Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Oct 3;4(1):1-7.
doi: 10.1016/j.xrrt.2023.09.003. eCollection 2024 Feb.

Midterm outcomes of primary reverse shoulder arthroplasty: a systematic review of studies with minimum 5-year follow-up

Tom R Doyle  1   2 , Sophia Downey  3 , Eoghan T Hurley  4 , Christopher Klifto  4 , Hannan Mullett  1 , Patrick J Denard  5 , Grant E Garrigues  6 , Mariano E Menendez  5
Affiliations
Review

Midterm outcomes of primary reverse shoulder arthroplasty: a systematic review of studies with minimum 5-year follow-up

Tom R Doyle et al. JSES Rev Rep Tech. .

Abstract

Background: Excellent short-term outcomes after reverse shoulder arthroplasty (RSA) have been reported, but longer term outcomes in the existing literature are sparse and vary widely. The purpose of this study is to systematically assess the existing literature to quantify functional outcomes and complication rates after RSA at a minimum of five years of follow-up.

Methods: A Preferred Reporting Items for Systematic Reviews and Meta-analyses-compliant systematic literature search of the PubMed and Embase databases was undertaken. Studies reporting outcomes after primary RSA for nontrauma-related indications with a minimum of 5-year follow-up were included.

Results: Overall, 20 studies satisfied all inclusion criteria. This represented 1591 shoulders in 1556 patients (32.1% males), with a mean age of 70.2 ± 5.0 years and mean follow-up of 8.8 years, or 106.2 ± 30.1 months (60-243). At final follow-up, the mean reported Constant Murley score was 62.1 ± 5.0 (49.0-83.0). The mean adjusted Constant Murley score was 83.5 ± 12.5 (58-111.9). The mean American Shoulder and Elbow Surgeons score was 81.8 ± 4.6, while the mean subjective shoulder value was 74.6 ± 6.4. Overall, 88% of patients rated their satisfaction as either good or very good. The range of active forward flexion, abduction, external, and internal rotation were respectively, 126° ± 13°, 106° ± 11°, 22° ± 11°, and 6° ± 2°. The overall rate of revision surgery was 4.9% (0%-45.5%). Regarding complications, the rate of prosthetic joint infection was 4.3% (0%-26.7%), shoulder dislocation was 3.7% (0%-20.4%), and acromial fracture was 2.0% (0%-8.8%). At final follow-up, 30.9% of shoulders had some degree of scapular notching.

Conclusion: This systematic review shows that RSA results in high satisfaction rates, good clinical outcomes, as well as modest complication and revision rates at minimum 5-year follow-up.

Keywords: Irreparable rotator cuff tear; Patient reported outcome measures; Reverse shoulder arthroplasty; Rotator cuff arthropathy; Shoulder arthroplasty; Systematic review.

PubMed Disclaimer

Figures

Figure 1
Figure 1
PRISMA flow diagram (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). NSA, neck shaft angle.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Baram A., Ammitzboell M., Brorson S., Olsen B.S., Amundsen A., Rasmussen J.V. What factors are associated with revision or worse patient-reported outcome after reverse shoulder arthroplasty for cuff-tear arthropathy? A study from the Danish shoulder arthroplasty registry. Clin Orthop Relat Res. 2020;478:1089–1097. doi: 10.1097/corr.0000000000001114. - DOI - PMC - PubMed
    1. Bassens D., Decock T., Van Tongel A., De Wilde L. Long-term results of the Delta Xtend reverse shoulder prosthesis. J Shoulder Elbow Surg. 2019;28:1091–1097. doi: 10.1016/j.jse.2018.11.043. - DOI - PubMed
    1. Blaas L.S., Yuan J.Z., Lameijer C.M., van de Ven P.M., Bloemers F.W., Derksen R.J. Surgical learning curve in reverse shoulder arthroplasty for proximal humerus fractures. JSES Int. 2021;5:1034–1041. doi: 10.1016/j.jseint.2021.07.008. - DOI - PMC - PubMed
    1. Bulhoff M., Zeifang F., Welters C., Renkawitz T., Schiltenwolf M., Tross A.K. Medium- to long-term outcomes after reverse total shoulder arthroplasty with a standard long stem. J Clin Med. 2022;11:2274. doi: 10.3390/jcm11092274. - DOI - PMC - PubMed
    1. Castricini R., Gasparini G., Di Luggo F., De Benedetto M., De Gori M., Galasso O. Health-related quality of life and functionality after reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2013;22:1639–1649. doi: 10.1016/j.jse.2013.01.020. - DOI - PubMed

LinkOut - more resources