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Updated: Oct 4, 2025

Reverse Total Shoulder Arthroplasty
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Simultaneous bilateral shoulder arthroplasty: a case series.

David A Ajibade1, Wassim Mourad2, Giovanna Medina3

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

Journal of Shoulder and Elbow Surgery
|February 5, 2022
PubMed
Summary

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Simultaneous bilateral shoulder arthroplasty (SBSA) shows promising short-term safety in select patients. This case series provides a technique reference for surgeons considering this procedure.

Area of Science:

  • Orthopedic Surgery
  • Arthroplasty
  • Surgical Innovation

Background:

  • Staged bilateral shoulder arthroplasty offers good functional outcomes.
  • Simultaneous bilateral shoulder arthroplasty (SBSA) is an emerging alternative.
  • This study presents the first US case series of SBSA.

Purpose of the Study:

  • To evaluate the safety and complication profile of SBSA.
  • To provide a technique reference for SBSA.
  • To compare SBSA outcomes with staged bilateral procedures.

Main Methods:

  • Retrospective review of 13 SBSA procedures (2007-2020).
  • Collected demographic, surgical, and postoperative data.
  • Compared SBSA cohort with a matched staged bilateral total shoulder arthroplasty cohort.
Keywords:
Simultaneous bilateral shoulder arthroplastybilateral shoulder techniquecase seriessimultaneous bilateral shoulderstaged bilateral shoulder arthroplastytotal shoulder complications

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Main Results:

  • Mean patient age was 64 years; 69% were women.
  • Average blood loss was 364 mL; 38% required transfusion.
  • Short-term complications included UTIs, urinary retention, and atrial fibrillation; no 90-day readmissions.

Conclusions:

  • SBSA is a viable option for select patients with promising short-term safety.
  • Further prospective studies are required to assess long-term efficacy and safety.
  • This case series offers valuable insights for surgeons considering SBSA.