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Total shoulder arthroplasty

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https://www.readbyqxmd.com/read/29454385/tranexamic-acid-in-total-shoulder-arthroplasty-and-reverse-shoulder-arthroplasty-a-systematic-review-and-meta-analysis
#1
Liang-Tseng Kuo, Wei-Hsiu Hsu, Ching-Chi Chi, Jae Chul Yoo
BACKGROUND: The effects of tranexamic acid (TXA) in the setting of shoulder arthroplasty are unclear. The objective of this study was to examine the effects of TXA in reducing the need for blood transfusions and blood loss in patients undergoing primary total shoulder arthroplasty (TSA) and reverse total shoulder arthroplasty (RTSA). METHODS: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) and retrospective cohort studies (RCS) that compared outcomes of patients who did and did not receive TXA during TSA or RTSA...
February 17, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29451941/return-to-work-after-anatomic-total-shoulder-arthroplasty-for-patients-55-years-and-younger-at-average-5-year-follow-up
#2
Joseph N Liu, Grant H Garcia, Alexandra C Wong, Alec Sinatro, Hao-Hua Wu, David M Dines, Russell F Warren, Lawrence V Gulotta
As the number of anatomic total shoulder arthroplasties performed on younger patients continues to grow, return to work after surgery becomes increasingly important. The purpose of this study was to evaluate the ability of anatomic total shoulder arthroplasty to return patients 55 years or younger to work postoperatively. A retrospective review was performed of consecutive anatomic total shoulder arthroplasty patients. Inclusion criteria were age 55 years or younger at surgery, greater than 2 years of follow-up, and employment within 3 years of surgery...
February 16, 2018: Orthopedics
https://www.readbyqxmd.com/read/29437064/the-challenge-of-monteggia-like-lesions-of-the-elbow-mid-term-results-of-46-cases
#3
P Jungbluth, S Tanner, J Schneppendahl, J-P Grassmann, M Wild, M Hakimi, J Windolf, R Laun
AIMS: The aim of this retrospective multicentre study was to evaluate mid-term results of the operative treatment of Monteggia-like lesions and to determine the prognostic factors that influence the clinical and radiological outcome. PATIENTS AND METHODS: A total of 46 patients (27 women and 19 men), with a mean age of 57.7 years (18 to 84) who had sustained a Monteggia-like lesion were followed up clinically and radiologically after surgical treatment. The Mayo Modified Wrist Score (MMWS), Mayo Elbow Performance Score (MEPS), Broberg and Morrey Score, and Disabilities of the Arm, Shoulder and Hand (DASH) score were used for evaluation at a mean of 65 months (27 to 111) postoperatively...
February 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29437062/mid-term-outcomes-of-routine-proximal-row-carpectomy-compared-with-proximal-row-carpectomy-with-dorsal-capsular-interposition-arthroplasty-for-the-treatment-of-late-stage-arthropathy-of-the-wrist
#4
COMPARATIVE STUDY
M P Gaspar, P P Pham, C D Pankiw, S M Jacoby, E K Shin, A L Osterman, P M Kane
AIMS: The aims of this study were to compare the mid-term outcomes of patients with late-stage arthritis of the wrist treated with proximal row carpectomy (PRC) and dorsal capsular interposition (DCI) arthroplasty with a matched cohort treated with routine PRC alone. PATIENTS AND METHODS: A total of 25 arthritic wrists (24 patients) with pre-existing degenerative changes of the proximal capitate and/or the lunate fossa of the radius were treated with PRC + DCI over a ten-year period...
February 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29433980/fatty-infiltration-and-muscle-atrophy-of-the-rotator-cuff-in-stemless-total-shoulder-arthroplasty-a-prospective-cohort-study
#5
Arkan S Sayed-Noor, Raymond Pollock, Bassem T Elhassan, Bakir Kadum
BACKGROUND: The influence of preoperative rotator cuff fatty infiltration (FI) and muscle atrophy (MA) on the postoperative outcome of total shoulder arthroplasty (TSA) has only rarely been investigated and reported in the literature. We hypothesized that more FI and MA would be associated with a worse postoperative functional outcome. METHODS: This prospective cohort study included 63 patients (31 female and 32 male patients; mean age, 71 years [range, 53-89 years; standard deviation, 7 years]) with primary osteoarthritis of the shoulder operated on with anatomic stemless TSA...
February 9, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29433646/outcomes-of-trabecular-metal-backed-glenoid-components-in-anatomic-total-shoulder-arthroplasty
#6
Scott T Watson, Garland K Gudger, Catherine D Long, John M Tokish, Stefan J Tolan
BACKGROUND: As glenoid failure is one of the primary causes of failure of anatomic total shoulder arthroplasty (TSA), Trabecular Metal-backed glenoid components have become popular. This study reports implant survival and clinical outcomes of patients who received a Trabecular Metal-backed glenoid component during primary anatomic TSA. METHODS: Patients who underwent TSA with a Trabecular Metal-backed glenoid component by a single surgeon were identified and reviewed for clinical, radiographic, and patient-reported outcome measures with a minimum of 2 years' follow-up...
March 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29426742/sequential-3-dimensional-computed-tomography-analysis-of-implant-position-following-total-shoulder-arthroplasty
#7
Eric T Ricchetti, Bong-Jae Jun, Richard A Cain, Ari Youderian, Eric J Rodriguez, David Kusin, Naveen Subhas, Thomas E Patterson, Joseph P Iannotti
BACKGROUND: Detection of postoperative component position and implant shift following total shoulder arthroplasty (TSA) can be challenging using routine imaging. The purpose of this study was to evaluate glenoid component position over time using 3-dimensional computed tomography (CT) analysis with minimum 2-year follow-up. METHODS: Twenty patients underwent primary TSA with sequential CT scanning of the shoulder: a preoperative study, an immediate postoperative study within 2 weeks of surgery, and a postoperative study performed at minimum 2-year follow-up (CT3)...
February 7, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29422391/stress-shielding-of-the-humerus-in-press-fit-anatomic-shoulder-arthroplasty-review-and-recommendations-for-evaluation
#8
REVIEW
Patrick J Denard, Patric Raiss, Reuben Gobezie, T Bradley Edwards, Evan Lederman
Uncemented press-fit humeral stems were developed with the goal of decreasing operative time, preserving bone stock, and easing revision. In recent years, short stems and stemless humeral implants have also become available. These press-fit humeral implants have varying designs that can lead to changes in stress distribution in the proximal humerus. Such stress shielding manifests as bony adaptations and may affect long-term functional outcome and the ability to perform revision. However, current studies of humeral fixation during total shoulder arthroplasty are complicated because a variety of classification systems have been used to report findings...
February 5, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29399452/reverse-total-shoulder-arthroplasty-with-humeral-head-autograft-fixed-onto-glenoid-for-treatment-of-severe-glenoid-retroversion
#9
Zaamin B Hussain, Jonathan A Godin, George Sanchez, Nicholas I Kennedy, Mark E Cinque, Márcio B Ferrari, Matthew T Provencher
Advanced glenohumeral osteoarthritis can transform glenoid morphology and, in some cases, is found in association with severe glenoid retroversion. The associated glenoid retroversion leads to difficulty in fixation of the glenoid component in reverse total shoulder arthroplasty. In the context of extreme glenoid wear, structural grafts can be used to restore glenoid volume and version in order for the glenoid component of the reverse total shoulder arthroplasty to be more easily implanted. Nevertheless, literature regarding structural grafts remains limited, with optimal graft choice and technique still controversial at best...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29398990/revision-total-shoulder-arthroplasty-is-associated-with-increased-thirty-day-postoperative-complications-and-wound-infections-relative-to-primary-total-shoulder-arthroplasty
#10
Venkat Boddapati, Michael C Fu, William W Schairer, Lawrence V Gulotta, David M Dines, Joshua S Dines
Background: With an increasing volume of primary total shoulder arthroplasties (TSA), the number of revision TSA cases is expected to increase as well. However, the postoperative medical morbidity of revision TSA has not been clearly described. Questions/Purposes: The purpose of this study was to determine the rate of postoperative complications following revision TSA, relative to primary TSA. In addition, we sought to identify independent predictors of complications, as well as to compare operative time and postoperative length of stay between primary and revision TSA...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398987/shoulder-arthroplasty-for-humeral-head-avascular-necrosis-is-associated-with-increased-postoperative-complications
#11
M Tyrrell Burrus, Jourdan M Cancienne, Jeffrey D Boatright, Scott Yang, Stephen F Brockmeier, Brian C Werner
Background: Humeral head avascular necrosis (AVN) of differing etiologies may lead to shoulder arthroplasty due to subchondral bone collapse and deformity of the articular surface. There have been no large studies evaluating the complications for these patients after they undergo total shoulder arthroplasty (TSA). Questions/Purposes: The first objective of this study is to evaluate the complication rate after TSA in patients with humeral head AVN. The secondary objective is to compare the complication rates among the different etiologies of the AVN...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398395/quantifying-success-after-total-shoulder-arthroplasty-the-substantial-clinical-benefit
#12
Ryan Simovitch, Pierre-Henri Flurin, Thomas Wright, Joseph D Zuckerman, Christopher P Roche
BACKGROUND: An understanding of the substantial clinical benefit (SCB) after total shoulder arthroplasty (TSA) may help to gauge a minimum threshold beyond which a patient perceives his or her outcome as being substantially better. This study quantifies SCB for 7 outcome metrics and active motion measurements after shoulder arthroplasty and determines how these values vary based on prosthesis type, patient age at surgery, sex, and length of follow-up. METHODS: A total of 1,568 shoulder arthroplasties with 2-year minimum follow-up were performed by 13 shoulder surgeons and enrolled in a multicenter registry...
February 1, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29398394/outcomes-of-an-anatomic-total-shoulder-arthroplasty-with-a-contralateral-reverse-total-shoulder-arthroplasty
#13
Ryan M Cox, Eric M Padegimas, Joseph A Abboud, Charles L Getz, Mark D Lazarus, Matthew L Ramsey, Gerald R Williams, John G Horneff
BACKGROUND: It is common for patients to require staged bilateral shoulder arthroplasties. There is a unique cohort of patients who require an anatomic total shoulder arthroplasty (TSA) and a contralateral reverse shoulder arthroplasty (RSA). This study compared the outcomes of patients with a TSA in 1 shoulder and an RSA in the contralateral shoulder. METHODS: Our institutional database was queried to identify all patients with a TSA and a contralateral RSA. Data collection included patient demographics, preoperative and latest follow-up shoulder range of motion, radiographic analysis, and postoperative complications...
February 1, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29396101/outcomes-of-lesser-tuberosity-osteotomy-in-revision-anatomic-shoulder-arthroplasty
#14
Cesar D Lopez, Stephen P Maier, Zachary J Bloom, Brian B Shiu, Djuro Petkovic, Charles M Jobin
BACKGROUND: Lesser tuberosity osteotomy (LTO) is a common surgical approach during anatomic shoulder arthroplasty. Outcomes of LTO have been shown to be similar to subscapularis tenotomy and peel techniques, but little is known about the outcomes of LTO during revision arthroplasty. METHODS: This retrospective case series included 10 consecutive patients who underwent LTO during revision shoulder arthroplasty at a single institution from 2012 to 2016. Patients underwent a preoperative computed tomography scan to evaluate the lesser tuberosity bone stock...
January 29, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29389759/staged-revision-with-antibiotic-spacers-for-shoulder-prosthetic-joint-infections-yields-high-infection-control
#15
Florian Grubhofer, Mohamed A ImamMD, Karl Wieser, Yvonne Achermann, Dominik C Meyer, Christian Gerber
BACKGROUND: The treatment of periprosthetic joint infection (PJI) of the shoulder with two-stage revision arthroplasty using an antibiotic-loaded cement spacer is established strategy, but there is sparse information regarding the likelihood of infection control and restoration of shoulder. QUESTIONS/PURPOSE: (1) What is the likelihood of infection control after two-stage revision using an antibiotic cement spacer for patients with PJI of the shoulder? (2) What are the improvements in Constant and Murley scores at 2 years after these staged revisions? PATIENTS AND METHODS: Between 2000 and 2013, we treated 48 patients with PJI of the shoulder using two-stage revision including an antibiotic-containing cement spacer during the first stage...
January 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29377052/long-term-outcomes-of-partial-trapeziectomy-with-capsular-interposition-arthroplasty-for-osteoarthritis-of-the-thumb-basal-joint
#16
Moheb S Moneim, Christina Salas, Andrea B Lese, Norfleet B Thompson, Deana M Mercer
The purpose of this study was to describe long-term outcomes of partial trapeziectomy with capsular interposition (PTCI) arthroplasty for patients with osteoarthritis of the basal joint of the thumb. A total of 27 patients (20 women, 7 men; 32 thumbs) with a mean age of 61 years (range, 47-74 years) agreed to return for follow-up and were included in the study. Mean postoperative follow-up was 64.3 months (range, 28-112 months). Evaluation included tests for grip and pinch strength; range of motion of the metacarpophalangeal joint; measurement of the first web space; completion of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire; visual analog scale (VAS) measurements; and radiographic examination of the hand...
January 25, 2018: Orthopedics
https://www.readbyqxmd.com/read/29373801/long-term-clinical-outcomes-after-microfracture-of-the-glenohumeral-joint-average-10-year-follow-up
#17
Kevin C Wang, Rachel M Frank, Eric J Cotter, Annabelle Davey, Maximilian A Meyer, Charles P Hannon, Timothy Leroux, Anthony A Romeo, Brian J Cole
BACKGROUND: Microfracture is an effective surgical treatment for full-thickness cartilage defects of the knee; however, little is known regarding long-term outcomes after microfracture in the shoulder. PURPOSE: To present long-term clinical outcomes of patients undergoing microfracture of full-thickness articular cartilage defects of the glenohumeral joint. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Sixteen consecutive patients (17 shoulders) were retrospectively reviewed who underwent arthroscopic microfracture of the humeral head and/or glenoid surface, with or without additional procedures between 2001 and 2008 and with a minimum follow-up of 8...
January 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29368045/long-term-survivorship-of-stemless-anatomical-shoulder-replacement
#18
Sascha Beck, Verena Beck, Alexander Wegner, Marcel Dudda, Theodor Patsalis, Marcus Jäger
PURPOSE: Like in many other joints, current shoulder replacement designs aim at bone preservation. According to the literature available, stemless total shoulder arthroplasty (TSA) compares favourably with stemmed designs in terms of function and survivorship of the implant. However, long-term results of stemless shoulder arthroplasty are still missing. Therefore, the aim of the present study was to evaluate long-term results of stemless anatomical TSA. METHODS: Between 2006 and 2009, 51 shoulders in 46 patients were resurfaced using the Biomet Total Evolutive Shoulder System (TESS)...
January 24, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29367916/articular-reconstruction-of-the-humeral-head-with-autogenous-allograft-in-the-treatment-of-the-osteonecrosis
#19
Alberto Naoki Miyazaki, Luciana Andrade Silva, Guilherme do Val Sella, Caio Santos Checchia, Marcos Cazer Simionato, Sergio Luiz Checchia
The authors describe a surgical biological reconstruction of the humeral head with frozen autogenous allograft technique for the treatment of young patients with focal osteonecrosis of the humeral head. This represents a possible alternative, maybe even definitive for some patients, when compared to hemiarthroplasty or total shoulder arthroplasty. The technique consists of the fixation of a frozen autogenous allograft with previously-molded articular cartilage from the humeral head, after cleansing the osteonecrotic focus...
January 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29366372/the-role-of-teriparatide-in-tuberosity-healing-after-reverse-shoulder-arthroplasty-in-complex-proximal-humeral-fragility-fracture
#20
Bancha Chernchujit, Renaldi Prasetia
INTRODUCTION: Tuberosity healing is known to be one of the factors that increase functional outcome in Reverse Total Shoulder Arthroplasty (rTSA). In fragility fractures, tuberosity healing is difficult to be achieved. The fragment stability and bone-forming agent application become strategies to overcome this problem. The purpose of this study was to evaluate the benefit of teriparatide application to promote tuberosity union in rTSA on four-part proximal humeral fractures to achieve better functional outcome...
January 2018: Journal of Orthopaedic Surgery
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