Short- to medium-term outcomes and future direction of reverse shoulder arthroplasty: Current concepts

J ISAKOS. 2023 Dec;8(6):398-403. doi: 10.1016/j.jisako.2023.10.005. Epub 2023 Oct 14.

Abstract

Reverse shoulder arthroplasty is typically indicated for patients with severe shoulder osteoarthritis, rotator cuff tear arthropathy, or proximal humerus fractures that have failed to heal properly. The primary goal of reverse shoulder arthroplasty is to improve shoulder function and reduce pain, while also restoring the ability to perform daily activities. There is a growing body of evidence supporting the effectiveness of reverse shoulder arthroplasty in improving shoulder function and reducing pain in patients with severe shoulder osteoarthritis or rotator cuff tear arthropathy. Reverse shoulder arthroplasty is associated with significant improvements in shoulder function and pain reduction compared to non-surgical treatments. This paper aims to summarize current knowledge, practices and present a summary of the long-term effects of reverse shoulder arthroplasty (RSA) on patient outcomes, including how these outcomes are defined and what measures are typically used to assess them. It will also cover newer definitions of outcomes for RSA that have been developed in recent years in order to better understand the long-term effects of the procedure on patient-reported outcomes and functional ability, as well as information on revision surgery and implant survivorship, and the future of RSA (3D-navigation, patient-specific instrumentation, robotics and artificial intelligence) and its effects on outcomes.

Keywords: Long term outcomes; Patient-reported outcomes; Range of movement; Reverse shoulder arthroplasty.

MeSH terms

  • Arthroplasty, Replacement, Shoulder* / methods
  • Artificial Intelligence
  • Humans
  • Osteoarthritis* / surgery
  • Pain
  • Rotator Cuff Tear Arthropathy* / surgery
  • Shoulder Joint* / surgery
  • Treatment Outcome