Saturday, April 13, 2013

Reverse total shoulder in obese patients - the 4 Ps

Reverse Total Shoulder Arthroplasty in Obese Patients

The selection of treatment for a patient is based on the four "P"s: the shoulder Problem, the characteristics of the Patient with the problem, the Procedure to be performed and the Physician performing the procedure.

This paper emphasizes the second P - the patient.

Between 2005 and 2011, the authors performed 76 RTSAs in 17 obese, 36 overweight, and 23 normal weight patients, based on World Health Organization body mass index classification. 

Reverse total shoulder arthroplasty in obese patients was associated with almost four times the complication rate: 35% for the obese group and 4% in the normal weight group. 

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