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Related Experiment Video

Updated: Jan 16, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

43.8K

Reverse shoulder arthroplasty in the revision setting.

Michael Livesey1, C Lucas Myerson1, John G Horneff1

  • 1Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA.

JSES International
|October 6, 2025
PubMed
Summary

Reverse shoulder arthroplasty (rTSA) is increasingly popular and successful, even after other shoulder surgeries fail. This review examines rTSA outcomes in revision cases, comparing them to primary rTSA procedures.

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Area of Science:

  • Orthopedic surgery
  • Arthroplasty
  • Shoulder reconstruction

Background:

  • Reverse shoulder arthroplasty (rTSA) popularity has surged due to design advancements.
  • Improved functional outcomes, implant survival, and reduced complications are noted.
  • rTSA is now a viable revision strategy for various failed primary shoulder procedures.

Purpose of the Study:

  • To review outcomes of rTSA in revision settings.
  • To compare revision rTSA outcomes with primary rTSA.
  • To offer surgical guidance for using rTSA after primary procedure failure.

Main Methods:

  • Literature review of rTSA outcomes in revision cases.
  • Comparative analysis of revision versus primary rTSA results.
  • Synthesis of evidence to guide surgical decision-making.
Keywords:
Conversion shoulder arthroplastyFailed ORIFFailed rotator cuff repairReverse shoulder arthroplastyRevision surgerySalvage procedure

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Last Updated: Jan 16, 2026

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Published on: July 5, 2011

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Main Results:

  • Evidence demonstrates successful outcomes for rTSA in revision arthroplasty.
  • rTSA shows promise following failed shoulder arthroplasty, rotator cuff repair, and fixation.
  • Outcomes in revision settings are comparable to primary rTSA in many aspects.

Conclusions:

  • Reverse shoulder arthroplasty is a successful option for revision surgery.
  • Surgeons can confidently consider rTSA for failed primary shoulder procedures.
  • Further research can refine rTSA techniques for complex revision cases.