Seminars in Arthroplasty: JSES最新文献

{"title":"Risk Factors for Rotator Cuff Tears and Aseptic Glenoid Loosening After Anatomic Total Shoulder Arthroplasty","authors":"Stephen A. Parada, Chris Peach, Wen Fan, J. Elwell, P. Flurin, T. Wright, Joseph D. Zuckerman, C. Roche","doi":"10.1053/j.sart.2024.01.002","DOIUrl":"https://doi.org/10.1053/j.sart.2024.01.002","url":null,"abstract":"Introduction : The purpose of this study is to retrospectively analyze all primary anatomic total shoulder arthroplasty (aTSA) patients within a multi-center international database of a single prosthesis to identify patients with rotator cuff tear (RCT) and aseptic glenoid loosening to determine the rates of these complications. Additionally, we sought to compare each of these complication cohorts to a cohort without these complications in order to identify risk factors for each complication type. Methods : aTSA patients were prospectively enrolled in a multi-center international database of a single platform shoulder system (Equinoxe; Exactech Inc, Gainesville, FL). Data was collected at 37 different clinical sites in the US and Europe using standardized forms according to an IRB approved protocol. Every patient was consented and all data was collected at each site and directly uploaded to a secure centralized IBM database. These standardized forms collected demographic data, diagnoses, comorbidities, implant size/type, pre-operative range of motion, pre-operative radiographic findings, and pre-operative clinical outcome metric scores. To investigate the risk factors for RCT and also the risk factors for aseptic glenoid loosening, we retrospectively analyzed all data from aTSA patients in this database, only excluding patients with a history of revision arthroplasty and humeral fractures. Univariate statistical analyses were conducted to compare primary aTSA patients who had report of: 1) a RCT and/or subscapularis failure and 2) aseptic glenoid loosening to a","PeriodicalId":137774,"journal":{"name":"Seminars in Arthroplasty: JSES","volume":"90 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139885011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing ChatGPT Responses to Frequently Asked Questions Regarding Total Shoulder Arthroplasty","authors":"Jeremy M. Adelstein, M. Sinkler, Lambert T. Li, Raymond E. Chen, Robert J. Gillespie, Jacob G. Calcei","doi":"10.1053/j.sart.2024.01.003","DOIUrl":"https://doi.org/10.1053/j.sart.2024.01.003","url":null,"abstract":"","PeriodicalId":137774,"journal":{"name":"Seminars in Arthroplasty: JSES","volume":"8 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139889182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should tuberosities be reattached in patients over 80 years old treated with Reverse Shoulder Arthroplasty after proximal humeral fractures?","authors":"Pablo Luque-Amo, Jose Carlos Miñarro, Miguel Sanchez-Bosque, Alberto Izquierdo, Fernando Santana, Carlos Torrens","doi":"10.1053/j.sart.2023.08.016","DOIUrl":"https://doi.org/10.1053/j.sart.2023.08.016","url":null,"abstract":"Healing rate of tuberosity reattachment seems to be impaired as age increases in patients treated with hemiarthroplasty (HA) in proximal humeral fractures (PHF). Reverse Shoulder Arthroplasty (RSA) has shown better tuberosity healing rate when compared to hemiarthroplasty, but little information is known on how ageing affects tuberosity healing rate. The aim of this study was to evaluate the clinical and radiological outcomes of reverse shoulder arthroplasty after proximal humeral fracture in patients over 80 years old when compared with patients under this age. We performed a retrospective study including 75 consecutive patients treated with a RSA because of a PHF. Patients were divided in two groups according to their age: 50 patients under 80 years and 25 equal or over 80. Constant Score was recorded at 2 years follow-up. Healing rate of greater tuberosity was assessed in AP X-Ray exam. Influence of age, gender, glenosphere size, ASA and scapular notching in tuberosity healing were also analyzed. No significant differences were noted in tuberosity healing between groups, obtaining a 78% healing rate in patients under eighty and 72% in patients over eighty (p=0.07). Clinically relevant differences were noted in mean final Constant Score in patients under the age of 80 (63.55) compared to patients over 80 (57.23) (p=0.02). Functional outcomes of patients over 80, measured according to the Constant Murley Score, were slightly better when tuberosity healed without reaching significance, with a mean value for external rotation of 5.07 vs 4.8 and internal rotation of 5.23 vs 4.1. Gender, laterality, glenosphere size and ASA score had no effect in tuberosity healing. No differences in complication rate were noted between groups. Tuberosity healing in RSA for PHF is not impaired in patients over 80 years old. Functional results in patients over 80 with healed tuberosities are slightly better than in those without healing. Since there are no differences in complication rate and results are slightly better, tuberosity reattachment is recommended in patients over 80 years old treated with a RSA after PHF.","PeriodicalId":137774,"journal":{"name":"Seminars in Arthroplasty: JSES","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136094534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Incidence of Humeral Bone Resorption in Uncemented Reverse Shoulder Arthroplasty and the Impact on Functional Outcomes","authors":"A. Esfandiari, Z. Hamoodi, A. Newton, M. Nixon, M. Webb, P. Kenyon","doi":"10.1053/j.sart.2022.04.009","DOIUrl":"https://doi.org/10.1053/j.sart.2022.04.009","url":null,"abstract":"","PeriodicalId":137774,"journal":{"name":"Seminars in Arthroplasty: JSES","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"119232385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arthroplasty Costs Excluding Implants: Anatomic Total Shoulder vs Reverse Shoulder Arthroplasty","authors":"Christopher J. Fang, J. Kirsch, Paul-Anthony J. Hart, Daniel Swanson, Jonathan M. Shaker, Eric L. Smith, Jonathan C. Levy, A. Jawa","doi":"10.1053/j.sart.2022.04.008","DOIUrl":"https://doi.org/10.1053/j.sart.2022.04.008","url":null,"abstract":"","PeriodicalId":137774,"journal":{"name":"Seminars in Arthroplasty: JSES","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117867073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative Opioid Use is Associated with a More Painful Postoperative Course after Reverse Total Shoulder Arthroplasty","authors":"Daniel Smigielski, Chad Campion, David L. Bernholt, Richard A. Smith, Tyler J. Brolin, F. Azar, T. Throckmorton","doi":"10.1053/j.sart.2022.02.008","DOIUrl":"https://doi.org/10.1053/j.sart.2022.02.008","url":null,"abstract":"","PeriodicalId":137774,"journal":{"name":"Seminars in Arthroplasty: JSES","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120336373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Retrospective Analysis of Complex Proximal humerus Fractures Managed with Reverse shoulder arthroplasty in a Level 1 Trauma Center","authors":"Prithvi Mohandas, Rajsirish Bellal Sridharan, S. Rajagopalan","doi":"10.1053/j.sart.2021.12.003","DOIUrl":"https://doi.org/10.1053/j.sart.2021.12.003","url":null,"abstract":"","PeriodicalId":137774,"journal":{"name":"Seminars in Arthroplasty: JSES","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"119728526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative differences in glenoid deformity, patient determined outcomes, and range of motion according to disease type in shoulders undergoing total shoulder arthroplasty.","authors":"K. Baumgarten, Logan Radtke","doi":"10.1053/j.sart.2021.11.004","DOIUrl":"https://doi.org/10.1053/j.sart.2021.11.004","url":null,"abstract":"","PeriodicalId":137774,"journal":{"name":"Seminars in Arthroplasty: JSES","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"119725347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative Work in Shoulder Arthroplasty is Undervalued by RUC Methodology: Quantifying Shoulder Arthroplasty Workload in a Single Surgeon’s Practice","authors":"Austin G. Hughes, Kyle D. Paul, W. Russell Smith, J. Elphingstone, E. Brabston, Amit M. Momaya, B. Ponce","doi":"10.1053/j.sart.2021.10.001","DOIUrl":"https://doi.org/10.1053/j.sart.2021.10.001","url":null,"abstract":"","PeriodicalId":137774,"journal":{"name":"Seminars in Arthroplasty: JSES","volume":"2013 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120514301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting Length of Stay After Shoulder Arthroplasty","authors":"Allen D. Nicholson, Joseph B. Kahan, Don T. Li, R. Esparza, Jacob E. Berman, Jay Moran, Ana Mata-Fink, T. Blaine, D. Kovacevic","doi":"10.1053/j.sart.2021.08.004","DOIUrl":"https://doi.org/10.1053/j.sart.2021.08.004","url":null,"abstract":"","PeriodicalId":137774,"journal":{"name":"Seminars in Arthroplasty: JSES","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"119659411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}