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Shoulder arthroplasty

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https://www.readbyqxmd.com/read/28433759/reverse-shoulder-arthroplasty-combined-with-latissimus-dorsi-transfer-a-systemic-review
#1
REVIEW
Reinhold Ortmaier, Wolfgang Hitzl, Nicholas Matis, Georg Mattiassich, Josef Hochreiter, Herbert Resch
PURPOSE: Reverse shoulder arthroplasty(RSA) combined with latissimusdorsi transfer (LDT) is described for patients with cuff arthropathy and a combined loss of abduction and external rotation. The purpose of this systemic review was to present clinical and radiological outcomes following RSA combined with LDT. MATERIALS AND METHODS: A comprehensive literature review was performed to identify studies reporting clinical andradiological results of RSA combined with LDT...
April 19, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28432457/outcome-and-revision-rate-of-uncemented-glenohumeral-resurfacing-c-a-p-after-5-8%C3%A2-years
#2
P C Geervliet, M P J van den Bekerom, P Spruyt, M Curvers, A van Noort, C P J Visser
BACKGROUND: Resurfacing of the glenohumeral joint for patients with glenohumeral arthritis has gained popularity since the first introduction. We report the mid-term results of the Global C.A.P. uncemented resurfacing shoulder prosthesis (DePuy Synthes). METHODS: From January 2007 to December 2009, 48 humeral cementless resurfacing prostheses in 46 patients were performed. All patients were diagnosed with primary glenohumeral osteoarthritis. Patients were contacted for review; the Constant Score, visual analog pain scale, Dutch Simple Shoulder Test, SF-12 scores and physical examination were assessed both preoperatively and yearly postoperatively...
April 21, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28430721/outcomes-of-reverse-total-shoulder-arthroplasty-for-proximal-humeral-fractures-primary-arthroplasty-versus-secondary-arthroplasty-following-failed-proximal-humeral-locking-plate-fixation
#3
Emilio Sebastia-Forcada, Alejandro Lizaur-Utrilla, Román Cebrian-Gomez, Francisco A Miralles-Muñoz, Fernando A Lopez-Prats
OBJECTIVE: To compare the outcomes of reverse shoulder arthroplasty (RSA) between patients with failed proximal humeral locking plate (PHLP) fixation and those with acute fractures. DESIGN: Matched case-control study. SETTING: University hospital, level I trauma center. PATIENTS: 30 consecutive patients with fracture sequelae due to failed PHLP fixation (mean age 73) were age- and gender-matched to 30 patients with acute fracture (mean age 75)...
April 6, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28419044/resiliency-is-good-for-you-commentary-on-an-article-by-brian-c-werner-md-et-al-depression-and-patient-reported-outcomes-following-total-shoulder-arthroplasty
#4
David Ring
No abstract text is available yet for this article.
April 19, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28419037/depression-and-patient-reported-outcomes-following-total-shoulder-arthroplasty
#5
Brian C Werner, Alexandra C Wong, Brenda Chang, Edward V Craig, David M Dines, Russell F Warren, Lawrence V Gulotta
BACKGROUND: Recent studies have found that depression is associated with increased pain and impairment following lower-extremity arthroplasty; however, this association has not been investigated for total shoulder arthroplasty. The objective of this study was to investigate the association between depression and patient-reported outcomes following total shoulder arthroplasty. METHODS: A prospectively collected institutional registry was queried for consecutive patients who underwent total shoulder arthroplasty for osteoarthritis from 2007 to 2013 with baseline and minimum 2-year postoperative American Shoulder and Elbow Surgeons (ASES) scores...
April 19, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28419030/ambulatory-total-shoulder-arthroplasty-a-comprehensive-analysis-of-current-trends-complications-readmissions-and-costs
#6
Jourdan M Cancienne, Stephen F Brockmeier, Lawrence V Gulotta, David M Dines, Brian C Werner
BACKGROUND: There have been few studies that have evaluated ambulatory total shoulder arthroplasty. The objectives of the present study were to investigate the current trends in ambulatory total shoulder arthroplasty in the United States; to characterize the rate of postoperative complications, hospital readmission, and risk factors associated with readmission; and to conduct a cost analysis comparing ambulatory total shoulder arthroplasty with matched inpatient total shoulder arthroplasty...
April 19, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28418573/trends-in-surgical-management-and-costs-for-operative-treatment-of-proximal-humerus-fractures-in-the-elderly
#7
Eddie K Hasty, Edward W Jernigan, Adrianne Soo, Dax T Varkey, Ganesh V Kamath
Proximal humerus fractures in the elderly are increasing in frequency as the population ages. The purpose of this study was to investigate surgical and cost trends in the Medicare population. The PearlDiver database was queried using diagnosis codes to identify Medicare recipients with proximal humerus fractures from 2005 to 2012. Surgical trends, demographics, and charge/reimbursement data were analyzed. There were 750,426 proximal humerus fractures in Medicare recipients during the 8-year period. Eighty-five percent of the fractures were treated nonoperatively; however, the percentage of operative vs nonoperative management increased significantly over time for all fractures, isolated fractures, and fracture dislocations...
April 18, 2017: Orthopedics
https://www.readbyqxmd.com/read/28412104/cement-stress-predictions-after-anatomic-total-shoulder-arthroplasty-are-correlated-with-preoperative-glenoid-bone-quality
#8
Alexandre Terrier, Raphaël Obrist, Fabio Becce, Alain Farron
HYPOTHESIS: We hypothesized that biomechanical parameters typically associated with glenoid implant failure after anatomic total shoulder arthroplasty (aTSA) would be correlated with preoperative glenoid bone quality. METHODS: We developed an objective automated method to quantify preoperative glenoid bone quality in different volumes of interest (VOIs): cortical bone, subchondral cortical plate, subchondral bone after reaming, subchondral trabecular bone, and successive layers of trabecular bone...
April 12, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28412103/reverse-shoulder-arthroplasty-compared-with-hemiarthroplasty-in-the-treatment-of-acute-proximal-humeral-fractures
#9
Michael van der Merwe, Matthew J Boyle, Christopher M A Frampton, Craig M Ball
BACKGROUND: Complex proximal humeral fractures may require prosthetic replacement of the humeral head. Surgical options include reverse shoulder arthroplasty (RSA) and shoulder hemiarthroplasty; however, the optimal technique remains controversial. The goal of this study was to compare functional outcomes and revision rates of RSA with hemiarthroplasty in patients with acute proximal humeral fractures. MATERIALS AND METHODS: Between January 1, 1999, and December 31, 2014, there were 218 patients who underwent RSA and 427 who underwent hemiarthroplasty for acute proximal humeral fractures identified through New Zealand Joint Registry records...
April 12, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28410956/nine-year-outcome-after-anatomic-stemless-shoulder-prosthesis-clinical-and-radiologic-results
#10
Nael Hawi, Petra Magosch, Mark Tauber, Sven Lichtenberg, Peter Habermeyer
BACKGROUND: Several stemless shoulder implants are available on the market, but only a few studies have presented results with sufficient mid- to long-term follow-up. The present study evaluated clinical and radiologic outcomes 9 years after anatomic stemless shoulder replacement. METHODS: This is a prospective cohort study evaluating the stemless shoulder prosthesis since 2005. Anatomic stemless shoulder replacement using a single prosthesis was performed in 49 shoulders; 17 underwent total shoulder replacement, and 32 underwent hemiarthroplasty...
April 11, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28409200/return-to-sport-after-shoulder-arthroplasty-a-systematic-review-and-meta-analysis
#11
Joseph N Liu, Michael E Steinhaus, Grant H Garcia, Brenda Chang, Kara Fields, David M Dines, Russell F Warren, Lawrence V Gulotta
PURPOSE: With increasing incidence and indications for shoulder arthroplasty, there is an increasing emphasis on the ability to return to sports. The main goal of this study was to determine the rate of return to sport after shoulder arthroplasty. METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed to perform this systematic review and meta-analysis. A search was performed on MEDLINE, Scopus, EMBASE, and the Cochrane Library...
April 13, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28409141/intrathoracic-fracture-dislocation-of-the-humerus-case-report-and-literature-review
#12
Wilson Carlos Sola Junior, Paulo Sérgio Dos Santos
Shoulder fracture-dislocations are uncommon. Those associated with intrathoracic dislocation are very rare conditions, resulting from high-energy trauma; usually, the affected limb is in an abduction position. In Brazil, there is only one report of a teenager with displacement of the epiphysis into the chest cavity; the present is the first adult patient report of intrathoracic dislocation of the humerus. The authors present the case of a patient female, aged 56 years, who was hit by motorcycle and thrown approximately 5 meters away...
March 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28408254/midterm-outcomes-of-bone-grafting-in-glenoid-defects-treated-with-reverse-shoulder-arthroplasty
#13
Yaiza Lopiz, Carlos García-Fernández, Alvaro Arriaza, Belen Rizo, Hector Marcelo, Fernando Marco
BACKGROUND: Large glenoid defects are a difficult reconstructive problem for shoulder surgeons. The purpose of this study was to determine the complications, rate of healing, and functional results of glenoid bone grafting in primary or revision surgery with reverse shoulder arthroplasty. METHODS: We retrospectively reviewed 23 patients with glenoid bone loss who underwent primary or revision surgery using a glenoid bone graft with a minimum follow-up of 2 years...
April 10, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28405225/use-of-flexible-elbow-reamers-for-cement-removal-in-the-humerus-during-revision-shoulder-arthroplasty
#14
Jeremy Granville-Chapman, R Steve Bale, Ian A Trail
Humeral cement removal in revision shoulder arthroplasty can be challenging. Secondary damage to the bone and neighbouring structures can be extensive and compromise later reconstruction. We present a technique that employs flexible reamers from elbow arthroplasty instrumentation, which aids cement removal at the same time as minimizing the risk of iatrogenic injury.
April 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28405220/intraoperative-complications-during-revision-shoulder-arthroplasty-a-study-using-the-national-joint-registry-dataset
#15
Helen M Ingoe, Philip Holland, Paul Cowling, Lucksy Kottam, Paul N Baker, Amar Rangan
BACKGROUND: The surgical options for revision shoulder arthroplasty and the number of procedures performed are increasing. However, little is known about the risk factors for intraoperative complications associated with this complex surgery. METHODS: The National Joint Registry (NJR) is a surgeon reported database recording information on major joint replacements including revision shoulder arthroplasty. Using multivariable binary logistic regression modelling, we analyzed 1445 revision shoulder arthroplasties reported to the NJR between April 2012 and 2015...
April 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28405219/braided-tape-is-equivalent-to-modified-mason-allen-multi-strand-2-suture-in-subscapularis-muscle-repair-results-of-a-biomechanical-study
#16
Benjamin Léger-St-Jean, Jérémie Ménard, Stéphanie Hinse, Frédéric Balg, Dominique M Rouleau
BACKGROUND: To help determine the optimal fixation method for subscapularis tendon repair in arthroplasty, the present study compares single-passage transosseous tape (BT) and modified Mason-Allen #2 suture (MA). METHODS: Eighteen human cadaveric shoulders were randomized to two repair constructs after arthroplasty preparation. Both techniques included two transosseous passages through the bicipital groove and then through the tendon at the level of the anatomical neck...
April 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28400879/reverse-shoulder-arthroplasty-for-the-treatment-of-3-and-4-part-fractures-of-the-humeral-head-in-the-elderly
#17
REVIEW
Ioannis Gigis, Alexandros Nenopoulos, Dimitrios Giannekas, Roderich Heikenfeld, Theodoros Beslikas, Ippokratis Hatzokos
BACKGROUND: Proximal humeral fractures in elderly patients present with severe comminution and osteoporotic bone quality. Reverse shoulder arthroplasty has lately been proven beneficial in treating patients with complex proximal humeral fractures. The above technique is recommended and has better results in elderly than in younger individuals. METHODS: We performed a literature search in the databases Pubmed, Medline, EMBASE and Cochrane Library for published articles between 1970 and 2016 using the terms: proximal humerus fractures and reverse shoulder arthroplasty...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28399323/short-stem-reverse-total-shoulder-arthroplasty-periprosthetic-type-a-fracture
#18
Bryan M Saltzman, Timothy Leroux, Michael J Collins, Thomas A Arns, Brian Forsythe
Alterations have been made over the years to the standard reverse total shoulder arthroplasty (RTSA) prosthetic components in an effort to decrease adverse events; this has led to the advent of a short humeral stem prosthesis. To the authors' knowledge, there are no reports describing the complication of a traumatic periprosthetic Wright and Cofield classification type A fracture with use of a short metaphyseal humeral stem component for RTSA. The authors describe a 49-year-old woman with this pathology who was treated with open reduction and internal fixation using a proximal humerus locking plate, unicortical and bicortical screw fixation, and a cerclage wire construct without the need to violate the shoulder joint or revise components...
April 11, 2017: Orthopedics
https://www.readbyqxmd.com/read/28395945/radiographic-changes-and-clinical-outcomes-associated-with-an-adjustable-diaphyseal-press-fit-humeral-stem-in-primary-reverse-shoulder-arthroplasty
#19
Samuel M Harmsen, Tom R Norris
BACKGROUND: Press-fit humeral fixation in reverse shoulder arthroplasty (RSA) has become increasingly popular; however, radiographic analysis of these stems is limited. We aimed to evaluate the radiographic and clinical outcomes of an adjustable diaphyseal press-fit humeral stem in primary RSA. METHODS: We conducted a retrospective review of 232 primary RSAs in 219 patients performed by a single surgeon using this system. Radiographic outcomes were evaluated in patients with at least 2 years of radiographic follow-up...
April 7, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28391518/discovery-elbow-system-clinical-and-radiological-results-after-2-to-10-year-follow-up
#20
Patrik Hänninen, Tuukka Niinimäki, Tapio Flinkkilä, Jaakko Niinimäki, Pasi Ohtonen, Susanna Yli-Luukko, Juhana Leppilahti
BACKGROUND: Discovery Elbow System (DES) is a semi-constrained prosthesis, mainly used for patients with rheumatoid arthritis (RA). METHODS: Records from 79 patients with RA (90 DES arthroplasties) were reviewed; 47 patients with 55 DES elbows were re-examined. Range of motion (ROM) of both elbows, upper limb function, and quality of life (Disabilities of the Arm, Shoulder, and Hand [DASH] score, Mayo Elbow Performance Score [MEPS], and the RAND 36-Item Health Survey [RAND-36]) were assessed...
April 8, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
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