Reverse total shoulder Arthroplasty used to be a rare surgical event. But it is becoming much more common and one reason is that it is used to revise previously operated shoulder situations that have gone awry.
In a statistical study using the Nationwide Inpatient Samples for 2009 thru 2011 there were approximately 52,397 primary shoulder arthroplasties (total, hemi, and reverse) in 2009, increasing to 67,284 in 2011.
Reverse TSA accounted for a surprising 42% of all primary replacement surgeries of the shoulder. 8.8% of those were revision procedures, that is, procedures to correct problems that were a result of previous shoulder surgeries, for instance if there was loosening or dislocation.
So what was quite recently considered experimental has become the go-to fix for post operative problem situations along with the primary surgery for extreme situations. The surgery does remain much more common for older women; in the study the highest rate for rTSA was for women 75 to 84 years old.
A revision procedure appears to be technically more difficult than the primary operation so if you are considering it you might think about seeking a second opinion and going to a high volume surgeon who has more experience with the revision surgery.
In a statistical study using the Nationwide Inpatient Samples for 2009 thru 2011 there were approximately 52,397 primary shoulder arthroplasties (total, hemi, and reverse) in 2009, increasing to 67,284 in 2011.
Reverse TSA accounted for a surprising 42% of all primary replacement surgeries of the shoulder. 8.8% of those were revision procedures, that is, procedures to correct problems that were a result of previous shoulder surgeries, for instance if there was loosening or dislocation.
So what was quite recently considered experimental has become the go-to fix for post operative problem situations along with the primary surgery for extreme situations. The surgery does remain much more common for older women; in the study the highest rate for rTSA was for women 75 to 84 years old.
A revision procedure appears to be technically more difficult than the primary operation so if you are considering it you might think about seeking a second opinion and going to a high volume surgeon who has more experience with the revision surgery.
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