These authors identified all patients undergoing reverse total shoulder (RTSA) or total shoulder arthroplasty (TSA) from 2011 to 2013 in a statewide database.
10,844 procedures (6,658 TSA; 4,186 RTSA) were found.
The all-cause complication rate at 90 days and 2 years postoperatively was significantly higher for RTSA (P < .001).
RTSA patients had a significantly increased risk of infection (P < .05) and dislocation (P < .001) in the early and midterm postoperative course.
Workers' compensation, male sex, preoperative anemia, and those aged younger than 65 years had a significantly higher risk for complications (P < .001).
The overall complication rates for TSA and RSA were 8.4 and 9.9 percent at one year and 14.3 and 21.8 percent at two years.
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Comment: The rates of complications depend on many factors in addition to those identified here, such as diagnosis, surgeon experience, and the type of prosthesis used. However, this study gives a nice overall view of the practice in California.
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Comment: The rates of complications depend on many factors in addition to those identified here, such as diagnosis, surgeon experience, and the type of prosthesis used. However, this study gives a nice overall view of the practice in California.
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