Outcome and value of reverse shoulder arthroplasty for treatment of glenohumeral osteoarthritis: a matched cohort

Reverse Total Shoulder Arthroplasty: Indications and Techniques Across the World

“…26 However, TSA is a more cost-effective treatment option than RTSA for patients with glenohumeral osteoarthritis. 27 With changing reimbursement in healthcare, surgeons must scrutinize not only anticipated outcomes with specific implants but the cost effectiveness of these implants as well. Further cost analysis studies are necessary to determine the ideal candidate for an RTSA.…”

Expanding roles for reverse shoulder arthroplasty

“…However, RTSA was over $7,000 most expensive than TSA due to the cost of the implant. From these results, the authors concluded that if the surgeon is in doubt with regards to the outcome of a TSA due to the glenoid component, conversion to an RTSA is a reasonable option [22].…”

“…Because of the propensity for the late development of rotator cuff dysfunction after TSA [48,49], RTSA has been considered as an option in select patients with glenohumeral osteoarthritis and intact rotator cuff [22]. In particular, RTSA could be considered in elderly patients with imaging demonstrating RTSA is more commonly used in for glenohumeral osteoarthritis with an intact rotator cuff when fixation of the glenoid component is questionable.…”

“…The procedure has also been demonstrated to be costeffective [19•]. Surgeons have thus expanded indications [18,20] to include a variety of pathologies such as irreparable rotator cuff tears [21], glenohumeral osteoarthritis with an intact rotator cuff [22], acute proximal humerus fractures [23], the sequelae of proximal humerus fractures [24], neoplasms of the proximal humerus [25•], inflammatory arthropathies [26,27], young patients [28•, 29], and failed TSA and hemiarthroplasty (Table 1) [34,35]. Indeed, the expansion of RTSA indications has been sufficiently large to lead to substantial increases in the overall incidence of shoulder arthroplasty [5,[36][37][38].…”

CORR Insights®: Does Postoperative Glenoid Retroversion Affect the 2-Year Clinical and Radiographic Outcomes for Total Shoulder Arthroplasty?

“…Advances in imaging technology, interest in the Walch classification [2], and active exploration of new surgical recommendations and implant designs have led to heightened awareness of this challenging problem [2,16,17]. Further complicating the decisionmaking process for shoulder arthroplasty surgeons are emerging reports describing the use of reverse shoulder arthroplasty in younger and active patients with OA [5,6,12,13,18].…”