Comparative Utilization of Reverse and Anatomic Total Shoulder Arthroplasty: A Comprehensive Analysis of a High-volume Center

The Journal of the American Academy of Orthopaedic Surgeons
Peter N ChalmersAaron M Chamberlain

Abstract

The purpose of this study was to determine how reverse and total shoulder arthroplasty (RTSA and TSA) comparative utilization, postoperative diagnoses, demographics, and perioperative data have changed between 2005 and 2015. This was a single-center retrospective review of all primary TSAs and RTSAs. Our cohort included 1,192 RTSAs and 1,600 TSAs. Although both RTSA and TSA volume increased, RTSA increased from 27% to 52% of shoulder arthroplasty. The number of RTSAs performed for osteoarthritis and irreparable rotator cuff tears increased, and the proportion of RTSAs performed for rotator cuff tear arthropathy decreased. The mean age decreased for RTSA and TSA, and American Society of Anesthesiologists scores increased for both. Over the past decade, RTSA has become the most common primary shoulder arthroplasty, reflecting the clinical success of the procedure. This increase is due to both an increase in the number of RTSAs performed for rotator cuff tear arthropathy as well as expanding surgical indications for RTSA. Retrospective, level IV.

References

Jan 1, 1988·The Journal of Arthroplasty·J L FranklinF A Matsen
Aug 23, 2001·Journal of Shoulder and Elbow Surgery·P BoileauR Sinnerton
Feb 24, 2005·Journal of Shoulder and Elbow Surgery·Pascal BoileauFrederic Balg
Aug 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Jacques GueryGilles Walch
Jul 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Bryan WallGilles Walch
Jun 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Derek CuffMark Frankle
May 5, 2009·The Journal of the American Academy of Orthopaedic Surgeons·Christian GerberRichard W Nyffeler
Dec 1, 2010·Clinical Orthopaedics and Related Research·Betsy M NolanJ Michael Wiater
Jan 8, 2011·Clinical Orthopaedics and Related Research·Evan L Flatow, Alicia K Harrison
Mar 9, 2011·Clinical Orthopaedics and Related Research·Luc FavardDaniel Mole
Jun 7, 2011·Journal of Shoulder and Elbow Surgery·Matthew WalkerMark A Frankle
Oct 21, 2011·The Journal of Bone and Joint Surgery. American Volume·Allan A YoungGilles Walch
Jan 20, 2012·The Journal of Bone and Joint Surgery. American Volume·Sunny H KimRobert M Szabo
Mar 1, 2012·Journal of Shoulder and Elbow Surgery·Gilles WalchChristopher John Smithers
Mar 26, 2013·Journal of Shoulder and Elbow Surgery·Roberto CastriciniOlimpio Galasso
Jul 19, 2013·The Journal of Bone and Joint Surgery. American Volume·Naoko MizunoGilles Walch
Oct 5, 2013·Journal of Shoulder and Elbow Surgery·Anil K GuptaGregory P Nicholson
Oct 17, 2013·Journal of Shoulder and Elbow Surgery·Robert A SershonGregory P Nicholson
Oct 18, 2013·The Journal of Bone and Joint Surgery. American Volume·Stephanie J MuhReuben Gobezie
Nov 6, 2013·Journal of Shoulder and Elbow Surgery·Peter N ChalmersGregory P Nicholson
Feb 7, 2014·The Journal of Bone and Joint Surgery. American Volume·Patric RaissGilles Walch
Sep 13, 2014·Journal of Shoulder and Elbow Surgery·Tuyen K KietC Benjamin Ma
Dec 3, 2014·Journal of Shoulder and Elbow Surgery·Brent A PonceMariano E Menendez
Dec 10, 2014·Journal of Shoulder and Elbow Surgery·Michael H JohnsonAndrew Green
Mar 12, 2015·Clinical Orthopaedics and Related Research·Eric M PadegimasSurena Namdari
Mar 15, 2015·Journal of Shoulder and Elbow Surgery·Brandon M SteenMark A Frankle
Sep 1, 2015·The American Journal of Sports Medicine·Grant H GarciaLawrence V Gulotta
Oct 3, 2015·The Bone & Joint Journal·J A Singh, R Ramachandran
Jan 25, 2016·Current Reviews in Musculoskeletal Medicine·Peter N Chalmers, Jay D Keener
Apr 14, 2016·Journal of Shoulder and Elbow Surgery·Brian C WernerLawrence V Gulotta

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Citations

Feb 12, 2020·Journal of Shoulder and Elbow Surgery·Joseph G MonirBradley S Schoch
Aug 19, 2020·Journal of Shoulder and Elbow Surgery·Drew A LansdownC Benjamin Ma
Apr 8, 2021·JBJS Case Connector·Ketrick L LaCosteBrent A Ponce
Mar 13, 2021·Journal of Shoulder and Elbow Surgery·Diego C VillacisAnthony Romeo
Jun 18, 2021·JSES International·Peter N ChalmersRobert Z Tashjian
Oct 1, 2021·Journal of Shoulder and Elbow Surgery·Erick M MarigiPhilipp Kriechling

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