are intact but the joint is worn down by arthritis or injury.
The damaged ball (humeral head) is replaced with a smooth metal ball.
The socket (glenoid) is replaced with a durable plastic surface.
The artificial components mimic the natural anatomy of the shoulder.
✅ Ideal for osteoarthritis, fractures, or degenerative joint disease with a healthy rotator cuff.
2. Reverse Shoulder Replacement
This is done when the rotator cuff is torn or not functioning properly.
The normal ball-and-socket structure is reversed: the ball is placed on the shoulder blade, and the socket is placed on the upper arm.
This allows the deltoid muscle to take over movement normally handled by the rotator cuff.
✅ Ideal for large rotator cuff tears, complex fractures, or failed previous surgeries.
How is the Procedure Performed?
Most modern shoulder replacements are done using minimally invasive surgical techniques:
Smaller incisions to reduce muscle damage
Use of 3D imaging and intraoperative navigation for precision
Advanced implant materials designed for longevity and mobility
Typically performed under regional anesthesia with sedation
Adrian Peterson
NFL
Injury: Torn ACL and MCL in 2011.
Comeback: Returned in under 9 months and rushed for over 2,000 yards the next season, winning NFL MVP in 2012.
Derrick Rose
NBA
Injury: Torn ACL in 2012.
Comeback: Returned to the NBA, later named Sixth Man of the Year in 2021.
Alex Morgan
US Women’s National Soccer Team
Injury: ACL tear in high school.
Comeback: Went on to win Olympic gold, World Cup titles, and become one of the most recognized players in soccer.
Zlatan Ibrahimović
Professional Footballer
Injury: Severe knee injury including ACL tear in 2017 at age 35.
Comeback: Returned to European football, played at elite level for several more seasons.
Lindsey Vonn
Olympic Skier
Injury: ACL tear in 2013.
Comeback: Returned to skiing and became the most decorated female alpine skier in history.
Adrian Peterson
NFL
Injury: Torn ACL and MCL in 2011.
Comeback: Returned in under 9 months and rushed for over 2,000 yards the next season, winning NFL MVP in 2012.
Derrick Rose
NBA
Injury: Torn ACL in 2012.
Comeback: Returned to the NBA, later named Sixth Man of the Year in 2021.
Alex Morgan
US Women’s National Soccer Team
Injury: ACL tear in high school.
Comeback: Went on to win Olympic gold, World Cup titles, and become one of the most recognized players in soccer.
Zlatan Ibrahimović
Professional Footballer
Injury: Severe knee injury including ACL tear in 2017 at age 35.
Comeback: Returned to European football, played at elite level for several more seasons.
Lindsey Vonn
Olympic Skier
Injury: ACL tear in 2013.
Comeback: Returned to skiing and became the most decorated female alpine skier in history.
Adrian Peterson
NFL
Injury: Torn ACL and MCL in 2011.
Comeback: Returned in under 9 months and rushed for over 2,000 yards the next season, winning NFL MVP in 2012.
Derrick Rose
NBA
Injury: Torn ACL in 2012.
Comeback: Returned to the NBA, later named Sixth Man of the Year in 2021.
Alex Morgan
US Women’s National Soccer Team
Injury: ACL tear in high school.
Comeback: Went on to win Olympic gold, World Cup titles, and become one of the most recognized players in soccer.
Zlatan Ibrahimović
Professional Footballer
Injury: Severe knee injury including ACL tear in 2017 at age 35.
Comeback: Returned to European football, played at elite level for several more seasons.
Lindsey Vonn
Olympic Skier
Injury: ACL tear in 2013.
Comeback: Returned to skiing and became the most decorated female alpine skier in history.
Adrian Peterson
NFL
Injury: Torn ACL and MCL in 2011.
Comeback: Returned in under 9 months and rushed for over 2,000 yards the next season, winning NFL MVP in 2012.
Derrick Rose
NBA
Injury: Torn ACL in 2012.
Comeback: Returned to the NBA, later named Sixth Man of the Year in 2021.
Alex Morgan
US Women’s National Soccer Team
Injury: ACL tear in high school.
Comeback: Went on to win Olympic gold, World Cup titles, and become one of the most recognized players in soccer.
Zlatan Ibrahimović
Professional Footballer
Injury: Severe knee injury including ACL tear in 2017 at age 35.
Comeback: Returned to European football, played at elite level for several more seasons.
Lindsey Vonn
Olympic Skier
Injury: ACL tear in 2013.
Comeback: Returned to skiing and became the most decorated female alpine skier in history.
Adrian Peterson
NFL
Injury: Torn ACL and MCL in 2011.
Comeback: Returned in under 9 months and rushed for over 2,000 yards the next season, winning NFL MVP in 2012.
Alex Morgan
US Women’s National Soccer Team
Injury: ACL tear in high school.
Comeback: Went on to win Olympic gold, World Cup titles, and become one of the most recognized players in soccer.
Lindsey Vonn
Olympic Skier
Injury: ACL tear in 2013.
Comeback: Returned to skiing and became the most decorated female alpine skier in history.
Derrick Rose
NBA
Injury: Torn ACL in 2012.
Comeback: Returned to the NBA, later named Sixth Man of the Year in 2021.
Zlatan Ibrahimović
Professional Footballer
Injury: Severe knee injury including ACL tear in 2017 at age 35.
Comeback: Returned to European football, played at elite level for several more seasons.
Adrian Peterson
NFL
Injury: Torn ACL and MCL in 2011.
Comeback: Returned in under 9 months and rushed for over 2,000 yards the next season, winning NFL MVP in 2012.
Alex Morgan
US Women’s National Soccer Team
Injury: ACL tear in high school.
Comeback: Went on to win Olympic gold, World Cup titles, and become one of the most recognized players in soccer.
Lindsey Vonn
Olympic Skier
Injury: ACL tear in 2013.
Comeback: Returned to skiing and became the most decorated female alpine skier in history.
Derrick Rose
NBA
Injury: Torn ACL in 2012.
Comeback: Returned to the NBA, later named Sixth Man of the Year in 2021.
Zlatan Ibrahimović
Professional Footballer
Injury: Severe knee injury including ACL tear in 2017 at age 35.
Comeback: Returned to European football, played at elite level for several more seasons.
Adrian Peterson
NFL
Injury: Torn ACL and MCL in 2011.
Comeback: Returned in under 9 months and rushed for over 2,000 yards the next season, winning NFL MVP in 2012.
Alex Morgan
US Women’s National Soccer Team
Injury: ACL tear in high school.
Comeback: Went on to win Olympic gold, World Cup titles, and become one of the most recognized players in soccer.
Lindsey Vonn
Olympic Skier
Injury: ACL tear in 2013.
Comeback: Returned to skiing and became the most decorated female alpine skier in history.
Derrick Rose
NBA
Injury: Torn ACL in 2012.
Comeback: Returned to the NBA, later named Sixth Man of the Year in 2021.
Zlatan Ibrahimović
Professional Footballer
Injury: Severe knee injury including ACL tear in 2017 at age 35.
Comeback: Returned to European football, played at elite level for several more seasons.
Adrian Peterson
NFL
Injury: Torn ACL and MCL in 2011.
Comeback: Returned in under 9 months and rushed for over 2,000 yards the next season, winning NFL MVP in 2012.
Alex Morgan
US Women’s National Soccer Team
Injury: ACL tear in high school.
Comeback: Went on to win Olympic gold, World Cup titles, and become one of the most recognized players in soccer.
Lindsey Vonn
Olympic Skier
Injury: ACL tear in 2013.
Comeback: Returned to skiing and became the most decorated female alpine skier in history.
Derrick Rose
NBA
Injury: Torn ACL in 2012.
Comeback: Returned to the NBA, later named Sixth Man of the Year in 2021.
Zlatan Ibrahimović
Professional Footballer
Injury: Severe knee injury including ACL tear in 2017 at age 35.
Comeback: Returned to European football, played at elite level for several more seasons.
Adrian Peterson
NFL
Injury: Torn ACL and MCL in 2011.
Comeback: Returned in under 9 months and rushed for over 2,000 yards the next season, winning NFL MVP in 2012.
Alex Morgan
US Women’s National Soccer Team
Injury: ACL tear in high school.
Comeback: Went on to win Olympic gold, World Cup titles, and become one of the most recognized players in soccer.
Lindsey Vonn
Olympic Skier
Injury: ACL tear in 2013.
Comeback: Returned to skiing and became the most decorated female alpine skier in history.
Derrick Rose
NBA
Injury: Torn ACL in 2012.
Comeback: Returned to the NBA, later named Sixth Man of the Year in 2021.
Zlatan Ibrahimović
Professional Footballer
Injury: Severe knee injury including ACL tear in 2017 at age 35.
Comeback: Returned to European football, played at elite level for several more seasons.
Adrian Peterson
NFL
Injury: Torn ACL and MCL in 2011.
Comeback: Returned in under 9 months and rushed for over 2,000 yards the next season, winning NFL MVP in 2012.
Alex Morgan
US Women’s National Soccer Team
Injury: ACL tear in high school.
Comeback: Went on to win Olympic gold, World Cup titles, and become one of the most recognized players in soccer.
Lindsey Vonn
Olympic Skier
Injury: ACL tear in 2013.
Comeback: Returned to skiing and became the most decorated female alpine skier in history.
Derrick Rose
NBA
Injury: Torn ACL in 2012.
Comeback: Returned to the NBA, later named Sixth Man of the Year in 2021.
Zlatan Ibrahimović
Professional Footballer
Injury: Severe knee injury including ACL tear in 2017 at age 35.
Comeback: Returned to European football, played at elite level for several more seasons.
Adrian Peterson
NFL
Injury: Torn ACL and MCL in 2011.
Comeback: Returned in under 9 months and rushed for over 2,000 yards the next season, winning NFL MVP in 2012.
Alex Morgan
US Women’s National Soccer Team
Injury: ACL tear in high school.
Comeback: Went on to win Olympic gold, World Cup titles, and become one of the most recognized players in soccer.
Lindsey Vonn
Olympic Skier
Injury: ACL tear in 2013.
Comeback: Returned to skiing and became the most decorated female alpine skier in history.
Derrick Rose
NBA
Injury: Torn ACL in 2012.
Comeback: Returned to the NBA, later named Sixth Man of the Year in 2021.
Zlatan Ibrahimović
Professional Footballer
Injury: Severe knee injury including ACL tear in 2017 at age 35.
Comeback: Returned to European football, played at elite level for several more seasons.
Adrian Peterson
NFL
Injury: Torn ACL and MCL in 2011.
Comeback: Returned in under 9 months and rushed for over 2,000 yards the next season, winning NFL MVP in 2012.
Alex Morgan
US Women’s National Soccer Team
Injury: ACL tear in high school.
Comeback: Went on to win Olympic gold, World Cup titles, and become one of the most recognized players in soccer.
Lindsey Vonn
Olympic Skier
Injury: ACL tear in 2013.
Comeback: Returned to skiing and became the most decorated female alpine skier in history.
Derrick Rose
NBA
Injury: Torn ACL in 2012.
Comeback: Returned to the NBA, later named Sixth Man of the Year in 2021.
Zlatan Ibrahimović
Professional Footballer
Injury: Severe knee injury including ACL tear in 2017 at age 35.
Comeback: Returned to European football, played at elite level for several more seasons.
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Pathway Surgery partners with leading experts to deliver exceptional care through evidence-based plans that drive results.
Credible Specialists
Over 20 years of experience in orthopedics.
Credible Specialists
Over 20 years of experience in orthopedics.
Credible Specialists
Over 20 years of experience in orthopedics.
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A personalized, tailored and timely delivery of care to our clients.
Healthcare Reimangined
A personalized, tailored and timely delivery of care to our clients.
Healthcare Reimangined
A personalized, tailored and timely delivery of care to our clients.
Technology-Driven Care
Utilizing innovative technologies such as robotics, navigation and biologics for more effective and patient centred care.
Technology-Driven Care
Utilizing innovative technologies such as robotics, navigation and biologics for more effective and patient centred care.
Technology-Driven Care
Utilizing innovative technologies such as robotics, navigation and biologics for more effective and patient centred care.
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Dr. Thierry Pauyo
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Dr. Michael Zywiel
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Dr. Eric Massicotte
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Dr. Jihad Abouali
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Dr. Sebastian Rodriguez
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Dr. Danny Arora
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Dr. Thierry Pauyo
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Dr. Omar Dessouki
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Dr. Michael Zywiel
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Dr. Eric Massicotte
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Dr. Jihad Abouali
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Dr. Sebastian Rodriguez
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Dr. Danny Arora
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Dr. Thierry Pauyo
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Dr. Omar Dessouki
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Dr. Michael Zywiel
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Dr. Eric Massicotte
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Dr. Jihad Abouali
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Dr. Sebastian Rodriguez
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Dr. Danny Arora
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Dr. Thierry Pauyo
View Profile
Dr. Omar Dessouki
View Profile
Dr. Michael Zywiel
View Profile
Dr. Eric Massicotte
View Profile
Dr. Jihad Abouali
View Profile
Dr. Sebastian Rodriguez
View Profile
Dr. Danny Arora
View Profile
Dr. Thierry Pauyo
View Profile
Dr. Omar Dessouki
View Profile
Dr. Michael Zywiel
View Profile
Dr. Eric Massicotte
View Profile
Dr. Jihad Abouali
View Profile
Dr. Sebastian Rodriguez
View Profile
Dr. Danny Arora
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Dr. Thierry Pauyo
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Dr. Omar Dessouki
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Dr. Michael Zywiel
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Dr. Eric Massicotte
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