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Updated: Feb 9, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Total shoulder arthroplasty in octogenarians: Is there a higher risk of adverse outcomes?
Jared M Newman1, Sarah G Stroud1, Andrew Yang1
1Department of Orthopaedic Surgery, SUNY Downstate Medical Center, Brooklyn, NY, United States.
Abstract:
This study used the National Surgical Quality Improvement Program to evaluate octogenarians who underwent total shoulder arthroplasty (TSA). Specifically, we evaluated: (1) patient demographics; (2) perioperative factors; and (3) 30-day postoperative complications. Compared to controls, the octogenarians had more females, white patients, lower BMIs, fewer smokers, less functionally independent, higher ASA scores, shorter operative times, and longer LOS. Octogenarians had greater odds for developing any (OR = 2.05; 95%CI, 1.70-2.46), any major (OR = 2.28; 95%CI, 1.66-3.13), and any minor (OR = 1.99; 95%CI, 1.63-2.45) complications. Perioperative risk management strategies for elective TSA in the elderly may help mitigate the increased perioperative risks associated with age.
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