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Related Experiment Video

Updated: Jan 3, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

43.8K

Reverse Total Shoulder Arthroplasty: Implant Design Considerations.

Ujash Sheth1, Matthew Saltzman2

  • 1Department of Orthopaedic Surgery, Northwestern University, 259 East Erie, 13th Floor, Chicago, IL, 60611, USA. usheth@qmed.ca.

Current Reviews in Musculoskeletal Medicine
|November 14, 2019
PubMed
Summary

Reverse total shoulder arthroplasty (RTSA) designs have evolved to improve outcomes and reduce complications like scapular notching. Modern modifications offer excellent results by optimizing implant features for individual patient needs.

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Short- to midterm outcomes of stemless reverse total shoulder arthroplasty: a systematic review.

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Area of Science:

  • Orthopedic surgery
  • Biomechanical engineering
  • Implant design

Background:

  • Reverse total shoulder arthroplasty (RTSA) has advanced significantly since its inception.
  • Understanding implant-related variables is crucial for successful RTSA procedures.

Purpose of the Study:

  • To review critical implant design considerations for reverse total shoulder arthroplasty.
  • To highlight advancements in RTSA prosthesis design.

Main Methods:

  • Review of current literature on RTSA implant designs.
  • Analysis of biomechanical factors influencing RTSA outcomes.

Main Results:

  • Traditional Grammont prosthesis shows >90% 10-year survivorship.
  • Scapular notching is a concern with traditional designs, leading to modifications.
Keywords:
GlenosphereHumeral trayLateralizationNeck-shaft angle

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  • Modern RTSA designs with specific humeral and glenoid components demonstrate excellent results.

    • Conclusions:

    • Optimizing implant design, including humeral and glenoid components, is key to improving RTSA outcomes.
    • Consideration of individual patient factors is essential for maximizing joint efficiency and range of motion.
    • Evolved RTSA designs aim to decrease scapular notching, preserve bone stock, and minimize instability.