Primary reverse shoulder arthroplasty in patients aged 65 years or younger

Clinical results of bony increased-offset reverse shoulder arthroplasty (BIO-RSA) associated with an onlay 145° curved stem in patients with cuff tear arthropathy: a comparative study

“…Initially indicated and recommended in elderly patients >70 years because long-term outcomes were not clear, RSA is today increasingly used in patients <65 years and even <55 years, with excellent clinical results. 40,41 A study by Bacle et al 2 reported an overall survival rate of 93% after 10 years for the Grammont style RSA, a result similar to that of other long-term follow-up studies, 14,23,36,43 and clinical results that seem to deteriorate over time, even if remaining satisfactory, especially in cases of patients treated for CTA. Walch 2 suggested that the decrease in strength and active anterior elevation could be due to a progressive functional impairment of the deltoid, which may be the result of muscle senescence in combination with nonphysiologic biomechanical demands caused by the alteration of the anatomy.…”

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

“…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.…”

“…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. 2,14,19,20 ROM improved postoperatively across all studies that reported it.…”

“…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 ).…”

“…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.…”