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https://www.readbyqxmd.com/read/29053515/multiple-tissue-expansion-for-giant-congenital-melanocytic-nevus
#1
Yurema Gonzalez Ruiz, Juan Carlos López Gutiérrez
OBJECTIVE: Tissue expansion is the preferred technique for the treatment of giant congenital melanocytic nevus (GCMN) located on the face, abdomen, and legs. We believe that the use of multiple tissue expanders in the same surgery is a safe and effective technique for the treatment of GCMN. MATERIALS AND METHODS: A total of 14 patients were treated between 2013 and 2016 for GCMN removal with placement in the same surgery of 3 or more tissue expanders. We analyzed esthetic results and complications...
October 19, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29051905/evaluation-of-the-trends-concomitant-procedures-and-complications-with-open-and-arthroscopic-rotator-cuff-repairs-in-the-medicare-population
#2
Andrew R Jensen, Peter S Cha, Sai K Devana, Chad Ishmael, Theo Di Pauli von Treuheim, Anthony D'Oro, Jeffrey C Wang, David R McAllister, Frank A Petrigliano
BACKGROUND: Medicare insures the largest population of patients at risk for rotator cuff tears in the United States. PURPOSE: To evaluate the trends in incidence, concomitant procedures, and complications with open and arthroscopic rotator cuff repairs in Medicare patients. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: All Medicare patients who had undergone open or arthroscopic rotator cuff repair from 2005 through 2011 were identified with a claims database...
October 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29051902/trends-in-surgical-practices-for-lateral-epicondylitis-among-newly-trained-orthopaedic-surgeons
#3
Dean Wang, Ryan M Degen, Christopher L Camp, Michael H McGraw, David W Altchek, Joshua S Dines
BACKGROUND: Much controversy exists regarding the optimal surgical intervention for lateral epicondylitis because of a multitude of options available and the lack of comparative studies. Knowledge of the current practice trends would help guide the design of comparative studies needed to determine which surgical technique results in the best outcome. PURPOSE: To review the latest practice trends for the surgical treatment of lateral epicondylitis among newly trained surgeons in the United States utilizing the American Board of Orthopaedic Surgery (ABOS) database...
October 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29046255/platform-shoulder-arthroplasty-a-systematic-review
#4
Jacob M Kirsch, Moin Khan, Patrick Thornley, Mark Gichuru, Michael T Freehill, Andrew Neviaser, James Moravek, Bruce S Miller, Asheesh Bedi
BACKGROUND: Platform shoulder arthroplasty systems may allow conversion to a reverse total shoulder arthroplasty (RTSA) without removing a well-fixed, well-positioned humeral stem. We sought to evaluate the complications associated with humeral stem exchange versus retention in patients undergoing conversion shoulder arthroplasty with a platform shoulder arthroplasty system. METHODS: PubMed, MEDLINE, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and Embase were searched from database inception through October 9, 2016, for all articles comparing humeral stem retention versus exchange during conversion RTSA or that pertained to conversion RTSA with stem retention alone...
October 15, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29045263/diagnosis-of-axillary-web-syndrome-in-patients-after-breast-cancer-surgery-epidemiology-risk-factors-and-clinical-aspects-a-prospective-study
#5
Patricia V G Figueira, Cinira A S Haddad, Samantha K L de Almeida Rizzi, Gil Facina, Afonso C P Nazario
OBJECTIVES: Axillary web syndrome (AWS) is a complication after breast cancer surgery associated with the axillary approach. We defined a diagnosis tool as well as evaluated cord frequency, characteristics, and risk factors. METHODS: A prospective cohort study of 173 women followed-up at Breast Diseases Division of Universidade Federal de São Paulo between July 2014 and September 2015 was established as an evaluation protocol to diagnose AWS. Sociodemographic status, anthropometric values, range of motion, comorbidities, pain, cord frequency, and characteristics (localization, number, palpable, and/or visible) among other data were collected at different time points before and after surgery...
October 17, 2017: American Journal of Clinical Oncology
https://www.readbyqxmd.com/read/29040126/reverse-total-shoulder-arthroplasty-for-massive-irreparable-rotator-cuff-tears-before-the-age-of-60-years-long-term-results
#6
Lukas Ernstbrunner, Aline Suter, Sabrina Catanzaro, Stefan Rahm, Christian Gerber
BACKGROUND: There has been serious concern regarding the longevity and durability of outcomes of reverse total shoulder arthroplasty (RTSA) in younger patients. It was the purpose of this study to analyze long-term outcomes and complications of RTSA for irreparable rotator cuff tears in patients younger than 60 years. METHODS: Twenty patients (23 shoulders) with a mean age of 57 years (range, 47 to 59 years) were evaluated at a mean of 11.7 years (range, 8 to 19 years) after RTSA...
October 18, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29039153/postoperative-analgesia-after-arthroscopic-shoulder-surgery-a-comparison-between-single-shot-interscalene-block-and-single-shot-supraclavicular-block
#7
Ahmet Kemalettin Koltka, Mehmet Büget, Emre Sertaç Bingül, Ali Erşen, Süleyman Küçükay, Ata Can Atalar, Mert Şentürk
OBJECTIVES: In arthroscopic rotator cuff surgery for postoperative analgesia opioids, nonsteroid analgesics, and local anesthetics can be used. This study aimed to compare the effectiveness, additional analgesic requirements, patients satisfaction, and complications of single-shot interscalene and supraclavicular blocks. METHODS: After obtaining the ethics committee's approval and informed consent, 50 ASA I-II patients were randomized to either the interscalene (GISB) or supraclavicular (GSCB) group...
July 2017: Aǧrı: Ağrı (Algoloji) Derneği'nin Yayın Organıdır, the Journal of the Turkish Society of Algology
https://www.readbyqxmd.com/read/29032988/clinical-and-radiographic-outcomes-after-total-shoulder-arthroplasty-with-an-anatomic-press-fit-short-stem
#8
Benjamin W Szerlip, Brent J Morris, Mitzi S Laughlin, Christopher M Kilian, T Bradley Edwards
BACKGROUND: There is limited information assessing outcomes after total shoulder arthroplasty (TSA) with a press-fit short stem. The purpose of this study was to evaluate early clinical and radiographic outcomes and complications after TSA with an anatomic press-fit short stem. METHODS: We identified 118 TSAs completed with press-fit short stem and minimum 2-year follow-up; 85 of these patients had a grit-blasted (GB) short stem placed, whereas 33 patients had short stems with proximal porous coating (PPC)...
October 9, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29027006/comparative-outcomes-of-combined-corticosteroid-with-low-volume-compared-to-high-volume-of-local-anesthetic-in-subacromial-injection-for-impingement-syndrome-systematic-review-and-meta-analysis-of-rcts
#9
Sermsak Sumanont, Manusak Boonard, Ekachot Peradhammanon, Alisara Arirachakaran, Pattanapong Suwankomonkul, Worawit Oungbumrungpan, Jatupon Kongtharvonskul
Subacromial impingement syndrome (SIS) is one of the most frequent pathologies of the shoulder, which may cause serious restriction of daily activities and lifestyle changes. Corticosteroid injection (CI) into the subacromial space is a palliative treatment option. Currently, there have been no studies that compare between the different volumes of CI injection. We have conducted a systematic review and meta-analysis to answer our specific study questions: Are high volume (< 5 ml) better than low volume (≥ 5 ml) of CI injection with respect to pain reduction? This systematic review was conducted according to the preferred reporting items for systematic reviews and meta-analyses guidelines...
October 12, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29026642/locking-system-strengthened-by-biomimetic-mineralized-collagen-putty-for-the-treatment-of-osteoporotic-proximal-humeral-fractures
#10
Cheng Peng, Hai-Peng Wang, Jia-Hua Yan, Tian-Xi Song
The current study is to observe the effect of the locking system strengthened by biomimetic mineralized collagen putty for the treatment of senile proximal humeral osteoporotic fractures. From January 2012 to December 2015, 80 cases of senile patients with osteoporotic proximal humeral fractures were randomly divided into an observation group and a control group, each group with a total of 40 cases. The control group was simply treated with locking plate. The observation group was treated with locking plate in combination with biomimetic mineralized collagen putty...
October 2017: Regenerative Biomaterials
https://www.readbyqxmd.com/read/29018641/prevalence-and-determinants-of-frozen-shoulder-in-patients-with-diabetes-a-single-center-experience-from-pakistan
#11
Faisal Inayat, Nouman Safdar Ali, Haroon Shahid, Fariha Younus
Introduction Frozen shoulder (FS) or adhesive capsulitis is a constellation of symptoms like pain, stiffness, and/or functional deficit at the glenohumeral joint. It is one of the musculoskeletal complications in patients with diabetes that can be particularly debilitating. The aim of this study is to estimate the prevalence of FS and to compare the determinants of this disease in a population with diabetes from Lahore, Pakistan. Materials and Methods We carried out this cross-sectional study on a systematically randomized sample of 80 patients with diabetes...
August 6, 2017: Curēus
https://www.readbyqxmd.com/read/28986684/reverse-shoulder-arthroplasty-in-obese-patients-analysis-of-functionality-in-the-medium-term
#12
Alberto Izquierdo-Fernández, José Carlos Minarro, Rocío Carpintero-Lluch, Ester María Estévez-Torres, Pedro Carpintero-Benítez
INTRODUCTION: Obesity is an epidemic nowadays and this fact conditions results in orthopaedic surgery. Very few studies evaluates if obesity is a risk factor for reverse shoulder arthroplasty. The aim of this study is to confirm if there are differences with regard to the outcomes in patients undergoing reverse shoulder arthroplasty according to their body mass index (BMI). MATERIALS AND METHODS: A total of 35 patients were enrolled in the study. Then divided into subpopulations according to their BMI and analyzed twice...
October 6, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28984681/functional-outcome-of-displaced-radial-head-fractures-in-children-treated-by-elastic-stable-intramedullary-nailing
#13
Clément Guyonnet, Antoine Martins, Lorenza Marengo, Mounira Mansour, Marie Rousset, Antoine Samba, Alain Dimeglio, Federico Canavese
The objectives of this study were to retrospectively investigate the clinical and radiological outcomes of displaced radial head fractures in children treated by elastic stable intramedullary nailing (ESIN) and evaluate the functional outcome of these injuries using the short version of the Disabilities of the Arm, Shoulder and Hand outcome questionnaire (Quick DASH). A total of 24 patients (nine males and 15 females) fulfilled the inclusion criteria. The mean age at the time of injury was 10.7±2.8 years (range: 9...
October 3, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28983213/humeral-lengthening-with-the-precice-magnetic-lengthening-nail
#14
Ahmed I Hammouda, Shawn C Standard, S Robert Rozbruch, John E Herzenberg
BACKGROUND: Different types of external fixators have been used for humeral lengthening with successful outcomes reported in literature. Motorized intramedullary (IM) lengthening nails have been developed as an alternative to external fixators for long bone lengthening in the lower extremity. QUESTIONS/PURPOSES: This case series reports on using the new technology of IM lengthening nails for humeral lengthening. We assessed the radiological healing and functional outcomes after using the PRECICE IM nail for humeral lengthening...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28968475/arthroscopic-cortical-button-stabilization-of-isolated-acute-neer-type-ii-fractures-of-the-distal-clavicle
#15
Matthew H Blake, Michael T Lu, Brandon S Shulman, David L Glaser, G Russell Huffman
Neer type II distal clavicle fractures are inherently unstable. The purpose of this study was to review the outcome of Neer type II distal clavicle fractures arthroscopically treated using a suspensory cortical button technique. Between 2008 and 2012, a total of 17 Neer type IIB fractures were managed operatively at the authors' institution. Functional outcomes were assessed using the pain score, the Disabilities of the Arm, Shoulder and Hand score, the Penn Shoulder Score, and the American Shoulder and Elbow Surgeons score...
October 2, 2017: Orthopedics
https://www.readbyqxmd.com/read/28954037/periprosthetic-humeral-fractures-after-reverse-shoulder-arthroplasty-case-report
#16
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/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/28941946/increased-shoulder-arthroscopy-time-is-associated-with-overnight-hospital-stay-and-surgical-site-infection
#18
Venkat Boddapati, Michael C Fu, William W Schairer, Anil S Ranawat, David M Dines, Samuel A Taylor, Joshua S Dines
PURPOSE: The purpose of this study was to characterize the rates of short-term postoperative complications, readmissions, and overnight hospital stays as a function of shoulder arthroscopy procedure time. A secondary aim of this current study was to identify baseline patient risk factors for adverse outcomes. METHODS: This study used the American College of Surgeons National Surgical Quality Improvement Program registry from 2012 to 2015. Shoulder arthroscopy cases were categorized based on operative time, either <45 minutes, between 45 and 90 minutes, or >90 minutes...
September 20, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28939542/comparation-of-two-operative-methods-for-treating-laterocollis-and-torticollis-subtypes-of-spasmodic-torticollis-follow-up-of-121-cases
#19
Xinyuan Li, Shiting Li, Benfang Pu, Chunhui Hua
OBJECTIVE: The aim of this study was to compare the effects and complications of microvascular decompression(MVD) and neurectomy of spinal accessory nerve in the treatment of laterocollis and torticollis subtypes spasmodic torticollis (ST). METHODS: Clinical data were retrospectively collected from 121 patients with laterocollis and torticollis subtypes of ST from Jan 1, 2012 to Jan 1, 2016. Among all the patients, 80 were treated by MVD and 41 were treated by neurectomy of spinal accessory nerve...
September 19, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28939321/ultrasound-guided-interscalene-brachial-plexus-nerve-block-with-an-ultralow-volume-of-local-anesthetic-for-post-thoracotomy-shoulder-girdle-pain
#20
Theodosios Saranteas, Anastasia Alevizou, Tatiana Sidiropoulou, Andreas Mavrogenis, Periklis Tomos, Panagiota Florou, Thomas Papadimos, Georgia Kostopanagiotou
OBJECTIVES: To evaluate the efficacy of ultrasound-guided interscalene nerve block using an ultralow volume of local anesthetic (5 mL of ropivacaine, 0.75%) for the management of post-thoracotomy shoulder girdle pain. DESIGN: Open-cohort, prospective, single-center study. SETTING: University hospital. INTERVENTIONS: Patients with post-thoracotomy shoulder girdle pain (visual analog scale [VAS] ≥5) received an ultrasound-guided interscalene nerve block...
April 26, 2017: Journal of Cardiothoracic and Vascular Anesthesia
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