Healio
Healio
August 28, 2017
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Reverse TSA with, without subscapularis repair yields significant clinical improvements

Patients who underwent reverse total shoulder arthroplasty either with or without subscapularis repair experienced significant clinical improvements, per recently published data.

Using the Simple Shoulder Test, UCLA score, American Shoulder and Elbow Surgeons (ASES) score, Constant score and Shoulder Pain and Disability Index metric, researchers evaluated and scored 340 patients undergoing reverse total shoulder arthroplasty (TSA) with subscapularis repair and 251 patients undergoing reverse TSA without subscapularis repair preoperatively and at latest follow-up. They also measured motion among all patients.

Results revealed significant improvements in pain and function among all patients after reverse TSA. Researchers noted significant improvement in ASES and Constant scores as well as range of motion for both groups. Patients who underwent subscapularis repair experienced significantly higher postoperative scores as measured by four of the five metrics as well as significantly more internal rotation, according to the results. Researchers found significantly more active abduction and passive external rotation among patients who did not undergo subscapularis repair. The data showed a complication rate of 7.4% in the subscapularis-repair group and 6.8% for the non-subscapularis-repaired cohort. – by Casey Tingle

Sources/Disclosures

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Source:

Friedman RJ, et al. J Shoulder Elbow Surg. 2017;doi:10.1016/j.jse.2016.09.027.