Outpatient Reverse Total Shoulder Arthroplasty

This review aims to evaluate the current landscape of outpatient reverse total shoulder arthroplasty, as well as summarize protocols to facilitate safe and effective patient selection and implementation. It also aims to demystify cost and reimbursement concerns surrounding this topic.

Formal risk stratification, structured perioperative pathways, and proactive follow-up can make outpatient RTSA safe and highly effective. Medical comorbidity profile, age, social factors as well as non-medical barriers can all assist with decision making. Additionally, there are considerable cost savings that do not compromise outcomes or safety, which will drive more patients to receive outpatient RTSA. Caution should be exercised if considering RTSA for fracture as well as in a revision setting given the case unpredictability, anticipated blood loss and the possible need for a higher level of care. Further work is needed to standardize nomenclature in reporting care settings around outpatient RTSA. Outpatient RTSA can be safe and effective with careful patient selection.