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Reverse shoulder replacement

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https://www.readbyqxmd.com/read/28190669/insurance-status-affects-postoperative-morbidity-and-complication-rate-after-shoulder-arthroplasty
#1
Xinning Li, David R Veltre, Antonio Cusano, Paul Yi, David Sing, Joel J Gagnier, Josef K Eichinger, Andrew Jawa, Asheesh Bedi
BACKGROUND: Shoulder arthroplasty is an effective procedure for managing patients with shoulder pain secondary to end-stage arthritis. Insurance status has been shown to be a predictor of patient morbidity and mortality. The current study evaluated the effect of patient insurance status on perioperative outcomes after shoulder replacement surgery. METHODS: Data between 2004 and 2011 were obtained from the Nationwide Inpatient Sample. Analysis included patients undergoing shoulder arthroplasty (partial, total, and reverse) procedures determined by International Classification of Disease, 9th Revision procedure codes...
February 10, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28167247/results-and-limitations-of-humeral-head-resurfacing-105-cases-at-a-mean-follow-up-of-5-years
#2
K Soudy, C Szymanski, C Lalanne, C Bourgault, A Thiounn, A Cotten, C Maynou
BACKGROUND: The objective of this study was to assess clinical and computed-tomography (CT) outcomes at least 2 years after humeral head resurfacing to treat concentric gleno-humeral osteoarthritis. HYPOTHESIS: Humeral head resurfacing provides similar outcomes to those achieved with stemmed humeral head implants. MATERIALS AND METHODS: This single-centre retrospective studyincluded 40 Copeland™ and 65 Aequalis™ humeral resurfacing heads implanted between 2004 and 2012...
February 3, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28145949/histological-evidence-of-muscle-degeneration-in-advanced-human-rotator-cuff-disease
#3
Michael C Gibbons, Anshu Singh, Oke Anakwenze, Timothy Cheng, Maxwill Pomerantz, Simon Schenk, Adam J Engler, Samuel R Ward
BACKGROUND: Cellular remodeling in rotator cuff muscles following a massive rotator cuff tear is poorly understood. The aim of the current study was to provide histological evidence to elucidate the mode of muscle loss in advanced human rotator cuff disease and to assess tissue-level changes in relation to findings on noninvasive imaging. METHODS: Rotator cuff muscle biopsy samples were taken from the scapular fossae from 23 consecutive patients undergoing reverse total shoulder arthroplasty in order to evaluate muscle composition in severe rotator cuff disease...
February 1, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28103747/failure-of-an-uncemented-thumb-carpometacarpal-joint-ceramic-prosthesis
#4
E Kollig, W Weber, D Bieler, A Franke
: Thumb carpometacarpal joint replacement is associated with high rates of loosening and failure. We present our results for an uncemented ceramic-ceramic total joint prosthesis with a reverse ball-and-socket design and bioactive coating. Between 2008 and 2012, 29 prostheses were inserted into 28 patients (mean age 63 years) with advanced osteoarthritis. After a mean period of 33 months (range 9-62), 26 patients (27 implants) were available for follow-up. Six months postoperatively, 50% of the patients had radiological evidence of early loosening...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/27966179/-endoprostheses-in-geriatric-traumatology
#5
B Buecking, D Eschbach, C Bliemel, M Knobe, R Aigner, S Ruchholtz
BACKGROUND: Geriatric traumatology is increasing in importance due to the demographic transition. In cases of fractures close to large joints it is questionable whether primary joint replacement is advantageous compared to joint-preserving internal fixation. OBJECTIVE: The aim of this study was to describe the importance of prosthetic joint replacement in the treatment of geriatric patients suffering from frequent periarticular fractures in comparison to osteosynthetic joint reconstruction and conservative methods...
January 2017: Der Orthopäde
https://www.readbyqxmd.com/read/27933229/mid-term-shoulder-functional-and-quality-of-life-outcomes-after-shoulder-replacement-in-obese-patients
#6
Heather K Vincent, Aimee M Struk, Austin Reed, Thomas W Wright
BACKGROUND: Shoulder pain and loss of function are directly associated with obesity. QUESTIONS/PURPOSES: We hypothesized that significant interactions would exist between total shoulder arthroplasty (TSA) and reverse total shoulder arthroplasty (RSA) and obesity status on functional and quality of life (QOL) outcomes over the long term. Clinical and QOL outcomes (American Shoulder and Elbow Surgeons Evaluation form, Shoulder Pain and Disability Index, University of California at Los Angeles Shoulder Rating scale, Medical Outcomes Short Form 12 (SF-12), range of motion (ROM), and strength) were longitudinally compared in patients with low and high body mass index (BMI) after a TSA or a RSA...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27858226/conversions-from-anatomic-shoulder-replacements-to-reverse-total-shoulder-arthroplasty-do-the-indications-for-initial-surgery-influence-the-clinical-outcome-after-revision-surgery
#7
Malte Holschen, Bastian Franetzki, Kai-Axel Witt, Dennis Liem, Jörn Steinbeck
INTRODUCTION: The most frequent indications for anatomic shoulder replacement are glenohumeral osteoarthritis and fractures of the humeral head. If anatomic shoulder prostheses fail, reverse total shoulder arthroplasty is often the only remaining treatment option. This study evaluates the influence of indications for primary shoulder arthroplasty on the clinical outcome after conversion to reverse total shoulder arthroplasty. MATERIALS AND METHODS: From 2010 to 2012, 44 failed shoulder arthroplasties were converted to reverse total shoulder arthroplasty...
February 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27672564/return-to-sports-after-shoulder-arthroplasty
#8
REVIEW
Christine C Johnson, Daniel J Johnson, Joseph N Liu, Joshua S Dines, David M Dines, Lawrence V Gulotta, Grant H Garcia
Many patients prioritize the ability to return to sports following shoulder replacement surgeries, including total shoulder arthroplasty (TSA), reverse total shoulder arthroplasty (RTSA), and hemiarthroplasty (HA). While activity levels after hip and knee replacements have been well-established in the literature, studies on this topic in the field of shoulder arthroplasty are relatively limited. A review of the literature regarding athletic activity after shoulder arthroplasty was performed using the PubMed database...
September 18, 2016: World Journal of Orthopedics
https://www.readbyqxmd.com/read/27566617/anterior-stability-of-the-reverse-shoulder-arthroplasty-depending-on-implant-configuration-and-rotator-cuff-condition
#9
Marc-Frederic Pastor, Manuel Kraemer, Mathias Wellmann, Christof Hurschler, Tomas Smith
INTRODUCTION: The aim of this study was to investigate the stabilizing influence of the rotator cuff as well as the importance of glenosphere and onlay configuration on the anterior stability of the reverse total shoulder replacement (RTSR). MATERIALS AND METHODS: A reverse total shoulder replacement was implanted into eight human cadaveric shoulders, and biomechanical testing was performed under three conditions: after implantation of the RTSR, after additional dissection of the subscapularis tendon, and after additional dissection of the infraspinatus and teres minor tendon...
November 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27526066/an-in-vivo-kinematic-study-of-the-reverse-shoulder-joint-replacement
#10
Carl Chisholm, Peter C Poon
As of now few studies have investigated the kinematics of the reverse shoulder arthroplasty (RSA) in patients and none on how this may be affected by glenosphere shape or size. There have been a few biomechanical studies evaluating the RSA. These studies have modelled and estimated that a large amount of movement is available at the glenohumeral articulation, when using a standard glenosphere, with even more movement using an eccentric or large glenosphere. However, the in vivo kinematics of the RSA has not been determined...
December 2012: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27522339/primary-shoulder-arthroplasty-using-a-custom-made-hip-inspired-implant-for-the-treatment-of-advanced-glenohumeral-arthritis-in-the-presence-of-severe-glenoid-bone-loss
#11
Ramsey Chammaa, Ofir Uri, Simon Lambert
BACKGROUND: Total shoulder arthroplasty for end-stage glenohumeral arthritis with severe glenoid bone loss poses a unique challenge for shoulder surgeons. Current surgical solutions are limited and associated with high complication rates. We hypothesized that a custom-made computer-aided design-computer-aided manufacturing (CAD-CAM) total shoulder replacement (TSR; Stanmore Implants Worldwide, Elstree, UK) resembling a total hip prosthesis could offer a reliable alternative for this challenging subset of patients...
January 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27482316/arytenoid-cartilage-dislocation-after-reversed-total-shoulder-replacement-surgery-in-the-beach-chair-position-a-case-report
#12
Yeo Hae Sim, Jeong-Hyun Choi, Mi Kyeong Kim
Arytenoid cartilage dislocation is not a common complication, but its delayed diagnosis reduces the therapeutic effect of treatment. A male patient underwent reversed total shoulder replacement surgery in the beach chair position under general anesthesia. The patient experienced postoperative hoarseness, and it was revealed that he had right arytenoid dislocation. Voice restoration was accomplished with closed reduction. We discussed changes in patient position during the operation and how they may contribute to the arytenoid dislocation...
August 2016: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/27421770/few-geographic-and-socioeconomic-variations-exist-in-primary-total-shoulder-arthroplasty-a-multi-level-study-of-australian-registry-data
#13
Sharon L Brennan-Olsen, Richard S Page, Stephen E Lane, Michelle Lorimer, Rachelle Buchbinder, Richard H Osborne, Julie A Pasco, Anita E Wluka, Kerrie M Sanders, Peter R Ebeling, Stephen E Graves
BACKGROUND: Associations between socioeconomic position (SEP) and the uptake of primary total shoulder arthroplasty (TSA) is not well understood in the Australian population, thus potentially limiting equitable allocation of healthcare resources. We used the Australian Orthopaedic Association National Joint Replacement Registry (AOA NJRR) to examine whether geographic or socioeconomic variations exist in TSA performed for a diagnosis of osteoarthritis 2007-11 for all Australians aged ≥40 years...
2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27326389/clinical-and-radiographic-mid-term-outcomes-after-total-shoulder-replacement-a-retrospective-study-protocol-including-400-anatomical-and-reverse-prosthetic-implants
#14
Giovanni Merolla, Antonio Tartarone, Giuseppe Porcellini
OBJECTIVES: To obtain outcomes data on anatomical and reverse total shoulder arthroplasty by analysis of clinical scores and standard radiographs. SUBJECT SELECTION AND ENROLLMENT: 400 consecutive series of patients replaced with anatomical and reverse total shoulder arthroplasty (minimum 3 years follow-up). STUDY DESIGN: retrospective monocenter. PREOPERATIVE ASSESSMENT: Demographics, clinical scores (Constant-Murley) as available, shoulder X-ray (AP, outlet and axillary views) ...
May 2016: Translational Medicine @ UniSa
https://www.readbyqxmd.com/read/27311189/-recent-advances-in-upper-extremity-surgery-for-rheumatoid-arthritis
#15
REVIEW
Keiichiro Nishida
The number of cases with rheumatoid arthritis who requires arthroscopic synovectomy is declining, but it is still a useful procedure in combination with effective pharmacologic disease control. For the destruction of glenohumeral joint, total shoulder arthroplasty is effective for pain relief and functional outcome for patients without rotator cuff impairment. The reverse shoulder arthroplasty has been shown favorable short-term results, but need a careful indication for rheumatoid shoulder with poor bone stock and bone quality...
June 2016: Nihon Rinsho. Japanese Journal of Clinical Medicine
https://www.readbyqxmd.com/read/27198590/ranges-of-motion-after-reverse-shoulder-arthroplasty-improve-significantly-the-first-year-after-surgery-in-patients-with-rheumatoid-arthritis
#16
Hannu Tiusanen, Pjotor Sarantsin, Miika Stenholm, Ryan Mattie, Mikhail Saltychev
OBJECTIVES: To evaluate the trajectory of the change in range of motion after reverse shoulder joint replacement during 3-year follow-up among patients with rheumatoid arthritis. METHODS: Retrospective cohort longitudinal study of 76 shoulder replacements performed in a university clinic. The range of shoulder motion was assessed by a physiotherapist using a manual goniometer with 5-degree precision before the surgery and 1, 3, 6, 12, and 36 months postoperatively...
July 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27186057/accuracy-of-patient-specific-instrumentation-in-anatomic-and-reverse-total-shoulder-arthroplasty
#17
Richard James Dallalana, Ryan A McMahon, Ben East, Liam Geraghty
PURPOSE: Glenoid component malposition is associated with poor function and early failure of both anatomic and reverse total shoulder arthroplasty. Glenoid positioning is challenging particularly in the setting of bone loss or deformity. Recently, the use of computer assistance has been shown to reduce implantation error. The aim of this study is to evaluate the accuracy of patient-specific instrumentation in cases of anatomic and reverse shoulder replacement in vivo. METHODS: Twenty patients underwent total shoulder arthroplasty using a computed tomography (CT)-based patient-specific instrumentation (PSI) system, ten anatomic and ten reverse...
April 2016: International Journal of Shoulder Surgery
https://www.readbyqxmd.com/read/27085764/core-decompression-and-arthroplasty-outcomes-for-atraumatic-osteonecrosis-of-the-humeral-head
#18
Justin C Kennon, Jeffrey P Smith, Lynn A Crosby
BACKGROUND: Humeral head osteonecrosis treatment varies depending on the stage and symptoms. Successful outcomes for humeral head core decompression for stage I/II disease in chronic steroid-induced (CSI) osteonecrosis have been reported, but fewer data exist for sickle cell disease (SCD) etiology. Resurfacing and hemiarthroplasty or total shoulder arthroplasty (TSA) are common for advanced collapse, with mixed results. METHODS: We evaluate radiographic and functional outcomes after procedures for humeral head atraumatic avascular necrosis (HAAVN), decompression efficacy in CSI and SCD populations, and report outcomes of advanced disease requiring arthroplasty...
September 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27049189/reverse-shoulder-arthroplasty-for-trauma-when-where-and-how
#19
Benjamin W Szerlip, Brent J Morris, T Bradley Edwards
Reverse shoulder arthroplasty has become increasingly popular for the treatment of complex shoulder injuries, including proximal humerus fractures and fixed glenohumeral dislocation, in the elderly population. The early to midterm results of reverse shoulder arthroplasty for the treatment of proximal humerus fractures are promising compared with the results of unconstrained humeral head replacement, and patients may have more predictable improvement with less dependence on bone healing and rehabilitation. However, long-term follow-up is needed, and surgeons must be familiar with various complications that are specific to reverse shoulder arthroplasty...
2016: Instructional Course Lectures
https://www.readbyqxmd.com/read/27049186/biomechanics-of-reverse-shoulder-arthroplasty-%C3%A2-current-concepts
#20
Adam J Lorenzetti, Geoffrey P Stone, Peter Simon, Mark A Frankle
The evolution of reverse shoulder arthroplasty has provided surgeons with new solutions for many complex shoulder problems. A primary goal of orthopaedics is the restoration or re-creation of functional anatomy to reduce pain and improve function, which can be accomplished by either repairing injured structures or replacing them as anatomically as possible. If reconstructible tissue is lacking or not available, which is seen in patients who have complex shoulder conditions such as an irreparable rotator cuff-deficient shoulder, cuff tear arthropathy, or severe glenoid bone loss, substantial problems may arise...
2016: Instructional Course Lectures
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