Comparison of the clinical outcomes and complications of total shoulder arthroplasty and reverse total shoulder arthroplasty: A systematic review and meta-analysis

Our meta-analysis indicates that, for shoulder degenerative diseases, aTSA generally offers superior postoperative efficacy compared with rTSA. aTSA was associated with lower rates of failure, revision, and loosening, while rTSA had fewer cases of pulmonary embolism, infection, fracture, and haematoma. Given the small effect sizes and low complication rates, these results should be interpreted cautiously. Nonetheless, they may aid clinicians in choosing the most suitable surgical approach to optimize patient outcomes.