Reverse shoulder arthroplasty as salvage for failed prior arthroplasty in patients 65 years of age or younger

Reverse total shoulder arthroplasty in the younger patient (≤65 years): a systematic review

“…20 Overall, 4 studies reported on satisfaction rates postoperatively with a total of 89% of patients being satsified. 2,14,19,20 ROM improved postoperatively across all studies that reported it. The overall preoperative vs. postoperative means were as follows: forward flexion 63 (range, 60 -72 ) vs. 112 (range, 93 -119 ) 14,19,21 and active external rotation 19 (range, 11.3 -27 ) vs. 33 (range, 26 -40 ).…”

“…14,19,21 Postoperatively, ASES score was reported across 5 studies, with Preoperatively, the pain Constant Score was reported by 2 studies, resulting in a total mean of 6 AE 3, indicating a high level of pain, with a score of 15 being the absence of pain. 2,7 Postoperatively, pain was reported in 1 study, presenting a mean total of 13 AE 3 at 117 months' follow-up, suggesting a significant decrease in pain postoperatively (P < .005). 20 Overall, 4 studies reported on satisfaction rates postoperatively with a total of 89% of patients being satsified.…”

“…7,14,20,21 Complications Complications were reported by 6 studies, with a pooled mean complication rate of 18% (n ¼ 44/245). 2,7,14,[19][20][21] The pooled major mean complication rate was 13% (n ¼ 32/ 245) and the minor complication rate was 5% (n ¼ 12/245). Major complications were defined as complications requiring revision surgery or affecting ROM (Table V).…”

“…Included studies were published between 2013 and 2018, of which all were published in the last 5 years (Tables I and II). 2,7,14,[19][20][21] Studies were performed between 1997 and 2013, with the majority of research performed in the United States (86%), followed by Switzerland (14%). A total of 245 participants (245 shoulders) underwent RTSA.…”

“…A number of studies have defined the younger patient as those aged 65 years. 2,7,20 The authors hypothesized that patients aged 65 years would experience clinically significant improvement in functional outcomes at short-and midterm follow-up, at the expense of increased revision rates.…”