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Updated: Dec 6, 2025

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Baseplate Options for Reverse Total Shoulder Arthroplasty.

Wassim Mourad¹, J Michael Wiater¹, Brett P Wiater¹

¹Department of Orthopaedic Surgery, Beaumont Health System, Oakland University School of Medicine, Royal Oak, MI, USA.

Current Reviews in Musculoskeletal Medicine

|October 9, 2020

Summary

This summary is machine-generated.

Baseplate fixation is crucial in reverse total shoulder arthroplasty (RTSA). Current baseplate designs vary widely, with no single option proving superior, necessitating careful surgeon selection based on patient anatomy.

Keywords:

Baseplate Glenoid implant Metaglene Shoulder arthroplasty Shoulder implant Shoulder replacement

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Area of Science:

Orthopedic Surgery
Biomedical Engineering

Background:

Baseplate fixation is a critical component in reverse total shoulder arthroplasty (RTSA).
Numerous baseplate designs are available, each with distinct features.
Identifying the optimal baseplate design remains an ongoing challenge.

Purpose of the Study:

To review recent literature on available baseplate options for RTSA.
To provide an overview of current baseplate designs and fixation methods.

Main Methods:

Systematic review of recent scientific literature.
Analysis of baseplate characteristics and fixation strategies.

Main Results:

Baseplate differentiation includes central fixation, size, shape, backside geometry, offset fixation, screw number, and augmentation.
No single baseplate design has demonstrated clear superiority.
Surgeon choice should consider implant familiarity and patient-specific anatomy.

Conclusions:

The wide variety of baseplate options highlights the lack of a universally superior design.
Surgeons must select RTSA baseplates based on individual patient anatomy and surgeon comfort.
Future research and long-term registry data are needed to identify optimal baseplate designs for improved survivorship.