In this study We have  evaluated outcomes and the risk of re-revision in patients with a failed anatomic total shoulder arthroplasty (TSA) revised to a reverse shoulder arthroplasty (RSA) based on rotator cuff deficiency and glenoid bone loss. From 2004 to 2017, 123 patients with failed TSAs underwent revision to RSAs with minimum 2-year follow-up. Preoperative radiographs were evaluated to determine whether the glenoid component was fixed or loose. The rotator cuff was assessed intraoperatively and as intact or deficient. Patient outcomes including shoulder motion and American Shoulder and Elbow Surgeons (ASES) scores were obtained preoperatively and postoperatively. Patient outcomes were compared based on glenoid fixation and rotator cuff status. There were 18 TSAs revised to RSAs that underwent subsequent revision. Hence we conclude that The mean preoperative ASES score was 31 (95% confidence interval [CI], 29-33) with no difference in preoperative ASES scores based on glenoid status.

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