Muscle Sparing Shoulder Replacement

Muscle Sparing Shoulder Replacement

At Modern Orthopedics, we are proud to offer a muscle-sparing shoulder replacement technique that very few surgeons in the country perform — in fact, only about one in a hundred shoulder surgeons can successfully implement this advanced approach. The key difference lies in preserving the subscapularis tendon, one of the most important stabilizing muscles of the shoulder. By leaving this muscle intact, Dr. Trevor Stefanski delivers faster recovery, less pain, and long-term stability without compromising strength or function.

What Makes muscle sparing shoulder replacement Different?

In a traditional shoulder replacement, the subscapularis tendon — a critical part of the rotator cuff — must be detached from the bone to access the joint. After the implant is placed, that tendon is repaired, and the patient must keep the shoulder immobilized in a sling for six to eight weeks to protect the repair. Unfortunately, failure of that tendon repair is one of the most common causes of shoulder replacement failure, sometimes requiring additional surgery.

By contrast, Dr. Stefanski’s muscle-sparing shoulder replacement keeps the subscapularis completely intact. This not only avoids the weakest link of traditional surgery but also eliminates the long period of enforced immobility. Patients are able to use their arm as soon as it feels comfortable — without waiting for a tendon to heal.

By preserving the subscapularis tendon, muscle-sparing shoulder replacement enables faster recovery and better long-term strength.

Preserving the Subscapularis Muscle: The Key to Rapid Recovery

Preserving the subscapularis is the heart of this approach. This muscle is responsible for internal rotation and stability of the shoulder joint — detaching it disrupts both function and recovery. By working between natural planes instead of cutting through muscle, Dr. Stefanski performs a true minimally invasive shoulder replacement that spares healthy tissue and minimizes trauma. The smaller incision is a visible benefit, but the real advantage lies beneath the surface: intact muscle, preserved tendon, and a faster, safer return to activity.

Faster Recovery, Less Restriction

Because the tendon remains attached, there’s no need for prolonged immobilization or protection while it heals. Most patients wear a sling only for comfort during the first one to two weeks — not out of necessity. By six weeks, many have regained excellent range of motion and are back to most daily activities. This approach eliminates the weakest phase of recovery and replaces it with confidence, stability, and motion.

5 Key Benefits of Muscle-Sparing Shoulder Replacement

• No tendon repair required — the subscapularis remains intact
• Less pain and faster recovery thanks to preserved muscle and reduced trauma
• Early motion and function — most patients out of a sling within 1–2 weeks
• Lower complication rate — minimizes risk of tendon failure or stiffness
• Stronger, more natural shoulder movement for long-term success

Who Is a Candidate?

Most patients who are candidates for standard shoulder replacement can benefit from the muscle-sparing approach. Whether you’re struggling with arthritis, rotator cuff tear arthropathy, or severe degeneration, this procedure offers the same pain relief and joint restoration — but with a faster, more comfortable recovery. Dr. Stefanski carefully evaluates each patient’s anatomy, strength, and goals to determine if this advanced technique is right for them.

Experience a Modern, Patient-Focused Approach

At Modern Orthopedics, our mission is to protect what’s healthy, restore what’s damaged, and personalize every procedure to you. Muscle-sparing shoulder replacement embodies this philosophy — focusing on preservation, precision, and rapid return to function. Patients experience a smoother recovery, fewer restrictions, and renewed confidence in their shoulder strength.

Learn more about Dr. Trevor Stefanski or schedule a consultation to find out if this innovative shoulder replacement technique is right for you.

Serving patients across Cincinnati, Kenwood, Hyde Park, Blue Ash, and the Greater Cincinnati area.