Impact of Osteoporosis on Postoperative Outcomes Following Rotator Cuff Repair

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Patients with osteoporosis undergoing rotator cuff repair have significantly higher rates of conversion to reverse total shoulder arthroplasty, pathological humeral fractures, and 90-day medical complications compared to matched patients without osteoporosis, with open repair associated with worse outcomes than arthroscopic repair in this population. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Tera A. Scott; Justin M. Rabinowitz; C. Lowry Barnes; J. Ryan Hill

doi:10.1016/j.xrrt.2026.100723

March 1, 2026JSES Reviews Reports and TechniquesOpen Access

Impact of Osteoporosis on Postoperative Outcomes Following Rotator Cuff Repair

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Key Points

To evaluate the association between osteoporosis and postoperative outcomes after rotator cuff repair (RCR).
Utilized the PearlDiver Mariner170 database for patient matching.
Patients with osteoporosis were 1:1 propensity matched to those without osteoporosis.
Analyzed primary and secondary outcomes over a 2-year postoperative period.
Conducted subgroup analyses for open and arthroscopic RCR procedures.
Osteoporotic patients had significantly higher rates of conversion to reverse total shoulder arthroplasty (rTSA).
Increased incidence of pathological humeral fractures was noted among osteoporotic patients.
No significant difference in revision RCR rates was found.
Osteoporotic patients experienced more general surgical complications and medical visits within 90 days.

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Implication

Evaluates postoperative complications in patients with osteoporosis following rotator cuff repair, indicating the need for better preoperative assessment.

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Cite This Study

Scott et al. (2026) studied this question.

synapsesocial.com/papers/69bf8641f665edcd009e8bb0 https://doi.org/10.1016/j.xrrt.2026.100723

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Impact of Osteoporosis on Postoperative Outcomes Following Rotator Cuff Repair

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Impact of Osteoporosis on Postoperative Outcomes Following Rotator Cuff Repair

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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