Thursday, February 6, 2020

Reverse total shoulder - older female patients with diabetes and obesity have more complications.

Outpatient vs. inpatient reverse total shoulder arthroplasty: outcomes and complications

These authors evaluated all patients who underwent outpatient RTSA performed by a single surgeon between 2015 and 2017. Demographic information and clinical outcome scores, as well as data on complications, readmission, and revision surgery were compared between the groups of patients having outpatient and inpatient reverse total shoulder arthroplasty. 

The demographics and comorbidities were substantially different between the two groups

 The rates and types of complications were also different between the two groups.

However the changes in clinical outcome scores were not significantly different between the two groups.





Comment: These authors found that RTSA performed in an outpatient setting is a safe and reliable procedure that provides significant improvements in clinical outcome scores. The observed reduction in  complications compared with inpatient RTSA  is probably attributable to differences in patient comorbidities.

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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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