2021 AANA/ASES Specialty Session-Reverse Trumps All! RTSA for Complex Massive Rotator Cuff Tears

Reverse Trumps All! RTSA for Complex Massive Rotator Cuff Tears

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Video Summary

Dr. James Kelly advocates reverse total shoulder replacement as the superior treatment for complex, massive, irreparable rotator cuff tears, especially after failed repairs. It offers quicker recovery, less pain, and stable function restoration, allowing older and younger patients to resume daily activities promptly. Non-arthroplasty options involve longer, more painful recoveries with uncertain long-term outcomes, often leading to reverse surgery anyway. Key factors influencing treatment choice include pseudoparalysis, shoulder alignment, patient age, activity level, and surgeon expertise. While complications exist, reverse replacement shows high survivorship even in younger patients. Careful patient evaluation and surgical technique are crucial for optimal results.

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James D. Kelly II, M.D.

Keywords

reverse total shoulder replacement

irreparable rotator cuff tears

pseudoparalysis

shoulder surgery outcomes

rotator cuff repair failure