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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
43.7K
Reverse shoulder replacement: a day-case procedure
Rosamond J Tansey1, Mohammed Almustafa1, Henry Hammerbeck1
1Department of Trauma and Orthopaedics, Bedford Hospital NHS Trust, Bedford, United Kingdom.
JSES International
|June 4, 2020
Summary
Reverse shoulder arthroplasty (RSA) can be safely performed as an outpatient procedure for select patients. This approach offers high patient satisfaction and reduces institutional costs without compromising outcomes.
Area of Science:
- Orthopedic Surgery
- Arthroplasty
- Shoulder Reconstruction
Background:
- Reverse shoulder arthroplasty (RSA) is a common treatment for glenohumeral joint arthritis with rotator cuff arthropathy.
- Prolonged hospital stays post-arthroplasty increase complication risks and institutional costs.
Purpose of the Study:
- To evaluate the safety and efficacy of RSA as an outpatient procedure.
- To assess the impact on patient outcomes and institutional financial implications.
Main Methods:
- Retrospective review of patients undergoing RSA from March 2015 to August 2018.
- Inclusion criteria: shoulder arthritis, age >50, intact deltoid function; exclusion criteria: trauma, revision surgery.
- Preoperative assessment considered overall health, social factors, and patient wishes.
Main Results:
- 21 patients underwent outpatient RSA, with a mean age of 74 years.
- No overnight stays were required. Oxford Shoulder Score improved significantly at 6 and 12 months post-op.
- 88% patient satisfaction and 81% willingness to repeat as day-case procedure.
Conclusions:
- Outpatient RSA is effective for carefully selected patients.
- High patient satisfaction rates are achievable with this ambulatory approach.
- Potential for reduced risks and costs associated with outpatient RSA.
