What is the primary goal of a reverse TSA?

The primary goal of a reverse total shoulder arthroplasty (TSA) is to restore functional mobility. This procedure is primarily indicated for patients with severe rotator cuff deficiency, where traditional shoulder repair methods may not yield adequate outcomes. By reversing the normal shoulder mechanics, a reverse TSA enables the deltoid muscle to take on a greater role in arm elevation and mobility.

While eliminating pain may often be a significant outcome of the procedure, the emphasis lies in the ability to restore a patient's range of motion and functional capabilities. Enhanced aesthetic appearance and maintaining the current condition are not the primary focuses of this surgical intervention; instead, the primary intent is to improve the patient's quality of life through increased mobility and function.