Outpatient Reverse Total Shoulder Arthroplasty.

IF 5 2区医学 Q1 ORTHOPEDICS

Current Reviews in Musculoskeletal Medicine Pub Date : 2026-09-30 DOI:10.1007/s12178-026-10055-6

Zaamin B Hussain, Thomas W Throckmorton, Grant E Garrigues

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引用次数: 0

Abstract

Purpose of review: This review aims to evaluate the current landscape of outpatient reverse total shoulder arthroplasty, as well as summarize protocols to facilitate safe and effective patient selection and implementation. It also aims to demystify cost and reimbursement concerns surrounding this topic.

Recent findings: Formal risk stratification, structured perioperative pathways, and proactive follow-up can make outpatient RTSA safe and highly effective. Medical comorbidity profile, age, social factors as well as non-medical barriers can all assist with decision making. Additionally, there are considerable cost savings that do not compromise outcomes or safety, which will drive more patients to receive outpatient RTSA. Caution should be exercised if considering RTSA for fracture as well as in a revision setting given the case unpredictability, anticipated blood loss and the possible need for a higher level of care. Further work is needed to standardize nomenclature in reporting care settings around outpatient RTSA. Outpatient RTSA can be safe and effective with careful patient selection.

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门诊反向全肩关节置换术。

综述目的：本综述旨在评估目前门诊反向全肩关节置换术的现状，并总结方案，以促进安全有效的患者选择和实施。它还旨在消除围绕这一主题的成本和报销问题的神秘性。最新发现：正式的风险分层、结构化的围手术期路径和积极的随访可以使门诊RTSA安全高效。医疗合并症、年龄、社会因素以及非医疗障碍都有助于决策。此外，在不影响疗效或安全性的情况下，节省了相当大的成本，这将促使更多的患者接受门诊RTSA。考虑到病例的不可预测性、预期的失血和可能需要更高水平的护理，如果考虑骨折的RTSA以及翻修设置，则应谨慎。需要进一步的工作来规范门诊RTSA报告护理环境中的命名法。门诊RTSA是安全有效的，但需谨慎选择患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Reviews in Musculoskeletal Medicine ORTHOPEDICS-

CiteScore

7.50

自引率

2.40%

发文量

期刊介绍： This journal intends to review the most significant recent developments in the field of musculoskeletal medicine. By providing clear, insightful, balanced contributions by expert world-renowned authors, the journal aims to serve all those involved in the diagnosis, treatment, management, and prevention of musculoskeletal-related conditions. We accomplish this aim by appointing authorities to serve as Section Editors in key subject areas, such as rehabilitation of the knee and hip, sports medicine, trauma, pediatrics, health policy, customization in arthroplasty, and rheumatology. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 20 diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.