JSES International最新文献_第6页

Description of a new surgical approach for elbow arthroplasty: Selective Triceps-On Medial Paraolecranon (STOMP) approach

JSES International Pub Date : 2025-01-01 DOI: 10.1016/j.jseint.2024.12.003

Carlos Prada MD , Sirat Khan MBBS, PhD , Thomas Goetz MD , Bashar Alolabi MD, MSc

{"title":"Description of a new surgical approach for elbow arthroplasty: Selective Triceps-On Medial Paraolecranon (STOMP) approach","authors":"Carlos Prada MD , Sirat Khan MBBS, PhD , Thomas Goetz MD , Bashar Alolabi MD, MSc","doi":"10.1016/j.jseint.2024.12.003","DOIUrl":"10.1016/j.jseint.2024.12.003","url":null,"abstract":"<div><h3>Background</h3><div>Surgical approaches for total elbow arthroplasty (TEA) are broadly divided into two groups; “triceps-off” and “triceps-on” approaches. Traditional “triceps-off” approaches provide excellent visualization for TEA; however, they carry a risk of triceps failure and require triceps protecting rehabilitation protocols. Triceps-on approaches have the advantage of preservation of triceps function yet present technical challenges for access to and preparation of the bony surfaces of the proximal ulna and radius. We present here the operative technique, indications, and initial outcomes of a novel Selective Triceps-On Medial Paraolecranon (STOMP) approach for TEA, which allows both preservation of the triceps function and excellent exposure to the proximal ulna with minimal risk to the ulnar nerve.</div></div><div><h3>Methods</h3><div>A two center, retrospective cohort study of all patients undergoing primary TEA, hemiarthroplasty, or revision elbow arthroplasties using the STOMP approach in the practice of the senior authors between 2010 and 2020 were reviewed. Patient data, including admission demographics and diagnoses were collated. Outcome measures were collected from patient charts.</div></div><div><h3>Results</h3><div>A total of 37 elbow arthroplasties in 35 patients were performed with the STOMP approach during the reviewed period, of which 27 patients (77%) were female. Thirty-two arthroplasties were primary cases (86%), and 5 (14%) were revision cases. The main indications leading to elbow arthroplasty was rheumatoid arthritis (n = 18, 49%) followed by primary or secondary elbow osteoarthritis (n = 9, 24%) and distal humeral fracture (n = 7, 19%). There were 7 postoperative complications (19%). Five patients (14%) developed elbow stiffness, one patient a postoperative olecranon fracture (n = 1, 3%) and one patient had an ulnar nerve injury with incomplete resolution but that did not warrant surgical treatment (n = 1, 3%). A reoperation was required in 3 patients (9%).</div></div><div><h3>Conclusion</h3><div>The STOMP approach is a safe approach for elbow arthroplasty surgery. It does not detach the triceps and we believe it offers improved exposure and safety compared to other triceps-on techniques. Furthermore, this approach allows excellent surgical access to the coronoid, olecranon, and ulnar canal with low midterm complications.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 1","pages":"Pages 320-325"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081316","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

Turned stem tension band technique in reverse total shoulder arthroplasty for proximal humeral fracture can achieve high tuberosity healing rates regardless of the vertical sutures

JSES International Pub Date : 2025-01-01 DOI: 10.1016/j.jseint.2024.08.186

Kazumasa Takayama MD, Hiromu Ito MD, PhD

{"title":"Turned stem tension band technique in reverse total shoulder arthroplasty for proximal humeral fracture can achieve high tuberosity healing rates regardless of the vertical sutures","authors":"Kazumasa Takayama MD, Hiromu Ito MD, PhD","doi":"10.1016/j.jseint.2024.08.186","DOIUrl":"10.1016/j.jseint.2024.08.186","url":null,"abstract":"<div><h3>Background</h3><div>The importance of tuberosity healing in reverse total shoulder arthroplasty for proximal humeral fractures (PHFs) has been recognized. The turned stem tension band (TSTB) technique has been applied to tuberosity repair, and high bone healing and low reduction loss rates have been reported. Vertical sutures were added to the original method to reinforce fixation. We hypothesized that vertical sutures would be unnecessary in case the supraspinatus tendon was resected. This study aimed to compare the TSTB technique with or without vertical suturing for PHFs and evaluate the rates of tuberosity healing and reduction loss.</div></div><div><h3>Methods</h3><div>Thirty five patients (vertical suture group: 18 cases and nonvertical suture group: 17 cases) underwent reverse total shoulder arthroplasty for complex PHFs using the TSTB technique. We evaluated the postoperative range of motion, the American Shoulder and Elbow Surgeons score, tuberosity healing rates, and reduction loss.</div></div><div><h3>Results</h3><div>The vertical and nonvertical suture groups showed no significant difference in flexion (119 ± 33° vs. 124 ± 23°, <em>P</em> = .95), abduction (116 ± 35° vs. 115 ± 27°, <em>P</em> = .78), external rotation (27 ± 12° vs. 21 ± 8°, <em>P</em> = .16), internal rotation (6 ± 4° lumbar 3 level vs. 6 ± 4°, lumbar 3 level <em>P</em> = .87), the American Shoulder and Elbow Surgeons (77.3 ± 10.7 vs. 81.6 ± 6.3, <em>P</em> = .59), Numerical Rating Scale scores (1.2 ± 0.9 vs. 0.8 ± 0.9, <em>P</em> = .13), and tuberosity reduction loss (<em>P</em> = .34). The tuberosity healing rate in both groups was 100%.</div></div><div><h3>Conclusion</h3><div>The TSTB technique for PHFs provided high tuberosity healing and low reduction loss rates regardless of vertical sutures.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 1","pages":"Pages 155-162"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081321","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

Evaluation Of A Novel Curved Intramedullary Button Versus Traditional Flat Button For Proximal Biceps Tenodesis: A Biomechanical Study 新型弧形髓内扣与传统扁平扣在肱二头肌近端腱膜切除术中的对比评估：生物力学研究

JSES International Pub Date : 2024-10-21 DOI: 10.1016/j.jseint.2024.08.036

Igor Shirinskiy , Arno Macken , Pieter Caekebeke , Derek Van Deurzen , Gabriëlle Tuijthof , Tjarco Alta , Ronald Bleys , Rob Janssen , Michel Van Den Bekerom

引用次数: 0

Patients With SMILE Condition Show Augmented Annular Drive Through And Loose Collar SMILE 症状患者的瓣环穿透力增强，瓣环松动

JSES International Pub Date : 2024-10-21 DOI: 10.1016/j.jseint.2024.08.007

Paolo Angelo Arrigoni , Valeria Vismara , Simone Cassin , Romeo Ribolzi , Carlo Zaolino , Francesco Luceri , Pietro Simone Randelli

引用次数: 0

Core Outcome Domains For Elbow Replacement (CODER) Study 肘关节置换术核心结果领域（CODER）研究

JSES International Pub Date : 2024-10-21 DOI: 10.1016/j.jseint.2024.08.065

Adam Watts , Catriona Mcdaid , Marcus Bateman , Jon Evans , Deborah Higgs , Ben Hughes , Toni Luokkala , Christopher Smith , Elaine Uppal , Catherine Hewitt

引用次数: 0

The Lateral Para-Olecranon Approach For Fixation Of Complex Coronal Shear Fractures Of The Distal Humerus 用于固定肱骨远端复杂冠状剪切骨折的肩胛骨旁外侧入路

JSES International Pub Date : 2024-10-21 DOI: 10.1016/j.jseint.2024.08.018

Gurleen Sahota, Julius Tubeileh-Hall, Siddharth Virani, Joideep Phadnis

引用次数: 0

Effect Of Suprascapular Nerve Decompression On Tendon-To-Bone Healing In A Rat Delayed Rotator Cuff Repair Model 肩胛上神经减压对大鼠肩袖延迟修复模型中腱对骨愈合的影响

JSES International Pub Date : 2024-10-21 DOI: 10.1016/j.jseint.2024.08.029

Yuvheng Sun

引用次数: 0

Conjoint Tendon Release Improves Internal Rotation To The Back In Reverse Total Shoulder Arthroplasty: A Cadaveric Study 联合肌腱松解术可改善反向全肩关节置换术的背部内旋：尸体研究

JSES International Pub Date : 2024-10-21 DOI: 10.1016/j.jseint.2024.08.013

Feras Qawasmi , Logan M. Andryk , Seth Roge , Mei Wang , Steven i. Grindel , Mustafa Yassin