Reverse total shoulder in patients under 65: a high rate of complications

Reverse total shoulder arthroplasty in the younger patient (<65 years): a systematic review 

These authors evaluated outcomes of reverse total shoulder arthroplasty (RTSA) in patients aged 65 years or younger in a systematic review of 6 studies that included 245 participants underwent RTSA, with the most common indications indicated below

Complications were reported by 6 studies, with a pooled mean complication rate of 18% (44/245).

The most commonly reported complication was postoperative dislocation with a rate of 18% (8/44), followed by glenoid loosening with a rate of 7% (3/44). Nerve palsy was found in 4 cases. 

The total pooled rate of RTSA performed on patients for failed prior TSA or hemiarthroplasty was 35%. 

The reoperation rate was 6% at a mean follow-up of 34 months. Reasons for revision surgery included recurrent dislocation, recurrent subluxation, post-traumatic instability, deep infection, and glenoid component loosening.

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