Primary reverse total shoulder arthroplasty in patients older than 80 years: clinical and radiologic outcome measures

BackgroundThe use of reverse total shoulder arthroplasty (RTSA) has spread worldwide as a result an expansion indications and aging society. However, the value RTSA for very old patients is rarely analyzed. This study was conducted to investigate outcome primary in older than 80 years.MethodsWe identified 171 shoulders (159 patients) treated with at age more years between January 2005 March 2018. The parameters were Subjective Shoulder Value (SSV) Constant-Murley score, mortality, complications, reoperation rates. Secondary outcomes adverse radiographic outcomes. A minimum follow-up 1 year accepted 14 (8%) because these patients' age.ResultsWe included cases patients; 120 female) mean 84 ± 3 (range 80.1-94). main indication cuff tear arthropathy (43%), isolated rotator (22%), fracture (21%). 136 (79%) eligible physical examination 41 25 months (12-121). Relative scores improved significantly from 39% 19% 77% 16% SSV 31% 18% 74% 22%. range motion force well. surgical site complication rate 30%, 8% (13 mainly due glenoid loosening. overall mortality time death 53 31 (95% confidence interval 15, 120), thereby no higher age-adjusted, expected without this procedure.ConclusionDespite quite high postoperative rate, valid therapeutic option years, unexpectedly low medical good excellent improvement function pain. years. We age. procedure. Despite