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https://www.readbyqxmd.com/read/29679723/comparison-of-hook-plate-with-versus-without-double-tunnel-coracoclavicular-ligament-reconstruction-for-repair-of-acute-acromioclavicular-joint-dislocations-a-prospective-randomized-controlled-clinical-trial
#1
Jian Yin, Zhaoyang Yin, Ge Gong, Chao Zhu, Chao Sun, Xinhui Liu
PURPOSE: This study was designed to compare the surgical outcomes of a hook plate with double-tunnel coracoclavicular (CC) ligament reconstruction by conjoined tendon transfer versus single hook plate surgery for the repair of acute type of Rockwood type III and V acromioclavicular (AC) joint dislocations. METHODS: The study cohort included 62 patients with acute (within 6 weeks after trauma) Rockwood type III and V AC joint dislocations who underwent surgery from February 2012 to September 2015...
April 18, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29665765/sub-acromial-balloon-spacer-for-irreparable-rotator-cuff-tears-is-it-an-appropriate-salvage-procedure
#2
Dan Prat, Shay Tenenbaum, Moshe Pritsch, Ariel Oran, Guy Vogel
INTRODUCTION: Irreparable rotator cuff tear (RCT) presents a difficult treatment challenge for the orthopaedic surgeon. Many treatment strategies with varying degrees of success have been performed over the years. One of the suggested surgical treatment options is the use of a biodegradable sub-acromial balloon spacer. METHODS: A retrospective study of patients treated with sub-acromial balloon spacer between the years 2011 and 2016 was conducted. Mean follow-up time was 14...
May 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29664870/outcomes-of-anatomic-total-shoulder-arthroplasty-with-b2-glenoids-a-systematic-review
#3
Colten Luedke, Michael J Kissenberth, Stefan J Tolan, Richard J Hawkins, John M Tokish
BACKGROUND: Total shoulder arthroplasty remains an effective procedure for shoulder pain relief. Despite the negative effect of abnormal glenoid morphology and specifically retroverted and posteriorly subluxated glenoids, there is no consensus for management of B2 glenoids in total shoulder arthroplasty. The purpose of this study was to compare the outcomes and complication rates for B2 glenoid techniques so as to provide a baseline understanding of the current state of treatment of this pathology...
April 17, 2018: JBJS Reviews
https://www.readbyqxmd.com/read/29661111/anatomic-total-shoulder-arthroplasty-with-posterior-capsular-plication-versus-reverse-shoulder-arthroplasty-in-patients-with-biconcave-glenoids-a-matched-cohort-study
#4
Eduard Alentorn-Geli, Nathan R Wanderman, Andrew T Assenmacher, John W Sperling, Robert H Cofield, Joaquín Sánchez-Sotelo
PURPOSE: To compare the outcomes of total shoulder arthroplasty (TSA) with posterior capsule plication (PCP) and reverse shoulder arthroplasty (RSA) in patients with primary osteoarthritis, posterior subluxation, and bone loss (Walch B2). PATIENTS AND METHODS: All shoulders undergoing anatomic TSA with PCP were retrospectively identified (group 1, G1) and compared to shoulders undergoing RSA (group 2, G2) for Walch B2 osteoarthritis. There were 15 patients in G1 (mean (SD) age and follow-up of 70...
May 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29658980/relative-complications-and-trends-of-outpatient-total-shoulder-arthroplasty
#5
Armin Arshi, Natalie L Leong, Christopher Wang, Zorica Buser, Jeffrey C Wang, Peter S Vezeridis, David R McAllister, Frank A Petrigliano
Outpatient arthroplasty is an appealing option among select patient populations as a mechanism for reducing health care expenditure. The purpose of this study was to determine the nationwide trends and complication profile of outpatient total shoulder arthroplasty (TSA). The authors reviewed a national administrative claims database to identify patients undergoing TSA as outpatients and inpatients from 2007 to 2016. The incidence of perioperative surgical and medical complications was determined by querying for relevant International Classification of Diseases, Ninth Revision, and Current Procedural Terminology codes...
April 16, 2018: Orthopedics
https://www.readbyqxmd.com/read/29657846/reverse-total-shoulder-arthroplasty
#6
Filippo Familiari, Jorge Rojas, Mahmut Nedim Doral, Gazi Huri, Edward G McFarland
Since the introduction of reverse total shoulder arthroplasty (RTSA) in 1987 (in Europe) and 2004 (in the United States), the number of RTSAs performed annually has increased.Although the main indication for RTSA has been rotator cuff tears, indications have expanded to include several shoulder conditions, many of which involve dysfunction of the rotator cuff.RTSA complications have been reported to affect 19% to 68% of patients and include acromial fracture, haematoma, infection, instability, mechanical baseplate failure, neurological injury, periprosthetic fracture and scapular notching...
February 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/29643907/fixation-of-unstable-distal-radius-fractures-by-using-expandable-intramedullary-nailing-system-in-adult-patients
#7
Murat Calbiyik
Objective: To present our experience on intramedullary nailing device Sonoma Wrx (Sonoma Orthopedic Products Inc., Santa Rosa, CA, USA) used for internal fixation of extra-articular or simple intra-articular distal radius fractures in adult population. Methods: This study was conducted from February 2011 to October 2016. A total of 48 patients (mean age 47.3±5.6 years, 35.4% females) with distal radius fracture, who underwent intramedullary distal radius fixation by using Sonoma Wrx were included in this retrospective study...
January 2018: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29628689/going-forward-with-reverse-shoulder-arthroplasty
#8
REVIEW
Keshav Singhal, Rammohan R
Rotator cuff is a vital structure of glenohumeral joint, the dysfunction of which leads to debilitating pain and restricted movement. Arthroplasty using unconstrained anatomical prosthesis for treating these conditions have not been successful in the past. Reverse Shoulder Arthroplasty (RSA) is a novel technique specifically designed to address end stage glenohumeral arthritis in rotator cuff deficient joint. Short and mid-term studies have demonstrated a significant improvement in pain and range of motion of the shoulder joint...
January 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29625813/sidus-stem-free-shoulder-system-for-primary-osteoarthritis-short-term-results-of-a-multicenter-study
#9
Anna Krukenberg, Julie McBirnie, Stefan Bartsch, Nikolaus Böhler, Ernst Wiedemann, Bernhard Jost, Pierre Mansat, Pierre Bellon-Champel, Renzo Angeloni, Markus Scheibel
BACKGROUND: The aim of this prospective multicenter study was to evaluate clinical and radiologic results of a new metaphyseal anchored system. This system features a different anchor geometry that potentially leads to better bony integration and less loosening. METHODS: From November 2012 until December 2015, 148 patients (151 shoulders) were treated with the Sidus Stem-Free Shoulder System at 9 centers in Europe. The main indication was primary osteoarthritis (80...
April 3, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29622249/editorial-commentary-put-down-your-saw-and-pick-up-your-scope-or-why-burn-down-the-bridge-when-the-road-ahead-is-full-of-potholes-reverse-total-shoulder-replacement-versus-arthroscopic-rotator-cuff-repair
#10
EDITORIAL
Joseph C Tauro
Are we doing too many reverse total shoulder replacements and not fixing enough repairable rotator cuff tears? A convincing argument can be made for attempting to repair most, not all, very large rotator cuff tears in patients who do not have a significant arthritic change in the shoulder. My experience over more than 25 years of arthroscopic rotator cuff repair (ARCR) is that the only good way to know if it is repairable is to try. But some patients really do not pass my "eyeball test" as to whether they can rehabilitate and heal enough to make an ARCR reasonable...
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29611851/managing-glenoid-bone-deficiency-the-augment-experience-in-anatomic-and-reverse-shoulder-arthroplasty
#11
Rowan J Michael, Bradley S Schoch, Joseph J King, Thomas W Wright
Glenoid bone deficiency in the setting of shoulder replacement surgery is far more common than originally reported. The frequency and severity of the glenoid defects are noted to be more common and severe with the advent of computer-assisted surgery. The results of an anatomic total shoulder arthroplasty (aTSA) with glenoid deficiency have been reported to be inferior to aTSA patients without a glenoid deficiency. Options for treating the glenoid deficiency include eccentric reaming, bone grafting, and the use of augmented glenoid components...
March 2018: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29608485/new-rhizotomy-procedure-for-primary-spasmodic-torticollis
#12
Chunhui Hua, Benfang Pu, Kaizhang Liu, Zhenyu Huang, Changhua Li, Changyi Zhao, Xinyuan Li
OBJECTIVE: Spasmodic torticollis (ST) is an idiopathic neurologic disorder affecting the muscles of the neck. Surgery is a preferred treatment, when conservative treatments or Botulinum neurotoxin injections fail to relieve the symptoms. Our objective here is to report the outcome of a new surgical method for treating ST patients in our department. METHODS: The new procedure consists of rhizotomy of the spinal accessory nerve (SAN) and C1-C2 nerve roots, coagulation of the distal end of SAN (Group A)...
March 30, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29589504/long-term-results-of-the-lateral-resurfacing-elbow-arthroplasty
#13
C E L Watkins, D W Elson, J W K Harrison, J Pooley
Aim The aim of this study was to report the long-term outcome and implant survival of the lateral resurfacing elbow (LRE) arthroplasty in the treatment of elbow arthritis. Patients and Methods We reviewed a consecutive series of 27 patients (30 elbows) who underwent LRE arthroplasty between December 2005 and January 2008. There were 15 women and 12 men, with a mean age of 61 years (25 to 82). The diagnosis was primary hypotrophic osteoarthritis (OA) in 12 patients (14 elbows), post-traumatic osteoarthritis (PTOA) in five (five elbows) and rheumatoid arthritis (RA) in ten patients (11 elbows)...
March 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29589495/reverse-shoulder-arthroplasty-for-type-1-sequelae-of-a-fracture-of-the-proximal-humerus
#14
MULTICENTER STUDY
P Raiss, G Alami, T Bruckner, P Magosch, P Habermeyer, P Boileau, G Walch
Aims The aim of this study was to analyze the results of reverse shoulder arthroplasty (RSA) in patients with type 1 sequelae of a fracture of the proximal humerus in association with rotator cuff deficiency or severe stiffness of the shoulder. Patients and Methods A total of 38 patients were included: 28 women and ten men. Their mean age at the time of arthroplasty was 73 years (54 to 91). Before the RSA, 18 patients had been treated with open reduction and internal fixation following a fracture. A total of 22 patients had a rotator cuff tear and 11 had severe stiffness of the shoulder with < 0° of external rotation...
March 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29587540/risk-of-recurrent-shoulder-dystocia-are-we-any-closer-to-prediction
#15
Shadha Al-Hawash, Clare L Whitehead, Dan Farine
OBJECTIVE: To determine the incidence and risk factors for recurrent shoulder dystocia in women. METHODS: We searched Medline, Pubmed, Embase, and CINAHL for relevant articles in English and French from 1980 to February 2018 that described risks of recurrent shoulder dystocia undergoing a trial of labour in subsequent pregnancies. A total of 684 articles were found, of which 13 were included as they met criteria. We extracted data on study characteristics, incidence of recurrent shoulder dystocia, degree of neonatal injury, and presence of known risk factors...
March 27, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29578203/coronary-angiography-using-the-left-distal-radial-approach-an-alternative-site-to-conventional-radial-coronary-angiography
#16
Elton Soydan, Mustafa Akın
OBJECTIVE: To share our experience with the left distal radial approach for transradial coronary angiography and interventions. By performing the radial puncture in the fossa radialis or the so called anatomical "Snuffbox" we aimed to present the feasibility and complications of this new technique. METHODS: Left distal radial artery was used as an access site in 54 patients admitted to our clinic for coronary angiography and intervention between May 25th and October 20th 2017...
March 21, 2018: Anatolian Journal of Cardiology
https://www.readbyqxmd.com/read/29570453/anencephaly-and-obstetric-outcome-beyond-the-age-of-viability
#17
Sawsan Al-Obaidly, Jis Thomas, Mahmoud Abu Jubara, Abdullah Al Ibrahim, Mariam Al-Belushi, Najah Saleh, Zeena Al-Mansouri, Najat Khenyab
OBJECTIVE: To review the obstetric impact and natural history of anencephalic pregnancies beyond the age of viability. STUDY DESIGN: A retrospective chart review of all cases with a prenatal diagnosis of anencephaly who delivered after 24 weeks' gestation during the period 1990 until 2016. Obstetric outcomes including mode of delivery, live births, shoulder dystocia, antepartum haemorrhage (APH), postpartum haemorrhage (PPH) and uterine rupture were studied. RESULTS: A total of 42 cases were studied...
March 23, 2018: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/29558168/open-versus-arthroscopic-latarjet-procedure-for-anterior-shoulder-instability-a-systematic-review-and-meta-analysis
#18
Eoghan T Hurley, Daren Lim Fat, Shane K Farrington, Hannan Mullett
BACKGROUND: Anterior shoulder instability with significant glenoid bone loss is a challenging condition. The open Latarjet procedure is the established standard treatment method in this setting, but there is an increasing use of the arthroscopic technique. PURPOSE: To systematically review the current evidence in the literature to ascertain if the open or arthroscopic Latarjet procedure resulted in improved patient outcomes. STUDY DESIGN: Systematic review and meta-analysis...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29552690/outcomes-of-shoulder-arthroplasty-in-diabetic-patients-as-assessed-by-peri-operative-a1c
#19
Joseph M Statz, Eric R Wagner, John W Sperling, Robert H Cofield
PURPOSE: Although diabetes mellitus (DM) has an adverse effect on complication rates in orthopaedic surgery, neither the effect of DM nor the association between haemoglobin A1C (HbA1C) and outcomes after shoulder arthroplasty (SA) has been studied. METHODS: A retrospective review of 406 SAs (70 HAs, 188 total shoulder arthroplasties [TSAs], 148 reverse total shoulder arthroplasties [RSAs]) with HbA1Cs within 90 days of surgery was conducted. The average age was 70 years (range 27-97) and 55% were female...
March 18, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29548544/effects-of-cemented-versus-press-fit-primary-humeral-stem-fixation-in-the-setting-of-revision-shoulder-arthroplasty
#20
Madeleine A Salesky, Trevor R Grace, Brian T Feeley, C Benjamin Ma, Alan L Zhang
BACKGROUND: The influence of primary humeral stem fixation method (cemented or press fit) on intraoperative or postoperative outcomes in the setting of revision shoulder arthroplasty is unknown. METHODS: A retrospective analysis of a prospectively collected cohort of revision shoulder arthroplasty patients from a single tertiary center was performed. Demographic variables, intraoperative data, and 90-day complication rates were compared between cemented and press-fit primary stem fixation cohorts...
March 13, 2018: Journal of Shoulder and Elbow Surgery
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