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https://www.readbyqxmd.com/read/29135529/acute-coronary-artery-thrombus-after-tranexamic-acid-during-total-shoulder-arthroplasty-in-a-patient-with-coronary-stents-a-case-report
#1
Kathryn H Bridges, Sylvia H Wilson
Tranexamic Acid (TXA), an antifibrinolytic, is routinely used to decrease transfusion rates in total joint replacement surgery. While recent publications have indicated a low risk of TXA-associated thromboembolic events in this orthopedic population, few studies specifically address the safety of TXA administration in high-risk patients. We present a case of acute coronary thrombus requiring emergent intervention in a patient with indwelling coronary stents who underwent shoulder arthroplasty with TXA administration...
November 9, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/29128376/radial-head-replacement-with-a-bipolar-system-an-average-10-year-follow-up
#2
Robert A Sershon, Timothy J Luchetti, Mark S Cohen, Robert W Wysocki
BACKGROUND: We report the long-term results of a cohort of patients after radial head replacement with a bipolar design and a smooth cementless stem at a mean follow-up of 10.4 years. METHODS: Of 17 possible patients from a previous minimum 2-year follow-up study, 16 were available for review. Patients were assessed using clinical and radiographic examination and with standardized outcome measures. Range of motion, stability, and radiographic evaluation of implant loosening and joint degeneration were assessed...
November 8, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29111467/reverse-shoulder-arthroplasty-in-weight-bearing-shoulders-of-wheelchair-dependent-patients
#3
Eduard Alentorn-Geli, Nathan R Wanderman, Andrew T Assenmacher, Joaquín Sánchez-Sotelo, Robert H Cofield, John W Sperling
BACKGROUND: Wheelchair-dependent patients rely on their upper extremities for mobility and transfers. This entails the heavy use of upper extremities as weight-bearing joints, leading to shoulder overuse with increased prevalence of rotator cuff-related disorders, and ultimately to challenging cases for shoulder surgeons when a joint replacement is needed. OBJECTIVE: To report the outcomes of reverse shoulder arthroplasty (RSA) in wheelchair-dependent patients with arthritis and rotator cuff tears...
October 27, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29108537/-patients-with-glenohumeral-arthrosis-risk-delay-of-treatment
#4
EDITORIAL
Signe Nanna Rosner Rasmussen, Helge Vous Bonde
Referral for shoulder joint replacement in patients with glenohumeral arthrosis may be delayed in the primary sector. When non-surgical first-line treatment has little effect on pain and quality of life, patients should be referred for orthopaedic specialist assessment. New trends regarding shoulder prosthesis are under way as indicated by data from the Danish Shoulder Alloplasty Registry from the latest decade with an increase in number and quality. Changed demographic composition in favour of the elderly makes focus on the importance of shoulder prosthesis regarding research and treatment algorithm...
November 6, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29102007/editorial-commentary-is-shoulder-joint-preservation-an-endangered-species-let-s-save-the-glenoid
#5
EDITORIAL
Felix H Savoie
Joint preservation in young patients has always been the mission of arthroscopists worldwide since Bob Jackson visited Dr. Watanabe and brought the arthroscope to North America. In patients with shoulder glenohumeral arthritis, joint preservation is paramount and advanced arthroscopic techniques are of significant benefit. A recent publication shows 77% satisfactory outcomes, provides critical details on patient selection, and shows that a cohort of (younger) patients with shoulder osteoarthritis may do well after isolated glenoid resurfacing...
November 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29098355/superior-glenoid-inclination-and-glenoid-bone-loss-definition-assessment-biomechanical-consequences-and-surgical-options
#6
REVIEW
L Favard, J Berhouet, G Walch, J Chaoui, C Lévigne
Correct anatomical alignment of the glenoid component is of central importance for wear and loosening in shoulder endoprostheses. The aim of this article is to review and clarify the biomechanical and clinical effects of incorrect glenoid inclination in reverse and anatomical joint replacements. Based on the literature and on our own work, statements are made about the following: (1) the glenoid inclination of a normal glenoid, a degenerative glenoid and a glenoid implant, and the consequences if superior inclination is too large, and (2) the surgical technique as well as tips and tricks for correct adjustment of the inclination...
November 2, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/29083358/the-smr-reverse-shoulder-arthroplasty-in-rotator-cuff-arthropathy-management
#7
Alessandro Beltrame, Paolo Di Benedetto, Daniele Salviato, Giuseppe Niccoli, Renato Gisonni, Vanni Cainero, Araldo Causero
BACKGROUND AND AIM OF THE WORK: Cuff tear arthropathy (CTA) is a well-defined  degenerative pathology  of the shoulder. When conservative treatments are unable to permit a good quality of life, the reverse shoulder arthroplasty (RSA) can guarantee a good restitution of range of motion, function and strength of the shoulder without pain. In this paper we show our clinical, functional and radiological outcomes, as well as complications of RSA in patients with CTA. METHODS: We analyzed 31 patients who underwent to reverse shoulder replacement with Modular Shoulder System (SMR, Systema Multiplana Randelli; Lima-LTO, San Daniele del Friuli, Italy) reverse shoulder system, between August 2010-July 2014...
October 18, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29081448/the-effective-design-of-zirconia-coping-on-titanium-base-in-dental-implant-superstructure
#8
Maiko Mieda, Ikiru Atsuta, Yasuyuki Matsushita, Takehiro Morita, Yasunori Ayukawa, Yoshihiro Tsukiyama, Yoshinori Sawae, Kiyoshi Koyano
Zirconia exhibits good tissue compatibility and nontoxicity, making it a widely used esthetic replacement material for implant abutments. To avoid abutment-fracture, the parts composed of zirconia with a bonded metal component connected to the implant can be used. The purpose of this study was to design titanium and zirconia components with high fracture resistance at the zirconia component's edge line. Three edge line designs of the titanium base and zirconia sleeve were made: chamfer, shoulder, and backtaper...
October 27, 2017: Dental Materials Journal
https://www.readbyqxmd.com/read/29063283/-prosthesis-replacement-in-periprosthetic-humeral-fractures
#9
REVIEW
M Jaeger, D Maier, K Izadpanah, N P Südkamp
OBJECTIVE: Stabilization of the humerus with preservation or restoration of the shoulder function. INDICATIONS: Always in the presence of a loose prosthesis. It may become necessary in conditions of poor bone stock and if osteosynthesis is not possible. CONTRAINDICATIONS: Noncompliant patients due to alcohol or drugs. Local infections. SURGICAL TECHNIQUE: The loose implant is removed using an extended anterior deltopectoral approach...
October 23, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29063146/progressive-glenoid-bone-loss-caused-by-erosion-in-humeral-head-resurfacing
#10
B S Werner, J Stehle, A Abdelkawi, P Plumhoff, R Hudek, F Gohlke
BACKGROUND: Cementless surface replacement of the shoulder represents an alternative to conventional stemmed anatomic prostheses. Glenoid erosion is a well-known complication in hemiarthroplasty. However, there is limited data concerning radiographic evaluation and prognostic factors for this phenomenon. OBJECTIVES: The aim of our study was to determine the development of glenoid erosion following shoulder resurfacing using a new measurement technique and detect potential prognostic factors...
October 23, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/29046778/ultrasound-guided-percutaneous-cryoneurolysis-providing-postoperative-analgesia-lasting-many-weeks-following-a-single-administration-a-replacement-for-continuous-peripheral-nerve-blocks-a-case-report
#11
Brian M Ilfeld, Rodney A Gabriel, Andrea M Trescot
Cryoneurolysis entails using low temperatures to reversibly ablate nerves, with a subsequent analgesia duration measured in weeks or months. Previously, clinical applications for acute pain were limited because treatment originally required exposing the target nerve surgically. However, three developments have now made it possible to provide prolonged postoperative analgesia by cryoneurolysis: 1) new portable, hand-held cryoneurolysis devices, 2) ultrasound machine proliferation, and, 3) anesthesiologists trained in ultrasound-guided peripheral nerve block administration...
October 2017: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/28983456/enzyme-replacement-therapy-attenuates-disease-progression-in-two-japanese-siblings-with-mucopolysaccharidosis-type-vi-10-year-follow-up
#12
Mahoko Furujo, Motomichi Kosuga, Torayuki Okuyama
Early initiation of enzyme replacement therapy (ERT) has demonstrated clinical benefit in patients with mucopolysaccharidosis type VI (MPS VI), a progressive, multisystem autosomal recessive lysosomal disorder caused by N-acetylgalactosamine-4-sulphatase (ASB) deficiency and the consequent accumulation of glycosaminoglycan. A previous case report highlighted that 3 years of ERT with recombinant human ASB (galsulfase) was well tolerated and effective in two Japanese siblings with MPS VI who initiated ERT at 5...
December 2017: Molecular Genetics and Metabolism Reports
https://www.readbyqxmd.com/read/28971653/-total-elbow-replacement-as-an-alternative-to-severely-comminuted-fractures-around-the-elbow
#13
Eyal Ginesin, Yaniv Keren, Ofer Zachs, Doron Norman
BACKGROUND: Intra-articular elbow fractures are considered to be one of the most complex injuries in orthopedic trauma. Some are too comminuted for open reduction and internal fixation. Recently, total elbow replacement (TER) has gained popularity for the treatment of comminuted elbow trauma when other treatment options are not possible. METHODS: Since 2007-2013 we treated 18 patients with TER due to comminuted distal humeral fractures. We used the Disabilities of the Arm, Shoulder and Hand scoring system (DASH) to evaluate the patient's satisfaction...
September 2017: Harefuah
https://www.readbyqxmd.com/read/28970669/how-does-reverse-shoulder-replacement-change-proprioception-in-patients-with-cuff-tear-arthropathy-a-prospective-optical-3d-motion-analysis-study
#14
Pit Hetto, Matthias Bülhoff, Boris Sowa, Matthias C Klotz, Michael W Maier
BACKGROUND: Reverse total shoulder arthroplasty (RSA) can improve function in cuff tear arthropathy (CTA) shoulders, but limited data are available on the effect of RSA on proprioception. The purpose of this study was the evaluation of the proprioception after RSA. METHOD: This study included fifteen consecutive patients (n = 15) who received an RSA. We measured an active angle reproduction (AAR) by a novel 3D motion analysis using the Heidelberg upper extremity model (HUX)...
December 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/28968474/increasing-use-of-reverse-total-shoulder-arthroplasty-for-proximal-humerus-fractures-in-elderly-patients
#15
Sean S Rajaee, Dheeraj Yalamanchili, Naudereh Noori, Eytan Debbi, James Mirocha, Carol A Lin, Charles N Moon
This study described surgical treatment patterns for proximal humerus fractures among elderly patients, focusing on reverse total shoulder arthroplasty (TSA), and evaluated how the type of fixation affects inpatient factors (cost, length of stay), transfusion rates, and patient disposition (home vs skilled nursing facility). With Nationwide Inpatient Sample data from 2011 to 2013, the authors identified patients 65 years and older who had proximal humerus fractures and divided them into 3 groups: (1) open reduction and internal fixation (ORIF); (2) hemiarthroplasty; and (3) reverse TSA...
October 2, 2017: Orthopedics
https://www.readbyqxmd.com/read/28965231/the-utility-of-international-shoulder-joint-replacement-registries-and-databases-a-comparative-analytic-review-of-two-hundred-and-sixty-one-thousand-four-hundred-and-eighty-four-cases
#16
REVIEW
Carlos Eduardo Afanador Bayona, Jeremy S Somerson, Frederick A Matsen
PURPOSE: National registries are valuable tools for understanding the results of shoulder arthroplasty across populations. These databases provide an unselected view of shoulder joint replacement within geographical areas that cannot be obtained from case series or prospective studies. They can be particularly helpful in determining which diagnoses, patients, procedures, and prostheses have higher than expected rates of revision. In an attempt to determine the generalizability of registry data, we asked, 'how similar are the patients and procedures among the different national registries?' METHODS: We analyzed national shoulder arthroplasty registries and databases accessed via Internet portals and through a PubMed literature search...
September 30, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28960745/real-world-mri-experience-with-non-conditional-and-conditional-cardiac-rhythm-devices-after-magnasafe
#17
Steve Mason, Jeffrey S Osborn, Ritesh Dhar, Allison Tonkin, Jon-David Ethington, Viet Le, Jose Benuzillo, Donald L Lappe, Kirk U Knowlton, T Jared Bunch, Jeffrey L Anderson
INTRODUCTION: The recent MagnaSafe Registry demonstrated safety of non-thoracic magnetic resonance imaging (MRI) with non-conditional cardiac implantable electronic devices (CIEDs). However, independent validation and extension to thoracic MRIs are needed. METHODS AND RESULTS: We prospectively examined 178 consecutive patients with CIEDs who underwent 212 MRI scans (62 with implantable cardioverter/defibrillators) for clinical reasons between February 2014 and August 2016...
September 28, 2017: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/28954037/periprosthetic-humeral-fractures-after-reverse-shoulder-arthroplasty-case-report
#18
Andre Wajnsztejn, Noel Oizerovici Foni, Dan Oizerovici, Robinson Esteves Santos Pires, Benno Ejnisman
Periprosthetic fractures is a severe complication after joint replacement. The rapidly increase of reverse shoulder arthroplasty surgeries, periprosthetic humeral fractures, which are described as rare, may increase in the near future. We report the case of displaced humeral fracture bellow the stem of reverse shoulder prosthesis. The patient was an 85-year-old woman who had a total shoulder replacement 6 years previously. The surgical solution consisted of plate osteossynthesis and cerclage. This report describes an unprecedented case in Brazilian literature; and gives an overview of the existing literature including this injury classification...
September 21, 2017: Einstein
https://www.readbyqxmd.com/read/28918664/outcomes-of-surface-replacement-proximal-interphalangeal-joint-arthroplasty-using-the-self-locking-finger-joint-implant-minimum-two-years-follow-up
#19
Issei Komatsu, Yoshiya Arishima, Hirotomo Shibahashi, Toshihito Yamaguchi, Yoshitaka Minamikawa
BACKGROUND: The Self Locking Finger Joint (SLFJ) implant is a new type of surface replacement implant. The purpose of this study was to evaluate midterm clinical outcomes of the proximal interphalangeal (PIP) arthroplasty with the SLFJ implant. METHODS: We retrospectively studied 26 PIP joint arthroplasties using the SLFJ implant in 17 patients with osteoarthritis or posttraumatic osteoarthritis. Preoperative and postoperative range of motion, grip strength and key pinch, radiographic findings, and complications were evaluated...
September 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28901795/clinical-and-radiographic-outcomes-of-unipolar-and-bipolar-radial-head-prosthesis-in-patients-with-radial-head-fracture-a-systemic-review-and-meta-analysis
#20
Hongwei Chen, Ziyang Wang, Yongjun Shang
PURPOSE: To compare clinical outcomes of unipolar and bipolar radial head prosthesis in the treatment of patients with radial head fracture. MATERIALS AND METHODS: Medline, Cochrane, EMBASE, Google Scholar databases were searched until April 18, 2016 using the following search terms: radial head fracture, elbow fracture, radial head arthroplasty, implants, prosthesis, unipolar, bipolar, cemented, and press-fit. Randomized controlled trials, retrospective, and cohort studies were included...
September 13, 2017: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
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