Reverse Shoulder movement in the US

But I think directionally, that's a fascinating look. And what I think is really interesting about that is for shoulder arthroplasty to be leading the way, there's 2 big factors. First is we are starting to hit the wave of shoulder revision coming into play. Interesting. And I think you're starting to see more total shoulders being done gigantically compared to a fracture reconstruction. So repairing, repairing a 4-part fracture is becoming almost a thing of the past. Instead of just using a reverse shoulder. And I don't think that's right, but I understand how it's happening. Wow, interesting. So I had Carl— you never knew Carl Basmanian? No. So way back in the day, I mean, this goes back more than a decade, when I asked Carl about why would somebody be going right to a reverse out of a 4-part fracture instead of trying to repair it, he said, look, if the right doctor repairs the right fracture and puts a 4-part proximal humerus fracture back together, that patient, if they heal right, will have equal function, as good as they ever have, or it'll go sideways and it'll be an absolute disaster. So instead, what some surgeons will pick is to go right to a reverse where they'll never achieve the exact function that they would have had, but they'll also never fail in the same way that it failed. So you have, as a surgeon, you have a narrower band of possibilities to explain to a patient, and that is just an easier path for doctors to choose. And I think that has dictated a whole lot and explains why now 80% of all total shoulders are reverse shoulders. Wow.