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Related Experiment Video

Updated: Jun 12, 2025

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

43.2K

Reverse total shoulder arthroplasty outcomes in elderly patients.

Farah Selman1, Brett Moreira2, Nicholas P J Perry3

  • 1Department of Orthopedics, Balgrist University Hospital, Zurich, Switzerland.

JSES International
|June 9, 2025
PubMed
Summary
This summary is machine-generated.

Reverse total shoulder arthroplasty (rTSA) in patients 85 and older leads to significant improvements in shoulder function and pain reduction. Outcomes are comparable to younger patients, with low complication rates, suggesting age is not a barrier.

Keywords:
AgeClinical and radiographic outcomeComplicationsElderlyReverse total shoulder arthroplastyrTSA

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Area of Science:

  • Orthopedic Surgery
  • Geriatric Medicine
  • Biomedical Engineering

Background:

  • Outcomes of reverse total shoulder arthroplasty (rTSA) in elderly patients vary, with limited data on very old populations.
  • This study addresses the scarcity of research on rTSA outcomes in patients aged 85 and older.

Purpose of the Study:

  • To analyze functional and radiographic outcomes of rTSA in patients aged 85 years and older.
  • To compare these outcomes with a matched younger patient cohort.

Main Methods:

  • Retrospective analysis of 1460 rTSA cases (2005-2020), identifying 74 patients ≥85 years.
  • 42 elderly patients (mean age 87) with ≥2-year follow-up were matched to a younger cohort (mean age 69.5).
  • Outcomes assessed via range of motion (ROM), pain scores, patient satisfaction, and radiographic evaluation for complications.

Main Results:

  • Significant improvements in relative Constant-Murley Score (CMS) and subjective shoulder value were observed in the elderly cohort.
  • Most ROM aspects, abduction force, and pain improved significantly; external rotation showed no significant change.
  • Radiolucency, bone formation, and implant migration were linked to poorer absolute CMS. Complication and revision rates were low (2.4% revision).
  • No significant differences in functional outcomes (relative CMS, subjective shoulder value, ROM) were found between the ≥85 group and the younger matched cohort.

Conclusions:

  • rTSA in patients aged 85 and older yields significant functional improvements and pain reduction.
  • Clinical outcomes are comparable to younger patient populations.
  • Low complication and revision rates suggest age alone should not preclude rTSA consideration.