Clinics in Shoulder and Elbow最新文献

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Effect of cigarette smoking on the maintenance of reduction after treatment of acute acromioclavicular joint dislocation with hook plate fixation. 吸烟对钩钢板治疗急性肩锁关节脱位后复位维持的影响。
Clinics in Shoulder and Elbow Pub Date : 2023-12-01 Epub Date: 2023-11-03 DOI: 10.5397/cise.2023.00738
Jee-Hoon Choi, Yong-Min Chun, Tae-Hwan Yoon
{"title":"Effect of cigarette smoking on the maintenance of reduction after treatment of acute acromioclavicular joint dislocation with hook plate fixation.","authors":"Jee-Hoon Choi, Yong-Min Chun, Tae-Hwan Yoon","doi":"10.5397/cise.2023.00738","DOIUrl":"10.5397/cise.2023.00738","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to determine the association between smoking and clinical outcomes of hook plate fixation for acute acromioclavicular (AC) joint injuries.</p><p><strong>Methods: </strong>This study retrospectively investigated 82 patients who underwent hook plate fixation for acute AC joint dislocation between March 2014 to June 2022. The patients were grouped by smoking status, with 49 in group N (nonsmokers) and 33 in group S (smokers). Functional scores and active range of motion were compared among the groups at the 1-year follow-up. Coracoclavicular distance (CCD) was measured, and difference with the uninjured side was compared at initial injury and 6 months after implant removal.</p><p><strong>Results: </strong>No significant differences were observed between the two groups in demographic factors such as age and sex, as well as parameters related to initial injury status, which included time from injury to surgery, the preoperative CCD difference value, and the Rockwood classification. However, the postoperative CCD difference was significantly higher in group S (3.1±2.6 mm) compared to group N (1.7±2.4 mm). Multivariate regression analysis indicated that smoking and the preoperative CCD difference independently contributed to an increase in the postoperative CCD difference. Despite the radiographic differences, the postoperative clinical outcome scores and active range of motion measurements were comparable between the groups.</p><p><strong>Conclusions: </strong>Smoking had a detrimental impact on ligament healing after hook plate fixation for acute AC joint dislocations. This finding emphasizes the importance of smoking cessation to optimize reduction maintenance after AC joint injury. Level of evidence: III.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10698126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92156868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiologic and clinical outcomes of an arthroscopic bridging graft for irreparable rotator cuff tears with a modified MasonAllen stitch using a plantaris tendon autograft: a case series with minimum 2-year outcomes. 关节镜下改良MasonAllen针与自体跖腱移植桥接治疗不可修复的肩袖撕裂的放射学和临床结果:至少2年预后的病例系列
Clinics in Shoulder and Elbow Pub Date : 2023-12-01 Epub Date: 2023-07-18 DOI: 10.5397/cise.2022.01445
Hyun-Gyu Seok, Sam-Guk Park
{"title":"Radiologic and clinical outcomes of an arthroscopic bridging graft for irreparable rotator cuff tears with a modified MasonAllen stitch using a plantaris tendon autograft: a case series with minimum 2-year outcomes.","authors":"Hyun-Gyu Seok, Sam-Guk Park","doi":"10.5397/cise.2022.01445","DOIUrl":"10.5397/cise.2022.01445","url":null,"abstract":"<p><strong>Background: </strong>Surgical management of a massive rotator cuff tear (RCT) is always challenging. This study describes the clinical and radiological outcomes of patients who underwent bridging grafts using a plantaris tendon for an irreparable RCT.</p><p><strong>Methods: </strong>Thirteen patients with a massive RCT were treated with arthroscopic interposition of a folded plantaris tendon autograft between June 2017 and January 2020. For clinical evaluation, a visual analog scale (VAS), American Shoulder and Elbow Surgeons (ASES) score, Disabilities of the Arm, Shoulder, and Hand (DASH) score, Constant-Murley score, and range of motion values were collected. For radiographic evaluation, standardized magnetic resonance imaging and ultrasonography were performed to check the integrity of the interposed tendon.</p><p><strong>Results: </strong>A statistically significant improvement at the final follow-up was evident in scores for the VAS (-3.0, P=0.003), ASES (24.9, P=0.002), D ASH (-20.6, P=0.001), and Constant-Murley values (14.2, P=0.010). In addition, significant improvement was shown in postoperative flexion (17.3°, P=0.026) and external rotation (27.7°, P<0.001). In postoperative radiologic evaluations, the interposed tendons were intact at the last examination in 12 of the 13 patients. No complications related to donor sites were reported.</p><p><strong>Conclusions: </strong>An arthroscopic bridging graft for irreparable RCTs using a modified Mason-Allen stitch and a plantaris autograft resulted in improved short-term radiological and clinical outcomes. Graft integrity was maintained for up to 2 years in most patients. Level of evidence: IV.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10698135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9964289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Arthroscopic Latarjet procedure: current concepts and surgical techniques. 关节镜下Latarjet手术:当前的概念和手术技术。
Clinics in Shoulder and Elbow Pub Date : 2023-12-01 Epub Date: 2023-06-15 DOI: 10.5397/cise.2022.01396
Sang-Jin Shin, Jae Hyung Kim, Jonghyun Ahn
{"title":"Arthroscopic Latarjet procedure: current concepts and surgical techniques.","authors":"Sang-Jin Shin, Jae Hyung Kim, Jonghyun Ahn","doi":"10.5397/cise.2022.01396","DOIUrl":"10.5397/cise.2022.01396","url":null,"abstract":"<p><p>The Latarjet procedure is a surgical procedure that can effectively restore glenohumeral stability, especially in patients with anterior shoulder instability and glenoid bone loss. Many studies have shown comparable clinical outcomes between patients undergoing the arthroscopic Latarjet procedure and those undergoing traditional open methods or other glenohumeral joint stabilization procedures. However, the arthroscopic Latarjet procedure is a challenging technique due to the unfamiliar portal placements, proximity of neurovascular structures, and serious postoperative complications. The arthroscopic Latarjet procedure has not yet been widely applied, and a clear understanding of the anatomical structure and the precise methods is required prior to operation performance. Satisfactory clinical outcomes can be achieved by thorough preoperative planning and proper implant fixation methods.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10698136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10134905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Superior capsular reconstruction for irreparable rotator cuff tear: a review of current methods. 上囊重建术治疗不可修复的肩袖撕裂:当前方法综述。
Clinics in Shoulder and Elbow Pub Date : 2023-12-01 Epub Date: 2023-11-23 DOI: 10.5397/cise.2023.00514
Seok Won Chung, Dong-Hyun Kim, Hyun Joo Lee, Won Ki Hong, Seung Ho Chung, Jong Pil Yoon
{"title":"Superior capsular reconstruction for irreparable rotator cuff tear: a review of current methods.","authors":"Seok Won Chung, Dong-Hyun Kim, Hyun Joo Lee, Won Ki Hong, Seung Ho Chung, Jong Pil Yoon","doi":"10.5397/cise.2023.00514","DOIUrl":"10.5397/cise.2023.00514","url":null,"abstract":"<p><p>Irreparable massive rotator cuff tears can significantly impact daily life; and these types of tears can be difficult to repair completely, especially in younger patients who are more active and have higher functional requirements. Since its introduction by Mihata and the colleagues, superior capsular reconstruction (SCR) has gained popularity in the treatment of irreparable massive rotator cuff tears and has shown promising short-term results. A variety of studies have focused on the clinical and biomechanical outcomes of this procedure. This article reviews the biomechanics, indications for the surgical procedure, graft options, surgical technique, and rehabilitation from SCR.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10698131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clavicle midshaft fractures should not be considered an easy surgery: reduction and prebending. 锁骨中轴骨折不应被视为简单的手术:还原和预弯。
Clinics in Shoulder and Elbow Pub Date : 2023-12-01 DOI: 10.5397/cise.2023.00976
Young-Hoon Jo, Bong Gun Lee
{"title":"Clavicle midshaft fractures should not be considered an easy surgery: reduction and prebending.","authors":"Young-Hoon Jo, Bong Gun Lee","doi":"10.5397/cise.2023.00976","DOIUrl":"10.5397/cise.2023.00976","url":null,"abstract":"","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10698129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of custom glenoid components for reverse total shoulder arthroplasty. 定制肩关节假体在反向全肩关节置换术中的应用。
Clinics in Shoulder and Elbow Pub Date : 2023-12-01 Epub Date: 2023-11-14 DOI: 10.5397/cise.2023.00563
Punyawat Apiwatanakul, Prashant Meshram, Andrew B Harris, Joel Bervell, Piotr Łukasiewicz, Ridge Maxson, Matthew J Best, Edward G McFarland
{"title":"Use of custom glenoid components for reverse total shoulder arthroplasty.","authors":"Punyawat Apiwatanakul, Prashant Meshram, Andrew B Harris, Joel Bervell, Piotr Łukasiewicz, Ridge Maxson, Matthew J Best, Edward G McFarland","doi":"10.5397/cise.2023.00563","DOIUrl":"10.5397/cise.2023.00563","url":null,"abstract":"<p><strong>Background: </strong>Our purpose was to evaluate a custom reverse total shoulder arthroplasty glenoid baseplate for severe glenoid deficiency, emphasizing the challenges with this approach, including short-term clinical and radiographic outcomes and complications.</p><p><strong>Methods: </strong>This was a single-institution, retrospective series of 29 patients between January 2017 and December 2022 for whom a custom glenoid component was created for extensive glenoid bone loss. Patients were evaluated preoperatively and at intervals for up to 5 years. All received preoperative physical examinations, plain radiographs, and computed tomography (CT). Intra- and postoperative complications are reported.</p><p><strong>Results: </strong>Of 29 patients, delays resulted in only undergoing surgery, and in three of those, the implant did not match the glenoid. For those three, the time from CT scan to implantation averaged 7.6 months (range, 6.1-10.7 months), compared with 5.5 months (range, 2-8.6 months) for those whose implants fit. In patients with at least 2-year follow-up (n=9), no failures occurred. Significant improvements were observed in all patient-reported outcome measures in those nine patients (American Shoulder and Elbow Score, P<0.01; Simple Shoulder Test, P=0.02; Single Assessment Numeric Evaluation, P<0.01; Western Ontario Osteoarthritis of the Shoulder Index, P<0.01). Range of motion improved for forward flexion and abduction (P=0.03 for both) and internal rotation up the back (P=0.02). Pain and satisfaction also improved (P<0.01 for both).</p><p><strong>Conclusions: </strong>Prolonged time (>6 months) from CT scan to device implantation resulted in bone loss that rendered the implants unusable. Satisfactory short-term radiographic and clinical follow-up can be achieved with a well-fitting device. Level of evidence: III.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10698128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92156892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Online resources for information on shoulder arthroplasty: an assessment of quality and readability. 关于肩关节置换术信息的在线资源:质量和可读性评估。
Clinics in Shoulder and Elbow Pub Date : 2023-09-01 DOI: 10.5397/cise.2023.00290
Mohamad Y Fares, Jaspal Singh, Amar S Vadhera, Jonathan Koa, Peter Boufadel, Joseph A Abboud
{"title":"Online resources for information on shoulder arthroplasty: an assessment of quality and readability.","authors":"Mohamad Y Fares,&nbsp;Jaspal Singh,&nbsp;Amar S Vadhera,&nbsp;Jonathan Koa,&nbsp;Peter Boufadel,&nbsp;Joseph A Abboud","doi":"10.5397/cise.2023.00290","DOIUrl":"https://doi.org/10.5397/cise.2023.00290","url":null,"abstract":"<p><strong>Background: </strong>Many patients use online resources to educate themselves on surgical procedures and make well-informed healthcare decisions. The aim of our study was to evaluate the quality and readability of online resources exploring shoulder arthroplasty.</p><p><strong>Methods: </strong>An internet search pertaining to shoulder arthroplasty (partial, anatomic, and reverse) was conducted using the three most popular online search engines. The top 25 results generated from each term in each search engine were included. Webpages were excluded if they were duplicates, advertised by search engines, subpages of other pages, required payments or subscription, or were irrelevant to our scope. Webpages were classified into different source categories. Quality of information was assessed by HONcode certification, Journal of the American Medical Association (JAMA) criteria, and DISCERN benchmark criteria. Webpage readability was assessed using the Flesch reading ease score (FRES).</p><p><strong>Results: </strong>Our final dataset included 125 web pages. Academic sources were the most common with 45 web pages (36.0%) followed by physician/private practice with 39 web pages (31.2%). The mean JAMA and DISCERN scores for all web pages were 1.96±1.31 and 51.4±10.7, respectively. The total mean FRES score was 44.0±11.0. Only nine web pages (7.2%) were HONcode certified. Websites specified for healthcare professionals had the highest JAMA and DISCERN scores with means of 2.92±0.90 and 57.96±8.91, respectively (P<0.001). HONcode-certified webpages had higher quality and readability scores than other web pages.</p><p><strong>Conclusions: </strong>Web-based patient resources for shoulder arthroplasty information did not show high-quality scores and easy readability. When presenting medical information, sources should maintain a balance between readability and quality and should seek HONcode certification as it helps establish the reliability and accessibility of the presented information. Level of evidence: IV.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/71/63/cise-2023-00290.PMC10497924.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10239868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rotator cuff degeneration and healing after rotator cuff repair. 肩袖退化和修复后的愈合。
Clinics in Shoulder and Elbow Pub Date : 2023-09-01 DOI: 10.5397/cise.2023.00430
Stefano Gumina, Hyungsuk Kim, Younsung Jung, Hyun Seok Song
{"title":"Rotator cuff degeneration and healing after rotator cuff repair.","authors":"Stefano Gumina,&nbsp;Hyungsuk Kim,&nbsp;Younsung Jung,&nbsp;Hyun Seok Song","doi":"10.5397/cise.2023.00430","DOIUrl":"https://doi.org/10.5397/cise.2023.00430","url":null,"abstract":"<p><p>Rotator cuff tear is a common shoulder injury that compromises both function and quality of life. Despite the prevalence of the injury and advancements in repair techniques, a significant percentage of these repairs fail. This review aims to explore the multifactorial reasons behind this failure, including the degenerative nature of the rotator cuff tendon, inherent and extrinsic factors, and the role of hypoxia in tissue degeneration. Additionally, it elucidates potential strategies for improving healing outcomes.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/2e/cise-2023-00430.PMC10497920.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10241784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does physiotherapy after rotator cuff repair require supervision by a physical therapist?: a meta-analysis. 肩袖修复后的物理治疗是否需要物理治疗师的监督?荟萃分析。
Clinics in Shoulder and Elbow Pub Date : 2023-09-01 DOI: 10.5397/cise.2022.01410
Masaki Karasuyama, Masafumi Gotoh, Takuya Oike, Kenichi Nishie, Manaka Shibuya, Hidehiro Nakamura, Hiroki Ohzono, Junichi Kawakami
{"title":"Does physiotherapy after rotator cuff repair require supervision by a physical therapist?: a meta-analysis.","authors":"Masaki Karasuyama,&nbsp;Masafumi Gotoh,&nbsp;Takuya Oike,&nbsp;Kenichi Nishie,&nbsp;Manaka Shibuya,&nbsp;Hidehiro Nakamura,&nbsp;Hiroki Ohzono,&nbsp;Junichi Kawakami","doi":"10.5397/cise.2022.01410","DOIUrl":"https://doi.org/10.5397/cise.2022.01410","url":null,"abstract":"<p><strong>Background: </strong>A supervised physiotherapy program (SPP) is a standard regimen after surgical rotator cuff repair (RCR); however, the effect of a home-based exercise program (HEP), as an alternative, on postoperative functional recovery remains unclear. Therefore, the purpose of this meta-analysis was to compare the functional effects of SPP and HEP after RCR.</p><p><strong>Methods: </strong>We searched electronic databases including Central, Medline, and Embase in April 2022. The primary outcomes included the Constant score, American Shoulder and Elbow Surgeons score, University of California Los Angeles shoulder score, and pain score. Secondary outcomes included range of motion, muscle strength, retear rate, and patient satisfaction rate. A meta-analysis using random-effects models was performed on the pooled results to determine the significance.</p><p><strong>Results: </strong>The initial database search yielded 848 records, five of which met our criteria. Variables at 3 months after surgery were successfully analyzed, including the Constant score (mean difference, -8.51 points; 95% confidence interval [CI], -32.72 to 15.69; P=0.49) and pain score (mean difference, 0.02 cm; 95% CI, -2.29 to 2.33; P=0.99). There were no significant differences between the SPP and HEP. Other variables were not analyzed owing to the lack of data.</p><p><strong>Conclusions: </strong>Our data showed no significant differences between SSP and HEP with regard to the Constant and pain scores at 3 months after RCR. These results suggest that HEP may be an alternative regimen after RCR. Level of evidence: I.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ac/99/cise-2022-01410.PMC10497919.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10291477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Silicone radial head prostheses revisited: do they have a role in today's practice? A systematic review of literature on clinical outcomes. 硅树脂桡骨头假体重访:它们在今天的实践中有作用吗?对临床结果的文献进行系统回顾。
Clinics in Shoulder and Elbow Pub Date : 2023-09-01 DOI: 10.5397/cise.2022.00990
Erik M van Bussel, Anneluuk L Lindenhovius, Bertram The, Denise Eygendaal
{"title":"Silicone radial head prostheses revisited: do they have a role in today's practice? A systematic review of literature on clinical outcomes.","authors":"Erik M van Bussel,&nbsp;Anneluuk L Lindenhovius,&nbsp;Bertram The,&nbsp;Denise Eygendaal","doi":"10.5397/cise.2022.00990","DOIUrl":"https://doi.org/10.5397/cise.2022.00990","url":null,"abstract":"<p><strong>Background: </strong>Silicone radial head prostheses (SRHP) are considered obsolete due to reports of frequent failure and destructive silicone-induced synovitis. Considering the good outcomes of modern non-radial silicone joint implants, the extent of scientific evidence for this negative view is unclear. The aim of this research was to systematically analyze the clinical evidence on complications and outcomes of SRHP and how SRHP compare to both non-SRHP and silicone prostheses of other joints.</p><p><strong>Methods: </strong>A systematic literature review was conducted through the Cochrane, PubMed, and Embase databases.</p><p><strong>Results: </strong>Eight cohort studies were included, consisting of 142 patients and follow-up periods ranging from 23 months to 8 years. Average patient satisfaction was 86%, range of 71%-100%, and 58 complications were seen, but no cases of synovitis. These outcomes were in line with non-SRHP. Four case series with 11 cases of synovitis were found, all due to implant fractures years to decades after implantation. Six systematic reviews of currently used non-radial silicone joint implants showed excellent outcomes with low complication rates.</p><p><strong>Conclusions: </strong>Since SRHP have satisfactory clinical results and an acceptable complication rate when selecting a patient group in suitable condition for surgical indications, it is considered that SRHP can still be chosen as a potential surgical treatment method in current clinical practice.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a0/04/cise-2022-00990.PMC10497923.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10233750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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