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Peripheral Artery Disease V: Postoperative Nursing Management

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Thumb Carpometacarpal Joint Denervation Has Lower Reoperation Rates Than Trapeziectomy for Thumb Base Arthritis: A Retrospective Database Study.

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Return-to-sport and performance outcomes after Achilles tendon rupture in National Hockey League players: A matched cohort study.

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Evaluation of spin in systematic reviews and meta-analyses of Matrix-induced Autologous Cartilage Implantation (MACI).

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Age-Related Microbiologic Trends in Periprosthetic Joint Infection of the Knee: Increased Rates of Atypical Pathogens With Increasing Age.

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Corrigendum to 'Navigated augmented reality through a head-mounted display leads to low deviation between planned, intra- and postoperative parameters during glenoid component placement of reverse shoulder arthroplasty: a proof-of-concept case series'.

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Evaluation of Radiograph Parameters Used to Assess Prosthetic Overlengthening in Radial Head Arthroplasty.

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Assistant Experience Enhances the Learning Curve in Reverse Total Shoulder Arthroplasty: A Comparative CUSUM Analysis of Three Surgeons.

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Prediction of Acromial and Scapular Spine Fractures After Reverse Total Shoulder Arthroplasty using Machine Learning: A Retrospective Cohort Study.

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Updated: Jun 7, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Operative Timing Predicts Postoperative Complications after Staged Reverse Total Shoulder Arthroplasty.

Julian Wier1, Cory K Mayfield1, Anthony C Mouchawar1

  • 1Department of Orthopaedic Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California.

Journal of Shoulder and Elbow Surgery
|June 5, 2026
PubMed
Summary
This summary is machine-generated.

Optimal timing for staged bilateral reverse total shoulder arthroplasty (rTSA) is crucial. Undergoing the second rTSA within one year increases surgical complication risks; delaying beyond 12 months is safer.

Keywords:
bilateral reverse total shoulder arthroplastycomplicationsdelayfracturestaged reverse total shoulder arthroplastytiming

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Last Updated: Jun 7, 2026

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Published on: September 7, 2022

Area of Science:

  • Orthopedic Surgery
  • Biostatistics
  • Health Services Research

Background:

  • The optimal interval between staged bilateral reverse total shoulder arthroplasty (rTSA) remains undefined.
  • Understanding this timing is critical for minimizing surgical risks.

Purpose of the Study:

  • To investigate the association between the time interval of staged bilateral rTSA and the risk of early surgical complications.
  • To identify an optimal time threshold for contralateral surgery to mitigate adverse outcomes.

Main Methods:

  • Retrospective analysis of the Premier Healthcare Database (2016-2020) for patients undergoing primary rTSA.
  • Propensity score matching comparing staged bilateral rTSA (split by <6, 6-12, >12 months) with unilateral rTSA.
  • Multivariable models and changepoint analysis to assess complication risks.

Main Results:

  • Staged bilateral rTSA performed <6 or 6-12 months after the first surgery showed significantly higher odds of 90-day complications (2.4x and 1.8x, respectively) compared to unilateral rTSA.
  • Increased risks were primarily driven by fracture and infection.
  • A changepoint analysis suggested that complication risk becomes non-significant beyond approximately 390 days.

Conclusions:

  • Performing staged bilateral rTSA within one year of the initial surgery is linked to increased early surgical complications.
  • Delaying contralateral surgery beyond 12 months results in complication risks comparable to unilateral rTSA.