This project aims to conduct a randomized controlled trial comparing the functional outcomes and complications of standard reverse total shoulder arthroplasty and reverse total shoulder arthroplasty combined with partial coracoidectomy. The study will assess functional internal rotation at 12 months post-surgery, as measured by the ADLIR (Activities of Daily Living requiring Internal Rotation) score.
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Patients with a history of coracoid fractures or who have previously undergone surgery involving the coracoid process.
Patients undergoing latissimus dorsi transfers
Presence of an active infection, inflammatory arthritis, or a tumor affecting the shoulder region.
Patients with pre-existing neuromuscular disorders affecting shoulder function