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Updated: May 8, 2026

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Shoulder arthroplasty in the elderly.

P Raval¹, Harvinder Singh^2,3

¹Trauma and Orthopaedic, University Hospitals of Leicester, Leicester, United Kingdom.

Journal of Clinical Orthopaedics and Trauma

|April 16, 2025

Summary

This summary is machine-generated.

Choosing the right shoulder arthroplasty for elderly patients involves weighing options like anatomical (ATSA) or reverse (RTSA) total shoulder arthroplasty. Both offer pain relief and improved function, with careful selection crucial for optimal outcomes.

Keywords:

Aged Cuff arthropathy Elderly Glenohumeral joint osteoarthritis Replacement Rotator cuff tears Shoulder prosthesis

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Area of Science:

Orthopedic surgery
Geriatric medicine

Background:

Shoulder arthroplasty is increasingly utilized for elderly patients with shoulder pathologies.
Optimal total shoulder arthroplasty (TSA) choice for this demographic remains debated.
This review explores TSA options for elderly patients.

Purpose of the Study:

To review the available options for total shoulder arthroplasty (TSA) in elderly patients.
To discuss the advantages and disadvantages of anatomical (ATSA) and reverse (RTSA) total shoulder arthroplasty in this population.
To provide insights into optimizing outcomes for shoulder arthroplasty in the elderly.

Main Methods:

Literature review of current shoulder arthroplasty techniques and outcomes.
Comparative analysis of anatomical total shoulder arthroplasty (ATSA) and reverse total shoulder arthroplasty (RTSA).
Discussion of patient selection criteria and potential complications.

Main Results:

ATSA requires a functional rotator cuff; RTSA relies on the deltoid muscle.
Both ATSA and RTSA offer significant pain relief and functional improvement in elderly patients.
ATSA preserves bone stock and natural joint mechanics, while RTSA addresses complex conditions with favorable survivorship.

Conclusions:

Careful patient selection is crucial for optimizing outcomes in elderly patients undergoing shoulder arthroplasty.
Advancements in surgical techniques are improving outcomes and addressing challenges in shoulder arthroplasty.
Current evidence indicates an improving trend in survivorship and long-term results for shoulder arthroplasty procedures in the elderly.