A 60 year old man had a reverse total shoulder after an attempt at rotator cuff repair failed. He fell two years after surgery and sustained a failed base plate with fracture of some of the fixation screws.
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
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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