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Elbow arthroplasty

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https://www.readbyqxmd.com/read/29146165/preliminary-results-of-arthroscopic-superior-capsule-reconstruction-with-dermal-allograft
#1
Patrick J Denard, Paul C Brady, Christopher R Adams, John M Tokish, Stephen S Burkhart
PURPOSE: The purpose of this study was to evaluate the short-term outcomes of arthroscopic superior capsule reconstruction (SCR) with dermal allograft for the treatment of irreparable massive rotator cuff tears (MRCTs). METHODS: A multicenter study was performed on patients undergoing arthroscopic SCR for irreparable MRCTs. The minimum follow-up was 1 year. Range of motion and functional outcome according to visual analog scale (VAS) pain, American Shoulder and Elbow Surgeons (ASES) score, and subjective shoulder value (SSV) score were assessed preoperatively and at final follow-up...
November 13, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29125866/inconsistent-selection-of-outcomes-and-measurement-devices-found-in-shoulder-arthroplasty-research-an-analysis-of-studies-on-clinicaltrials-gov
#2
Matthew Thomas Sims, Byron Nice Detweiler, Jared Thomas Scott, Benjamin McKinnley Howard, Grant Richard Detten, Matt Vassar
INTRODUCTION: Recent evidence suggests a lack of standardization of shoulder arthroplasty outcomes. This issue is a limiting factor in systematic reviews. Core outcome set (COS) methodology could address this problem by delineating a minimum set of outcomes for measurement in all shoulder arthroplasty trials. METHODS: A ClinicalTrials.gov search yielded 114 results. Eligible trials were coded on the following characteristics: study status, study type, arthroplasty type, sample size, measured outcomes, outcome measurement device, specific metric of measurement, method of aggregation, outcome classification, and adverse events...
2017: PloS One
https://www.readbyqxmd.com/read/29123932/hyperphosphatemic-tumoral-calcinosis-after-total-knee-arthroplasty
#3
Takeshi Mochizuki, Katsunori Ikari
We report a case of hyperphosphatemic tumoral calcinosis (TC) that occurred after total knee arthroplasty. A 64-year-old Japanese man presented with painful swellings in both shoulders, the left elbow, and the right hip that developed after he underwent total knee arthroplasty (TKA). The pathology of the patient's bone at the time of TKA included a thick osteoid seam with calcareous deposition at the margin of the trabecular bone, which is not generally seen in osteoarthritis. Computed tomography scans of the swollen joints demonstrated leaflet and amorphous calcification masses around the joints...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/29117845/restoration-of-the-active-forearm-rotation-using-vascularized-free-fibular-graft-and-radial-head-arthroplasty-for-a-wide-defect-of-the-proximal-radius
#4
Ryosuke Sato, Yoshitaka Hamada, Naohito Hibino, Toshihiko Nishisho, Ichiro Tonogai, Kenji Endo, Koichi Sairyo
In this report we present a case of re-stabilization of the proximal radius using vascularized free fibular graft combined with anconeus arthroplasty to stabilize the transplanted fibula in a patient with large loss of the proximal radius due to Ewing's sarcoma. A 20-year-old woman had Ewing's sarcoma in the proximal three-fourths of the radius. The resection of large part of the radius containing radial head were necessary for removal of the sarcoma. Reconstruction of the proximal radius was performed using vascularized free fibular graft and the transplanted fibula was stabilized by attaching the anconeus to the proximal edge of the fibula...
December 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29111467/reverse-shoulder-arthroplasty-in-weight-bearing-shoulders-of-wheelchair-dependent-patients
#5
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/29103812/long-term-results-of-total-elbow-arthroplasty-in-patients-with-hemophilia
#6
Lukas Ernstbrunner, Andreas Hingsammer, Mohamed A Imam, Reto Sutter, Brigit Brand, Dominik C Meyer, Karl Wieser
HYPOTHESIS: It was hypothesized that the long-term survivorship and clinical outcome are reasonable, justifying total elbow arthroplasty (TEA) in patients with end-stage hemophilic arthropathy. METHODS: From 2002 to 2012, 13 primary TEAs (Coonrad-Morrey design) were implanted in 9 consecutive patients with an average age of 55 (range, 39-76) years. Type A hemophilia was diagnosed in 7 patients and type B hemophilia in 2 patients. Clinical and radiographic results of all (11 TEAs) but 1 patient were retrospectively analyzed...
November 3, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29098354/-total-elbow-arthroplasty-in-traumatic-and-post-traumatic-bone-defects
#7
REVIEW
M Hackl, L P Müller, T Leschinger, K Wegmann
Total elbow arthroplasty is currently most commonly carried out due to acute trauma or post-traumatic conditions. Bone defects are often present and must be considered in the (pre-)operative workup. The use of semi-constrained prostheses with a systematic cementing technique through a triceps-on approach leads to satisfying clinical results, however, the outcome is worse when compared with rheumatic patients.Primary total elbow arthroplasty for complex distal humerus fractures in the elderly patient or secondary implantation following failed conservative treatment or osteosynthesis represent possible indications for (post‑)traumatic joint replacement...
November 2, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/29071514/-destruction-of-the-radial-head-endoprosthesis-autologous-reconstruction-or-anconeus-arthroplasty
#8
REVIEW
K J Burkhart, F Gohlke, R Nietschke, M M Schneider, B Hollinger
BACKGROUND: Radiocapitellar arthritis or defects most often result from trauma. Most of the patients are young and have high functional demands with high load capacities. Therefore, endoprosthetic options should be postponed for as long as possible. If conservative treatment cannot relieve symptoms sufficiently, radial head preservation, resection or replacement options are at the surgeon's disposal. In early stages of radiocapitellar arthritis, radial head preservation options can be taken into account...
October 25, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/29058027/-results-from-the-german-shoulder-and-elbow-arthroplasty-register-sepr-anatomic-or-reverse-shoulder-arthroplasty-in-b2-glenoids
#9
P Magosch, P Habermeyer, S Lichtenberg, M Tauber, F Gohlke, F Mauch, D Boehm, M Loew, F Zeifang, W Pötzl
BACKGROUND: Anatomic shoulder arthroplasty in osteoarthritis with biconcave glenoid wear results in decreased functional results and a higher rate of early glenoid loosening. AIM: The aim of the data analysis of the German shoulder arthroplasty register was to clarify whether reverse shoulder arthroplasty can provide better functional results and a lower complication rate than anatomic arthroplasty in osteoarthritis with biconcave glenoid wear. METHODS: The analysis included 1052 completely documented primary implanted arthroplasties with a minimum follow-up of 2 years...
October 20, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/29054353/the-rate-of-radial-head-prosthesis-removal-or-revision-a-systematic-review-and-meta-analysis
#10
Amir R Kachooei, Aslan Baradaran, Mohammad H Ebrahimzadeh, C Niek van Dijk, Neal Chen
PURPOSE: We conducted a meta-analysis and systematic review with the primary objective to determine the overall incidence of radial head prosthesis removal or revision. Our secondary objectives addressed the incidence of removal or revision based on the type of prosthesis fixation (cemented, uncemented smooth stem, uncemented press-fit), material (metal, Vitallium, titanium, pyrocarbon), and design (short vs long stem and monopolar vs bipolar), and the reasons for prosthetic removal or revision...
October 18, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29051900/previous-rotator-cuff-repair-is-associated-with-inferior-clinical-outcomes-after-reverse-total-shoulder-arthroplasty
#11
Edward J W Shields, Denise M Koueiter, Tristan Maerz, Adam Schwark, J Michael Wiater
BACKGROUND: Although recent evidence suggests that any prior shoulder surgery may cause inferior shoulder arthroplasty outcomes, there is no consensus on whether previous rotator cuff repair (RCR) is associated with inferior outcomes after reverse total shoulder arthroplasty (RTSA). PURPOSE: To retrospectively compare outcomes in patients who underwent RTSA with and without previous RCR. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Patients with prior RCR and those without previous shoulder surgery (control) who underwent RTSA for cuff tear arthropathy or irreparable cuff tear were retrospectively identified from a prospective database...
October 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29023265/radial-head-resection-and-hemi-interposition-arthroplasty-in-patients-with-multiple-hereditary-exostoses-description-of-a-new-surgical-technique
#12
Mark Flipsen, John S Ham, Arnard L van der Zwan, Konrad Mader
Multiple hereditary exostoses (MHE) are a rare disorder characterized by the growth of bony protrusions. Elbow involvement is found in a considerable number of patients and varies from the presence of a simple osteochondroma to severe forearm deformities and radial head dislocation. Patients encounter a variety of symptoms, for example, pain, functional impairment, and cosmetic concerns. Several types of surgical procedures, therefore, can be offered, ranging from excision of symptomatic osteochondromas to challenging reconstructions...
October 11, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/29022065/-allograft-reconstruction-in-revision-elbow-arthroplasty
#13
REVIEW
F Moro
BACKGROUND: There is limited knowledge on composite allograft reconstructions in revision elbow arthroplasty. A major reason for the restricted use of freshly frozen allografts is the divergent legal requirements for allograft procurement in European countries. RESULTS: The opportunities and limitations of this complex revision surgery of the elbow are outlined based on our own restricted experiences, as well as on current literature. Our experience is in accordance with that of other institutions...
October 11, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/28983212/operative-distal-humerus-fractures-in-older-patients-predictors-for-early-complications-based-on-a-national-database
#14
Gleb Medvedev, Charles Wang, Richard Amdur, Robert Neviaser, Andrew Neviaser
BACKGROUND: Open reduction internal fixation (ORIF) and total elbow arthroplasty (TEA) have both been utilized in the treatment of distal humerus fractures in patients over 65 years of age. Comparisons of early complications between these procedures have not been well described. QUESTIONS/PURPOSES: The purpose of this study is to evaluate complication rates in the treatment of distal humerus fractures in elderly patients and to utilize prediction models to identify risk factors associated with postoperative complications...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28953082/distal-humerus-fractures-in-the-elderly-population
#15
Thomas F Varecka, Chad Myeroff
Distal humerus fractures present complex challenges in the elderly patient. These fractures often occur in patients who are living independently but have poor bone quality and low physiologic reserve, thus complicating management decisions and treatment. The goal is a painless, functional, stable elbow that allows completion of the activities of daily living. Nonsurgical management is reserved for those who cannot tolerate surgery. Open reduction and internal fixation is the preferred choice in fractures amenable to rigid fixation and early motion...
October 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28944248/use-of-promis-for-patients-undergoing-primary-total-shoulder-arthroplasty
#16
S Blake Dowdle, Natalie Glass, Chris A Anthony, Carolyn M Hettrich
BACKGROUND: The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of question banks for health domains through computer adaptive testing (CAT). HYPOTHESIS: For patients with glenohumeral arthritis, (1) there would be high correlation between traditional patient-reported outcome (PRO) measures and the PROMIS upper extremity item bank (PROMIS UE) and PROMIS physical function CAT (PROMIS PF CAT), and (2) PROMIS PF CAT would not demonstrate ceiling effects...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28943070/structural-glenoid-grafting-during-primary-reverse-total-shoulder-arthroplasty-using-humeral-head-autograft
#17
Robert Z Tashjian, Erin Granger, Peter N Chalmers
BACKGROUND: Large glenoid bone defects in the setting of glenohumeral arthritis can present a challenge to the shoulder arthroplasty surgeon. The results of large structural autografting at the time of reverse total shoulder arthroplasty (RTSA) are relatively unknown. METHODS: This retrospective case series describes the clinical and radiographic results of large structural autografting from the humeral head to the glenoid during primary RTSA. RESULTS: Of 17 patients who met inclusion criteria, 14 (82% follow-up) were evaluated postoperatively at a mean of 2...
September 22, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28941975/proprioceptive-deficit-after-total-elbow-arthroplasty-an-observational-study
#18
Gláucio S L Siqueira, Marcus Vinicius G Amaral, Márcio Schiffer, Gunther Schlee, Thomas F Schultz-Wenk, Mauricio N de Almeida, Eduardo B Nicoliche, Victor R A Cossich, Geraldo Motta, Dylan Morrissey, José Inácio Salles
BACKGROUND: During total elbow arthroplasty (TEA), most of the joint capsule is removed, including many mechanoreceptors important for proprioception, which potentially limits the patient's postoperative functional recovery. We quantified proprioceptive loss by measuring the threshold to detection of passive motion (TTDPM) in patients after unilateral TEA compared with the contralateral side. METHODS: A continuous passive motion device moving the elbow at 0.5°/s was used to evaluate TTDPM in 8 patients (mean ± standard deviation age, 69...
September 20, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28936610/tight-fitting-radial-head-prosthesis-does-stem-size-help-prevent-painful-loosening
#19
Pierre Laumonerie, Nicolas Reina, Claudia Gutierrez, Stephanie Delclaux, Meagan E Tibbo, Nicolas Bonnevialle, Pierre Mansat
INTRODUCTION: The most common reason for removal of well-fixed radial head prostheses is painful loosening. We hypothesised that short-stemmed prostheses, used for radial head arthroplasty, are not associated with an increased risk of implant loosening. METHODS: From 2002 to 2014, 65 patients were enrolled in a retrospective single-centre study. The radial head prostheses were classified as having either a long (30-mm) or short (16- to 22-mm) stem. The long-stemmed implants comprised 30 GUEPAR® DePuy Synthes (West Chester, PA, USA) and 20 Evolutive® Aston Medical (Saint-Etienne, France) devices; the short-stemmed implants comprised nine RECON and six STANDARD rHead® SBI-Stryker (Morrisville, PA, USA) devices...
September 21, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28932285/comparison-of-the-hospital-costs-for-two-stage-reimplantation-for-deep-infection-single-stage-revision-and-primary-total-elbow-arthroplasty
#20
Eric R Wagner, Jeanine E Ransom, Hilal Maradit Kremers, Mark Morrey, Joaquin Sanchez-Sotelo
BACKGROUND: The purpose of the present study was to determine the cost of two-stage reimplantation for the treatment of deep infection after total elbow arthroplasty (TEA) and compare this with primary and aseptic revision TEA. METHODS: Three hundred and seventy-one primary TEA and 286 revision TEAs (including 47 elbows requiring two-stage reimplantation) were performed. Total direct medical costs during each hospitalization were obtained from our institutional research database and compared for three groups: primary TEA, revision for nonseptic reasons and two-stage reimplantation for deep infection...
October 2017: Shoulder & Elbow
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