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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jan 18, 2026; 17(1): 110188
Published online Jan 18, 2026. doi: 10.5312/wjo.v17.i1.110188
Published online Jan 18, 2026. doi: 10.5312/wjo.v17.i1.110188
Outcomes of reverse vs anatomic total shoulder arthroplasty in glenohumeral osteoarthritis without rotator cuff deficiency: A meta-analysis
Clevio Desouza, Isteyaque Siddique, Kishan Kushwaha, Anoop Puri, Department of Orthopaedics, Saifee Hospital, Mumbai 400004, Maharashtra, India
Author contributions: Desouza C conceived the study, designed the methodology, performed the literature search, and wrote the manuscript; Desouza C, Siddique I Kushwaha K, and Puri A contributed to data extraction and data analysis, Kushwaha K and Puri A critically reviewed and revised the manuscript; and all authors read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Clevio Desouza, MD, Department of Orthopaedics, Saifee Hospital, Opera House, Girgaon, Mumbai 400004, Maharashtra, India. ceviod@gmail.com
Received: June 3, 2025
Revised: June 15, 2025
Accepted: November 21, 2025
Published online: January 18, 2026
Processing time: 224 Days and 0.7 Hours
Revised: June 15, 2025
Accepted: November 21, 2025
Published online: January 18, 2026
Processing time: 224 Days and 0.7 Hours
Core Tip
Core Tip: This systematic review and meta-analysis compares reverse total shoulder arthroplasty (RTSA) and total shoulder arthroplasty (TSA) in patients with primary glenohumeral osteoarthritis and an intact rotator cuff. Analyzing 1608 patients across 12 studies, we found RTSA was associated with lower reoperation rates and similar complication profiles compared to TSA. While TSA demonstrated better external rotation, RTSA showed favourable patient-reported outcomes, though most did not exceed clinical relevance thresholds. These findings support RTSA as a viable alternative in select patients, challenging traditional treatment paradigms and guiding individualized surgical decision-making.