Abstract
Multiple treatment options exist for treating massive rotator cuff tears without arthritis. In patients who have failed nonoperative treatments and have continued pain, anterior superior escape, static superior subluxation with acromial changes, pseudoparalysis, and decreased acromial humeral interval, reverse total shoulder arthroplasty (RTSA) becomes a viable solution. Favorable mid- and long-term results have demonstrated significant improvements in both patient-reported outcomes and functional outcome scores after RTSA for irreparable rotator cuff tears or failed cuff syndrome. Although there are significant risks associated with RTSA, with increasing biomechanical knowledge, improved implant design and surgeon experience have led to a decrease in complication rates. RTSA has become an outstanding procedure for the treatment of older patients with a massive rotator cuff tear or failed cuff syndrome.
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