{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T11:12:27Z","timestamp":1780571547858,"version":"3.54.1"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"St. Anne's University Hospital Brno"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Orthop Surg Traumatol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Reverse shoulder arthroplasty (RSA) is widely used for the treatment of advanced glenohumeral osteoarthritis and complex proximal humeral fractures. However, comparative data evaluating implant survival and outcomes between fracture and elective indications remain limited. This study aimed to assess mid- to long-term implant survival, complications, radiographic findings, and functional outcomes following RSA, with particular attention to the influence of surgical indication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study included 126 patients who underwent primary RSA using a single implant system. Patients were treated for either advanced glenohumeral osteoarthritis or complex proximal humeral fractures. Implant survival was analyzed using Kaplan\u2013Meier estimates, and potential predictors were evaluated with Cox regression analysis. Secondary outcomes included complications, radiographic changes, Oxford Shoulder Score (OSS), and range of motion (ROM). The mean follow-up was 57.4\u2009\u00b1\u200951.1 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The overall one-year implant survival rate was 96.8%, declining to 93.4% at eight years and remaining stable thereafter. Survival differed numerically by diagnosis, reaching 98.3% for osteoarthritis and 86.4% for fractures at eight years. No statistically significant predictors of failure were identified; however, uncemented stems showed a numerically higher risk of events (HR 3.01, p\u2009=\u20090.088), and fracture indication demonstrated a numerically higher risk compared with osteoarthritis (HR 2.10, p\u2009=\u20090.220). The overall complication rate was 7.14%. The mean OSS was 46.34\u2009\u00b1\u20094.72. Postoperative ROM values were within expected ranges, with no significant differences between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Reverse shoulder arthroplasty demonstrated satisfactory mid- to long-term implant survival and favorable postoperative outcomes in both fracture and elective indications. Although fracture cases showed numerically lower survivorship, no statistically significant independent effect of surgical indication on implant failure was demonstrated in this cohort. The findings should be interpreted with caution given the retrospective design, limited number of revision events, and absence of preoperative functional data.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00590-026-04815-w","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T10:42:10Z","timestamp":1780569730000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Does surgical indication influence implant survival in reverse shoulder arthroplasty? A comparative cohort study of fracture and glenohumeral osteoarthritis"],"prefix":"10.1007","volume":"36","author":[{"given":"Lubo\u0161","family":"Nachtnebl","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasileios","family":"Apostolopoulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavel","family":"Bran\u010d\u00edk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radka","family":"\u010cechov\u00e1","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Daj\u010da","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vladim\u00edr","family":"\u010cerve\u0148\u00e1k","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luk\u00e1\u0161","family":"Martinek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Mahdal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom\u00e1\u0161","family":"Tom\u00e1\u0161","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"key":"4815_CR1","doi-asserted-by":"publisher","first-page":"e504","DOI":"10.5435\/JAAOS-D-17-00075","volume":"26","author":"PN Chalmers","year":"2018","unstructured":"Chalmers PN, Salazar DH, Romeo AA et al (2018) Comparative utilization of reverse and anatomic total shoulder arthroplasty: a comprehensive analysis of a high-volume center. J Am Acad Orthop Surg 26:e504\u2013e510. https:\/\/doi.org\/10.5435\/JAAOS-D-17-00075","journal-title":"J Am Acad Orthop Surg"},{"key":"4815_CR2","doi-asserted-by":"publisher","first-page":"681","DOI":"10.5435\/JAAOS-D-23-00740","volume":"32","author":"CJ Schiffman","year":"2024","unstructured":"Schiffman CJ, Cohn MR, Austin LS, Namdari S (2024) Reverse shoulder arthroplasty to treat proximal humerus fracture sequelae: a review. J Am Acad Orthop Surg 32:681\u2013691. https:\/\/doi.org\/10.5435\/JAAOS-D-23-00740","journal-title":"J Am Acad Orthop Surg"},{"key":"4815_CR3","doi-asserted-by":"publisher","first-page":"1946","DOI":"10.1016\/j.jse.2024.01.024","volume":"33","author":"SM Bolam","year":"2024","unstructured":"Bolam SM, Wells Z, Tay ML et al (2024) Reverse total shoulder arthroplasty for acute proximal humeral fracture has comparable 10-year outcomes to elective indications: results from the New Zealand Joint Registry. J Shoulder Elbow Surg 33:1946\u20131954. https:\/\/doi.org\/10.1016\/j.jse.2024.01.024","journal-title":"J Shoulder Elbow Surg"},{"key":"4815_CR4","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1016\/j.jse.2020.03.053","volume":"30","author":"AM Crespo","year":"2021","unstructured":"Crespo AM, Luthringer TA, Frost A et al (2021) Does reverse total shoulder arthroplasty for proximal humeral fracture portend poorer outcomes than for elective indications? J Shoulder Elbow Surg 30:40\u201350. https:\/\/doi.org\/10.1016\/j.jse.2020.03.053","journal-title":"J Shoulder Elbow Surg"},{"key":"4815_CR5","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12062097","volume":"12","author":"A Paszicsnyek","year":"2023","unstructured":"Paszicsnyek A, Kriechling P, Razaeian S et al (2023) Reverse total shoulder arthroplasty for proximal humeral fractures and sequalae compared to non-fracture indications: a matched cohort analysis of outcome and complications. JCM 12:2097. https:\/\/doi.org\/10.3390\/jcm12062097","journal-title":"JCM"},{"key":"4815_CR6","doi-asserted-by":"publisher","first-page":"e14","DOI":"10.1016\/j.jse.2021.07.014","volume":"31","author":"T Paras","year":"2022","unstructured":"Paras T, Raines B, Kohut K et al (2022) Clinical outcomes of reverse total shoulder arthroplasty for elective indications versus acute 3- and 4-part proximal humeral fractures: a systematic review and meta-analysis. J Shoulder Elbow Surg 31:e14\u2013e21. https:\/\/doi.org\/10.1016\/j.jse.2021.07.014","journal-title":"J Shoulder Elbow Surg"},{"key":"4815_CR7","doi-asserted-by":"publisher","DOI":"10.3390\/medsci13010016","volume":"13","author":"M Ciuffreda","year":"2025","unstructured":"Ciuffreda M, Lentini A, Papalia GF et al (2025) Radiological and clinical outcome differences between standard and short stem in reverse total shoulder arthroplasty: a systematic review. Med Sci 13:16. https:\/\/doi.org\/10.3390\/medsci13010016","journal-title":"Med Sci"},{"key":"4815_CR8","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1007\/s00264-021-05284-y","volume":"46","author":"Y Lopiz","year":"2022","unstructured":"Lopiz Y, Garc\u00eda-Fernandez C, Vallejo-Carrasco M et al (2022) Reverse shoulder arthroplasty for proximal humeral fracture in the elderly. Cemented or uncemented stem? Int Orthopaedics (SICOT) 46:635\u2013644. https:\/\/doi.org\/10.1007\/s00264-021-05284-y","journal-title":"Int Orthopaedics (SICOT)"},{"key":"4815_CR9","doi-asserted-by":"publisher","first-page":"799","DOI":"10.1007\/s00590-023-03708-6","volume":"34","author":"AV Patel","year":"2023","unstructured":"Patel AV, White CA, Cirino CM et al (2023) Mid-term outcomes following reverse total shoulder arthroplasty. Eur J Orthop Surg Traumatol 34:799\u2013807. https:\/\/doi.org\/10.1007\/s00590-023-03708-6","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"4815_CR10","doi-asserted-by":"publisher","first-page":"S158","DOI":"10.1016\/j.jse.2022.02.029","volume":"31","author":"LF Carrazana-Suarez","year":"2022","unstructured":"Carrazana-Suarez LF, Panico LC, Smolinski MP et al (2022) Humeral offset as a predictor of outcomes after reverse shoulder arthroplasty. J Shoulder Elbow Surg 31:S158\u2013S165. https:\/\/doi.org\/10.1016\/j.jse.2022.02.029","journal-title":"J Shoulder Elbow Surg"},{"key":"4815_CR11","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1016\/j.jisako.2023.11.006","volume":"9","author":"LM Kent","year":"2024","unstructured":"Kent LM, Hurley ET, Davey MS et al (2024) Low complication rate following reverse total shoulder arthroplasty at 90-days follow-up\u2014a systematic review. J ISAKOS 9:205\u2013210. https:\/\/doi.org\/10.1016\/j.jisako.2023.11.006","journal-title":"J ISAKOS"},{"key":"4815_CR12","doi-asserted-by":"publisher","first-page":"e534","DOI":"10.1016\/j.jse.2022.06.005","volume":"31","author":"JW Galvin","year":"2022","unstructured":"Galvin JW, Kim R, Ment A et al (2022) Outcomes and complications of primary reverse shoulder arthroplasty with minimum of 2 years\u2019 follow-up: a systematic review and meta-analysis. J Shoulder Elbow Surg 31:e534\u2013e544. https:\/\/doi.org\/10.1016\/j.jse.2022.06.005","journal-title":"J Shoulder Elbow Surg"},{"key":"4815_CR13","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1016\/j.jor.2024.10.042","volume":"63","author":"JS Barnett","year":"2025","unstructured":"Barnett JS, Dopirak RM, Brej BL et al (2025) Uncemented versus cemented humeral fixation during reverse total shoulder arthroplasty for proximal humerus fracture. J Orthop 63:58\u201363. https:\/\/doi.org\/10.1016\/j.jor.2024.10.042","journal-title":"J Orthop"},{"key":"4815_CR14","doi-asserted-by":"publisher","first-page":"616","DOI":"10.1007\/s12178-024-09931-w","volume":"17","author":"AC Lehman","year":"2024","unstructured":"Lehman AC, Su F, Feeley BT (2024) Humeral stem design in reverse total shoulder arthroplasty. Curr Rev Musculoskelet Med 17:616\u2013624. https:\/\/doi.org\/10.1007\/s12178-024-09931-w","journal-title":"Curr Rev Musculoskelet Med"},{"key":"4815_CR15","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1016\/j.ocl.2020.12.006","volume":"52","author":"J Callegari","year":"2021","unstructured":"Callegari J, Haidamous G, L\u00e4dermann A et al (2021) Factors influencing appropriate implant selection and position in reverse total shoulder arthroplasty. Orthop Clin North Am 52:157\u2013166. https:\/\/doi.org\/10.1016\/j.ocl.2020.12.006","journal-title":"Orthop Clin North Am"},{"key":"4815_CR16","doi-asserted-by":"publisher","first-page":"e1182","DOI":"10.1016\/j.jse.2025.02.051","volume":"34","author":"MJ K\u00e4\u00e4b","year":"2025","unstructured":"K\u00e4\u00e4b MJ, Reuther F, Joudet T et al (2025) Long-term clinical and radiographic outcomes after inverted-bearing reverse total shoulder arthroplasty: a multicenter study with the Affinis Inverse prosthesis. J Shoulder Elbow Surg 34:e1182\u2013e1189. https:\/\/doi.org\/10.1016\/j.jse.2025.02.051","journal-title":"J Shoulder Elbow Surg"},{"key":"4815_CR17","doi-asserted-by":"publisher","first-page":"2454","DOI":"10.1097\/CORR.0000000000000442","volume":"476","author":"BL Young","year":"2018","unstructured":"Young BL, Cantrell CK, Hamid N (2018) Classifications in brief: the Nerot-Sirveaux Classification for scapular notching. Clin Orthop Relat Res 476:2454\u20132457. https:\/\/doi.org\/10.1097\/CORR.0000000000000442","journal-title":"Clin Orthop Relat Res"},{"key":"4815_CR18","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1302\/0301-620X.86B3.14024","volume":"86-B","author":"F Sirveaux","year":"2004","unstructured":"Sirveaux F, Favard L, Oudet D et al (2004) Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff: results of a multicentre study of 80 shoulders. J Bone Joint Surg Br Vol 86-B:388\u2013395. https:\/\/doi.org\/10.1302\/0301-620X.86B3.14024","journal-title":"J Bone Joint Surg Br Vol"},{"key":"4815_CR19","doi-asserted-by":"publisher","first-page":"454","DOI":"10.2106\/JBJS.16.00223","volume":"99","author":"G Bacle","year":"2017","unstructured":"Bacle G, Nov\u00e9-Josserand L, Garaud P, Walch G (2017) Long-term outcomes of reverse total shoulder arthroplasty: a follow-up of a previous study. J Bone Joint Surg Am 99:454\u2013461. https:\/\/doi.org\/10.2106\/JBJS.16.00223","journal-title":"J Bone Joint Surg Am"},{"key":"4815_CR20","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11092274","volume":"11","author":"M B\u00fclhoff","year":"2022","unstructured":"B\u00fclhoff M, Zeifang F, Welters C et al (2022) Medium- to long-term outcomes after reverse total shoulder arthroplasty with a standard long stem. JCM 11:2274. https:\/\/doi.org\/10.3390\/jcm11092274","journal-title":"JCM"},{"key":"4815_CR21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jorep.2023.100210","volume":"2","author":"CA White","year":"2023","unstructured":"White CA, Li T, Patel AV et al (2023) Outcomes for reverse total shoulder arthroplasty patients at an average of 11.6 years follow-up: a case series. J Orthopaedic Rep 2:100210. https:\/\/doi.org\/10.1016\/j.jorep.2023.100210","journal-title":"J Orthopaedic Rep"},{"key":"4815_CR22","doi-asserted-by":"publisher","first-page":"1313","DOI":"10.1016\/j.jse.2023.09.015","volume":"33","author":"T Lafosse","year":"2024","unstructured":"Lafosse T, Macken AA, Lallemand G et al (2024) Functional and radiographic outcomes of reverse shoulder arthroplasty with a minimum follow-up of 10 years. J Shoulder Elbow Surg 33:1313\u20131323. https:\/\/doi.org\/10.1016\/j.jse.2023.09.015","journal-title":"J Shoulder Elbow Surg"},{"key":"4815_CR23","doi-asserted-by":"publisher","first-page":"807","DOI":"10.1016\/j.jseint.2025.01.004","volume":"9","author":"R De Giovanni","year":"2025","unstructured":"De Giovanni R, Malfi P, Mottola L et al (2025) Which is the optimal treatment and the most significant prognostic factor for reverse shoulder arthroplasty in case of PHAROS 2 humeral bone loss? A proportional meta-analysis of nononcologic patients. JSES Int 9:807\u2013814. https:\/\/doi.org\/10.1016\/j.jseint.2025.01.004","journal-title":"JSES Int"},{"key":"4815_CR24","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1177\/1758573219852977","volume":"13","author":"RJ Crum","year":"2021","unstructured":"Crum RJ, de Sa DL, Su FL et al (2021) Decreased complication profile and improved clinical outcomes of primary reverse total shoulder arthroplasty after 2010: a systematic review. Shoulder Elbow 13:154\u2013167. https:\/\/doi.org\/10.1177\/1758573219852977","journal-title":"Shoulder Elbow"},{"key":"4815_CR25","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1016\/j.xrrt.2024.08.007","volume":"5","author":"EJ Bents","year":"2025","unstructured":"Bents EJ, Ardebol J, Noble M et al (2025) Complications following reverse total shoulder arthroplasty for proximal humeral fractures: a systematic review. JSES Rev Rep Tech 5:60\u201369. https:\/\/doi.org\/10.1016\/j.xrrt.2024.08.007","journal-title":"JSES Rev Rep Tech"},{"key":"4815_CR26","doi-asserted-by":"publisher","first-page":"811","DOI":"10.1016\/j.jse.2020.07.028","volume":"30","author":"SA Parada","year":"2021","unstructured":"Parada SA, Flurin P-H, Wright TW et al (2021) Comparison of complication types and rates associated with anatomic and reverse total shoulder arthroplasty. J Shoulder Elbow Surg 30:811\u2013818. https:\/\/doi.org\/10.1016\/j.jse.2020.07.028","journal-title":"J Shoulder Elbow Surg"},{"key":"4815_CR27","doi-asserted-by":"publisher","first-page":"e282","DOI":"10.1016\/j.jse.2020.08.043","volume":"30","author":"V Gupta","year":"2021","unstructured":"Gupta V, Kejriwal R, Frampton C (2021) An analysis of the Oxford Shoulder Score and its relationship to early joint revision in the New Zealand Joint Registry. J Shoulder Elbow Surg 30:e282\u2013e289. https:\/\/doi.org\/10.1016\/j.jse.2020.08.043","journal-title":"J Shoulder Elbow Surg"},{"key":"4815_CR28","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0330975","volume":"20","author":"O O\u2019Malley","year":"2025","unstructured":"O\u2019Malley O, Davies A, Rangan A et al (2025) Is there a difference in thresholds for revision between shoulder arthroplasty types? A National Joint Registry Study. PLoS ONE 20:e0330975. https:\/\/doi.org\/10.1371\/journal.pone.0330975","journal-title":"PLoS ONE"},{"key":"4815_CR29","doi-asserted-by":"publisher","first-page":"799","DOI":"10.1016\/j.jse.2021.09.006","volume":"31","author":"J Mowbray","year":"2022","unstructured":"Mowbray J, Van Niekerk M, Frampton C, Hirner M (2022) The outcomes of shoulder arthroplasty in those aged \u226570 years with glenohumeral arthritis: a New Zealand Joint Registry study. J Shoulder Elbow Surg 31:799\u2013805. https:\/\/doi.org\/10.1016\/j.jse.2021.09.006","journal-title":"J Shoulder Elbow Surg"},{"key":"4815_CR30","doi-asserted-by":"publisher","first-page":"e335","DOI":"10.3928\/01477447-20220907-03","volume":"45","author":"IG Trikoupis","year":"2022","unstructured":"Trikoupis IG, Savvidou OD, Tsantes AG et al (2022) Prosthetic reconstruction of the shoulder after resection of proximal humerus bone tumor. Orthopedics 45:e335\u2013e341. https:\/\/doi.org\/10.3928\/01477447-20220907-03","journal-title":"Orthopedics"},{"key":"4815_CR31","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1177\/17585732231190038","volume":"16","author":"LS Blaas","year":"2024","unstructured":"Blaas LS, Lameijer CM, Alta TD et al (2024) Does primary treatment of proximal humerus fractures show favourable functional outcomes over secondary treatment with reverse shoulder arthroplasty? Shoulder Elbow 16:559\u2013568. https:\/\/doi.org\/10.1177\/17585732231190038","journal-title":"Shoulder Elbow"}],"container-title":["European Journal of Orthopaedic Surgery &amp; Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-026-04815-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00590-026-04815-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-026-04815-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T10:42:11Z","timestamp":1780569731000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00590-026-04815-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,4]]},"references-count":31,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4815"],"URL":"https:\/\/doi.org\/10.1007\/s00590-026-04815-w","relation":{},"ISSN":["1432-1068"],"issn-type":[{"value":"1432-1068","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,4]]},"assertion":[{"value":"11 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}],"article-number":"212"}}