The authors evaluated 36 shoulders (mean age, 54 years) at a mean follow-up of 2.8 years (range, 24-48 months).
Of these shoulders, 30 (83%) had previous surgery, averaging 2.5 procedures per patient.
The indications for RTSA were: failed rotator cuff repair (12), fracture sequelae (11), failed arthroplasty (5), instability sequelae (4), cuff tear arthropathy (CTA) (4), and rheumatoid arthritis (2).
Nine patients (25.0%) had ASES scores below 50 and were considered failures. Six shoulders had complications, five of which required revision: instability (three cases), periprosthetic fracture (one case), and traumatic acromial fracture (one case, treated without surgery).
Comment: These patients had at least three major risk factors for adverse outcomes: young patient age, complex diagnoses, and prior surgery. It is also likely that the surgeon experience was less than in the prior post. The annualized complication rate was 6%, about twice that reported in the previous post with older patients, simpler diagnoses, and fewer revision surgeries.
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