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Does preoperative disease severity influence outcomes in reverse shoulder arthroplasty for cuff tear arthropathy?

Journal of Shoulder and Elbow Surgery May 21, 2021

Shah NS, Foote AM, Steele CA, et al. - The present study was performed to explore if preoperative radiographic disease burden and scapular geometry impact patient outcomes and satisfaction in a cohort of patients with cuff tear arthropathy (CTA) treated with reverse total shoulder arthroplasty (RTSA). Researchers included a total of 86 patients who were treated for CTA with RTSA between September 2016 and September 2018. The outcomes demonstrate that individuals with greater CTA disease progression do not show differing outcomes after RTSA in comparison with those with milder disease. It was shown that both poorer preoperative function and degenerative changes as assessed by the Hamada classification were correlated with greater satisfaction after RTSA for CTA. Given the broad spectrum of disease in CTA, there is likely a corresponding range in patient expectations that needs future trials to maximize patient satisfaction.

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