James had a shoulder replacement with reverse shoulder endoprosthesis. The purpose of this surgery is to have healthy muscles around the shoulder (so the called rotator cuff) for normal shoulder joint movement as well as healthy joint surfaces. If these structures are damaged, an artificial joint (reverse) is needed. Reverse joint construction allow restoring the full movement even if the rotator cuff is destroyed. James’s case is not exceptional, usually most chronic diseases of the shoulder joint ends with a shoulder replacement.
After the surgery the patient may return to an active lifestyle, however, hard labour work is not recommended. The result should last for decades.