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Related Experiment Video

Updated: Feb 11, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

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Reverse total shoulder arthroplasty.

Filippo Familiari1, Jorge Rojas2, Mahmut Nedim Doral3

  • 1Department of Orthopaedics and Traumatology, Villa del Sole Clinic, Italy.

EFORT Open Reviews
|April 17, 2018
PubMed
Summary
This summary is machine-generated.

Reverse total shoulder arthroplasty (RTSA) is increasingly common for rotator cuff issues, but complications and design controversies persist. Further improvements in prosthesis design and surgical techniques are needed to optimize RTSA outcomes.

Keywords:
clinical outcomescomplicationscontraindicationsindicationsreverse total shoulder arthroplasty

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Sports Medicine

Background:

  • Reverse total shoulder arthroplasty (RTSA) has seen a significant rise in annual procedures since its introduction.
  • While initially indicated for rotator cuff tears, RTSA's use has broadened to various shoulder conditions, often involving rotator cuff dysfunction.

Purpose of the Study:

  • To review the current status of reverse total shoulder arthroplasty.
  • To discuss the expanding indications and reported complications associated with RTSA.
  • To highlight ongoing controversies and areas for future improvement in RTSA.

Main Methods:

  • Literature review of reverse total shoulder arthroplasty (RTSA) indications, complications, and controversies.
  • Analysis of reported complication rates and types.
  • Discussion of current debates in RTSA, including implant positioning and surgical techniques.

Main Results:

  • RTSA procedures have increased significantly, with expanded indications beyond rotator cuff tears.
  • Complication rates for RTSA range widely, affecting 19% to 68% of patients.
  • Key controversies include optimal baseplate positioning, humeral neck-shaft angle, glenosphere placement, and subscapularis repair.

Conclusions:

  • Improvements in prosthesis design, surgeon experience, and clinical results are essential for optimizing RTSA.
  • Addressing current controversies is crucial for enhancing the efficacy of RTSA for diverse shoulder conditions.