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Updated: Jun 16, 2026

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Reverse Shoulder Arthroplasty in Patients with Rheumatoid Arthritis: A Nationwide Analysis.

Andrew G Beauperthuy1,2, Nadia F Linton3, Peter A Falgiano1,2

  • 1Department of Orthopaedic Surgery, Larkin Community Hospital, South Miami, FL 33143, USA.

Journal of Clinical Medicine
|February 13, 2025
PubMed
Summary

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This summary is machine-generated.

Patients with rheumatoid arthritis (RA) undergoing reverse shoulder arthroplasty (RSA) experience significantly higher rates of medical and implant-related complications, falls, and longer hospital stays. RA is an independent risk factor for RSA complications, necessitating close post-operative monitoring.

Area of Science:

  • Orthopedics
  • Rheumatology
  • Health Services Research

Background:

  • Reverse shoulder arthroplasty (RSA) is increasingly used for rheumatoid arthritis (RA)-related shoulder degeneration.
  • Previous research indicates RA increases complications in total shoulder arthroplasty, but its impact on RSA is less understood.

Purpose of the Study:

  • To evaluate post-operative medical and implant-related complications in RA patients undergoing RSA.
  • To assess healthcare utilization, including length of stay and fall rates, in RA patients after RSA.

Main Methods:

  • Retrospective analysis of a national administrative claims database (2010-2023).
  • Propensity score matching (1:5) of RA patients (n=7232) to non-RA controls (n=36,054) who underwent RSA.
Keywords:
arthroplastycomplicationsoutcomesreverse shoulder arthroplastyrheumatoid arthritis

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Main Results:

  • RA patients had significantly higher 90-day medical complication rates (UTIs, pulmonary embolisms, blood transfusions).
  • RA patients showed greater odds of implant-related complications within 2 years, higher fall rates, and longer mean hospital stays (3.42 vs. 2.0 days).

Conclusions:

  • Rheumatoid arthritis is an independent risk factor for reverse shoulder arthroplasty.
  • RA patients undergoing RSA face elevated risks of complications, falls, and prolonged hospitalization.
  • Close post-operative monitoring is recommended for RA patients post-RSA to mitigate risks and healthcare costs.