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Updated: Feb 14, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Editorial Commentary: Slow and Steady or Quick and Slick: What Really Wins the Race Between Operative Time and
1Icahn School of Medicine at Mount Sinai.
Abstract:
Studies have shown in many disciplines that longer operative times are correlated with increased complications. Recent research has shown that increased shoulder arthroscopy procedure time is associated with adverse short-term outcomes, especially infections and overnight hospital stay. This may be because longer operating time is a proxy for surgical difficulty or complexity, but it may be that operative time is itself a causative factor. Further study is warranted to see if reducing operative times may not only reduce costs but also improve quality, improving value in both the numerator and denominator.
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