Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jul 2022
Multicenter Study Observational StudyReverse total shoulder arthroplasty in massive rotator cuff tears: does the Hamada classification predict clinical outcomes?
Reverse total shoulder arthroplasty (RTSA) is a widely recognized treatment to reduce pain and improve shoulder function for patients in various disease stages of cuff tear arthropathy (CTA). However, it remains unclear whether outcomes after RTSA depend on the preoperative stage of CTA. Therefore, this study evaluated whether the Hamada classification influences midterm clinical outcomes after RTSA. ⋯ Inverted bearing RTSA was found to be an effective treatment with similarly good midterm clinical outcomes, similar revision rates, and high implant survival rates in every stage of massive rotator cuff tears. Overall, the preoperative Hamada classification did not influence clinical outcomes or complications after RTSA.