Abstract
Reverse total shoulder arthroplasty (RTSA) is a well-accepted treatment option for a number of pathologies including glenohumeral arthropathy with severe rotator cuff deficiency, revision of anatomic arthroplasty, rheumatoid arthritis, reconstruction after tumor resection, and severe fractures in the elderly. Despite advances in RTSA, significant challenges persist and continue to inspire innovation in technique and design. This review outlines the pervasive challenges of RTSA and the strategies that have been developed for these challenges. The anterosuperior and deltopectoral approaches have both been used successfully for RTSA, with considerations that render each approach applicable in certain scenarios. Pertinent issues related to the glenoid component center around determining the ideal position for the center of rotation and the ideal degree of baseplate tilt. On the humeral component side, debate exists regarding the optimal humerosocket inclination and the role for humeral component lateralization. With conflicting or limited data pertaining to these topics, there remains room for continued research, improvement, and innovation.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call