These authors evaluated their minimum 5-year (average 6.3 year) functional outcomes of reverse total shoulder (RTSA) in 52 patients younger than 65 years (average 58±5 years, 67% female)
Abduction, forward flexion, internal rotation, and Simple Shoulder Test, Constant, American Shoulder and Elbow Surgeons, University of California–Los Angeles, Shoulder Pain and Disability Index, and visual analog scale scores all showed statistically significant improvements greater than the minimum clinically important difference at the time of last follow-up.
Three patients (5.8%) required revision surgery after a mean of 7.5 years and 1 more suffered an acromial stress fracture, bringing the total complication rate to 7.7%.
Five patients (9.6%) demonstrated scapular notching, one of whom required revision arthroplasty.
Five patients (9.6%) demonstrated scapular notching, one of whom required revision arthroplasty.
Comment: These are encouraging results. As shown in a prior post (see this link), longer followup will be informative.
We note that these authors used several outcome metrics. This gives us the chance to compare the percent of maximal possible improvement among these scores. Note in the chart below made from their data, the %MPI is about the same with each of the different metrics.
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To see a YouTube of our technique for a reverse total shoulder arthroplasty, click on this link.
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To see our new series of youtube videos on important shoulder surgeries and how they are done, click here.
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