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Reverse TSA had a significantly higher complication rate vs standard TSA
Recently published results showed a significantly higher complication rate among patients who underwent reverse total shoulder arthroplasty compared with patients who had total shoulder arthroplasty.
Using the California Office of Statewide Health Planning and Development database, researchers determined the complication and revision rates at 30 days, 90 days, 1 year and 2 years postoperatively for 6,658 patients who underwent total shoulder arthroplasty (TSA) and 4,186 patients who underwent reverse TSA.
Results showed patients who underwent reverse TSA experienced a significantly higher all-cause complication rate at 90 days and 2 years postoperatively. In the early and midterm postoperative course, researchers found patients who underwent reverse TSA had a significantly increased risk of infection and dislocation. A significantly higher risk for compilations was found among male patients, patients on workers’ compensation, patients with preoperative anemia and patients younger than 65 years, according to results. While researchers noted a higher rate of implant failure among patients who underwent reverse TSA vs. TSA during the early postoperative period, results showed the rate equalized at approximately 1 year. – by Casey Tingle
Disclosure: The researchers report no relevant financial disclosures.