SynthesisJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2022
Is reverse total shoulder arthroplasty (rTSA) more advantageous than anatomic TSA (aTSA) for osteoarthritis with intact cuff tendon? A systematic review and meta-analysis.
Synthesis in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Comparison of Revision Rates and Clinical Outcomes between Anatomic and Reverse Total Shoulder Arthroplasty for Rotator Cuff-Intact Osteoarthritis: A Systematic Review and Meta-Analysis.Clinics in orthopedic surgery · 2025Pooled it
- Exploring the role of hemiarthroplasty in revision shoulder arthroplasty: a systematic review.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Pooled it
- Nationwide trends and variations in reverse shoulder arthroplasty in Japan: national database analysis 2014-2023.JSES international · 2026Article
- Outcomes of reverseWorld journal of orthopedics · 2026Article
- Anatomic total shoulder arthroplasty for osteoarthritis in patients who are 75 years or older. An analysis of revision rates and patient-reported outcome using data from the Danish shoulder arthroplasty registry.JSES international · 2026Article
- EVIDENCE-BASED REVIEW & RECOMMENDATIONS FROM THE BRAZILIAN SOCIETY OF SHOULDER AND ELBOW SURGERY: REVERSE VERSUS ANATOMIC TOTAL ARTHROPLASTY FOR THE TREATMENT OF PRIMARY GLENOHUMERAL OSTEOARTHRITIS WITH AN INTACT ROTATOR CUFF IN PATIENTS AGED 70 YEARS OR OLDER.Acta ortopedica brasileira · 2026Review
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- Advancements in Inlay Glenoid Components for Anatomic Total Shoulder Arthroplasty: A Review.Journal of clinical medicine · 2025Review
- The variability of minimum clinically important difference, substantial clinical benefit, and patient acceptable symptom state thresholds for Patient-Reported Outcome Measures in the anatomic total shoulder arthroplasty literature: a systematic review.JSES reviews, reports, and techniques · 2025Review
- What influences the surgeon's decision between anatomical and reverse total shoulder arthroplasty in primary osteoarthritis? A case-vignette study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Article
- Does preoperative forward elevation weakness affect clinical outcomes in anatomic or reverse total shoulder arthroplasty patients with glenohumeral osteoarthritis and intact rotator cuff?Clinics in shoulder and elbow · 2024Article
- What Is the Trajectory of Recovery in the Early Postoperative Period after the Big 3 Shoulder Surgeries? Comparative Analysis Using 3 Previous Prospective Studies.Diagnostics (Basel, Switzerland) · 2024Article
- Disease diagnosis and arthroplasty type are strongly associated with short-term postoperative patient-reported outcomes in patients undergoing primary total shoulder arthroplasty.Journal of shoulder and elbow surgery · 2024Article
- Reverse total shoulder replacement versus anatomical total shoulder replacement for osteoarthritis: population based cohort study using data from the National Joint Registry and Hospital Episode Statistics for England.BMJ (Clinical research ed.) · 2024Article
- The effect of eccentric glenoid reaming in reverse shoulder artrhoplasty for glenohumeral osteoarthritis.Journal of orthopaedics · 2024Article
- Review
- Anatomic versus reverse total shoulder arthroplasty outcomes after prior contralateral anatomic total shoulder arthroplasty in patients with bilateral primary osteoarthritis with an intact rotator cuff.International orthopaedics · 2024Article
- Revision reverse shoulder arthroplasty has similar outcomes to primary reverse shoulder arthroplasty at 5 Year average follow-up.Journal of orthopaedics · 2023Article
- Outcomes of anatomic and reverse total shoulder arthroplasty in patients over the age of 70: a systematic review.JSES reviews, reports, and techniques · 2023Review
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe aimed to compare the outcomes and complications of anatomical shoulder arthroplasty (aTSA) and reverse total shoulder arthroplasty (rTSA) for primary glenohumeral osteoarthritis with intact cuff tissue. MATERIALS AND
methodsThe MEDLINE, Embase, and Cochrane Library databases were systematically searched for studies published before March 2, 2021 using the PRISMA guidelines. Studies were included if they directly compared aTSA and rTSA for treating primary glenohumeral arthritis. A meta-analysis was performed using six studies that compared radiologic outcomes, functional scores, and range of motion (ROM). All the data were pooled using a random-effects model. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated as dichotomous data, while continuous data were analyzed using mean differences with 95% CIs.
resultsTwo independent researchers reviewed 1,061 studies. Six studies met the inclusion criteria. The range of motion, especially external rotation, was better for aTSA than for rTSA (MD = - 10.28, 95% CI: - 16.69 to - 3.88, P = 0.002). Functional scores showed no difference between aTSA and rTSA. Glenoid loosening (OR = 0.17, 95% CI: 0.06-0.50, P = 0.001) was more common with aTSA, and scapula notching (OR = 10.63, 95% CI: 1.73-65.27, P = 0.01) with rTSA. In the mid-term follow-up, the overall revision rate showed no difference between aTSA and rTSA, with a pooled OR of 0.33 (95% CI: 0.07-1.57, P = 0.16).
conclusionA better ROM was achieved after aTSA than after rTSA. There was no difference in the revision rate at mid-term follow-up between aTSA and rTSA. Glenoid loosening was more common with aTSA, and scapula notching with rTSA. LEVEL OF EVIDENCE: Level IV, Meta-analysis.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.