ArticleClinics in orthopedic surgery2024
Comparison between Anatomic Total Shoulder Arthroplasty and Reverse Shoulder Arthroplasty for Older Adults with Osteoarthritis without Rotator Cuff Tears.
Article in Clinics in orthopedic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 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
- Seven-year outcome of a stemless impaction shoulder arthroplasty: a prospective, multicenter study.Journal of shoulder and elbow arthroplasty · 2026Article
- Comparative outcomes of anatomic and reverse total shoulder arthroplasty for rotator cuff-intact glenohumeral osteoarthritis: a propensity score-matched, age-stratified exploratory analysis.Journal of shoulder and elbow arthroplasty · 2026Article
- Anatomical versus reverse total shoulder arthroplasty for primary glenohumeral osteoarthritis with an intact rotator cuff : a systematic review.Bone & joint open · 2026Article
- Outcomes of reverseWorld journal of orthopedics · 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
- Short to mid-term functional outcomes of stemless anatomical total shoulder arthroplasty in patients over 70 years of age.Shoulder & elbow · 2025Article
- Influence of preoperative diagnosis on outcomes after reverse total shoulder arthroplasty: a systematic review.JSES international · 2025Review
- Shoulder arthroplasty in the elderly.Journal of clinical orthopaedics and trauma · 2025Article
- Outcomes of anatomic total shoulder arthroplasty: evaluation of implant-related, radiographic, and demographic factors influencing durability and revision rates.International orthopaedics · 2025Article
- Trends in Shoulder Arthroplasty in Germany: A 10-Year Epidemiological Analysis of Patients with Primary Osteoarthritis of the Shoulder.Healthcare (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Many older adults with glenohumeral osteoarthritis without rotator cuff tears experience muscle atrophy and fatty degeneration. In these cases, range of motion (ROM) recovery and clinical results after total shoulder arthroplasty (TSA) could be poor, with low subjective satisfaction after surgery. The purpose of this study was to compare the clinical outcomes of anatomic TSA and reverse shoulder arthroplasty (RSA) in patients aged over 70 years with primary glenohumeral osteoarthritis without rotator cuff tears. We hypothesized that the clinical outcomes of anatomical TSA would be better than those of RSA. Methods: This single-center, retrospective comparative study involved patients who underwent TSA or RSA from 2013 to 2020. Clinical outcomes were assessed using the American Shoulder and Elbow Surgeons (ASES) score, Constant-Murley score, and active ROM preoperatively and at the follow-up. Walch classification and glenoid version angle were measured using preoperative computed tomography, and fatty infiltration of supraspinatus and infraspinatus muscles were checked through preoperative magnetic resonance imaging. Results: Of the 67 patients included in this study, TSA was performed in 41 patients (TSA group), and RSA was performed in 26 patients (RSA group). The two groups had no clinical differences in the patients' preoperative demographic and radiographic data. At the final follow-up, both groups showed improved pain, ROM, and functional outcomes. Moreover, the TSA group demonstrated significantly better postoperative ASES (86.8 ± 6.3 vs. 81.6 ± 5.5, Conclusions: In older adult patients with degenerative glenohumeral osteoarthritis wherein the rotator cuff is preserved without excessive bone loss, anatomic TSA and RSA can improve pain, ROM, and clinical outcomes. However, clinical results and ROM were better with TSA than with RSA during the short- and mid-term follow-up periods.
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