Shoulder and Elbow最新文献_第9页

Lifting limitations following elbow arthroplasty: A survey of British Elbow and Shoulder Society members. 肘关节置换术后的举重限制：一项对英国肘关节和肩部协会成员的调查。

IF 1.5

Shoulder and Elbow Pub Date : 2024-10-01 Epub Date: 2023-04-20 DOI: 10.1177/17585732231170292

Eleanor G Burden, Jonathan P Evans, Christopher D Smith

{"title":"Lifting limitations following elbow arthroplasty: A survey of British Elbow and Shoulder Society members.","authors":"Eleanor G Burden, Jonathan P Evans, Christopher D Smith","doi":"10.1177/17585732231170292","DOIUrl":"10.1177/17585732231170292","url":null,"abstract":"The primary aim of this survey was to capture current practice with regard to lifting limitations following elbow arthroplasty. An online survey was emailed to all members of the British Elbow and Shoulder Society. All consultant respondents who reported performing elbow arthroplasty were asked about their advice for post-operative lifting limitations. In total, 115 surveys were completed: 55 consultants reported performing linked total elbow arthroplasty, 18 reported performing unlinked total elbow arthroplasty and 44 reported performing distal humeral hemiarthroplasty. The majority of elbow consultants advise a lifelong lifting limitation following linked and unlinked total elbow arthroplasty (78% and 61% respectively). There was variation in the weight specified for lifelong lifting limitations, the median weight restriction in linked total elbow arthroplasty was 5 lb, and in unlinked total elbow arthroplasty was 10 lb (range 1-20 lb). In total, 13% of consultants performing linked total elbow arthroplasty and 33% of consultants performing unlinked total elbow arthroplasty do not advise any lifelong lifting limitations post-operatively. In a perceived attempt to prolong implant longevity, most surgeons recommend lifelong lifting limitations following total elbow arthroplasty. There is variation in the weight restriction advised by consultant elbow surgeons. Currently the optimal weight restriction to maximise implant longevity is not known and further work needs to be done to understand the true relationship between activity, loading and implant failure.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"105 1","pages":"641-645"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79215749","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

The precise location of "Midshaft" clavicle fractures: Scrimmaging from the 42 yard-line. 锁骨“中轴”骨折的精确位置：从42码线开始乱划。

IF 1.5

Shoulder and Elbow Pub Date : 2024-10-01 Epub Date: 2023-08-01 DOI: 10.1177/17585732231191204

Kofi D Agyeman, Joseph A Abboud, Steven P Kalandiak, Jonathan C Levy, Anand M Murthi, Grant Jamgochian, Mohamad Y Fares, Peter M Govey

{"title":"The precise location of \"Midshaft\" clavicle fractures: Scrimmaging from the 42 yard-line.","authors":"Kofi D Agyeman, Joseph A Abboud, Steven P Kalandiak, Jonathan C Levy, Anand M Murthi, Grant Jamgochian, Mohamad Y Fares, Peter M Govey","doi":"10.1177/17585732231191204","DOIUrl":"10.1177/17585732231191204","url":null,"abstract":"Background: The realities of midshaft clavicle fracture distribution have not been described accurately. Consequently, a topographical depiction of midshaft clavicle fractures may help design implants that are more anatomically concordant with the fractured clavicle, leading to better outcomes and fewer complications.Methods: This is a retrospective cohort study. One-hundred sixty-six surgically treated midshaft clavicle fractures of four fellowship-trained shoulder surgeons were evaluated to determine the precise \"location\" of the fracture on standard radiographs. This location was determined by noting the lateral, central, and medial endpoint of each fracture, expressed as a percentage (0%-100%) of the distance from the lateral to the medial end of the clavicle.Results: Fractures on average began at the 36% line (SD = 6%), were centered at the 42% line (SD = 6%), and ended at the 48% line (SD = 7%). Ninety percent of fractures were centered lateral to the midpoint, and 64% were completely lateral to the midpoint. Thirty-two percent of midshaft fractures extended into the lateral third of the clavicle, but no fractures extended into the medial third.Conclusion: Midshaft clavicle fractures in skeletally mature individuals appear to occur predominantly within the lateral metadiaphyseal half of the clavicle, and rarely extend into the medial third. Industry professionals and surgeons alike should consider this when designing and selecting implants. To note, our study relied on two-dimensional radiographs, and future studies should work on fully capturing the complex three-dimensional anatomy of the clavicle.Level of evidence: IV.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"31 1","pages":"628-634"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83794217","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

The 'vulnerable nerve'; surgically acquired neuropathy in distal humeral surgery patients and the role of a tourniquet. 脆弱的神经"；肱骨远端手术患者手术后获得的神经病变和止血带的作用。

IF 1.5

Shoulder and Elbow Pub Date : 2024-09-25 DOI: 10.1177/17585732241284255

Mark G Williams, Sophie J Donoghue, Ellen Thomas, Jonathan P Evans, William Thomas, Christopher Smith

{"title":"The 'vulnerable nerve'; surgically acquired neuropathy in distal humeral surgery patients and the role of a tourniquet.","authors":"Mark G Williams, Sophie J Donoghue, Ellen Thomas, Jonathan P Evans, William Thomas, Christopher Smith","doi":"10.1177/17585732241284255","DOIUrl":"10.1177/17585732241284255","url":null,"abstract":"Background: The complication of neuropathy is high in patients undergoing distal humerus surgery. Tourniquets (TQs) are typically used but can lead to nerve injury.Methods: We present a comparative study of a pre-intervention group (n = 38) and a post-intervention group (n = 38) undergoing distal humerus surgery between November 2020 and July 2023. The intervention included TQ discontinuation and the introduction of intravenous tranexamic acid at induction. Our analysis encompasses patient, anaesthetic, and surgical variables, as well as the rates and severity of neuropathy.Results: Post-intervention, the rate of surgically acquired or deterioration in nerve injury improved from 15.8% (n = 6) to 2.6% (n = 1). Pre-intervention, the mean TQ duration was significantly longer for patients with post-operative neuropathy versus those without (120 min, SD = 29 vs. 88 min, SD = 38, p = 0.032). Surgery duration was not significantly longer without a TQ but was associated with a greater reduction in haemoglobin (12.7 g/L, SD = 10.9 vs. 25.2 g/L, SD = 15.5, p = 0.03).Discussion: Trauma patients have a high risk of acquiring a nerve injury following elbow surgery or deterioration of a pre-surgical nerve injury, which emphasises the concept of vulnerable nerves. The cessation of using a TQ was associated with a lower nerve injury rate, with no cases of major nerve injury and no significant increase in surgical time.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241284255"},"PeriodicalIF":1.5,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629973","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

ChatGPT provides acceptable responses to patient questions regarding common shoulder pathology. ChatGPT 可就患者提出的有关常见肩部病理的问题提供可接受的答复。

IF 1.5

Shoulder and Elbow Pub Date : 2024-09-25 DOI: 10.1177/17585732241283971

Umar Ghilzai, Benjamin Fiedler, Abdullah Ghali, Aaron Singh, Benjamin Cass, Allan Young, Adil Shahzad Ahmed

{"title":"ChatGPT provides acceptable responses to patient questions regarding common shoulder pathology.","authors":"Umar Ghilzai, Benjamin Fiedler, Abdullah Ghali, Aaron Singh, Benjamin Cass, Allan Young, Adil Shahzad Ahmed","doi":"10.1177/17585732241283971","DOIUrl":"10.1177/17585732241283971","url":null,"abstract":"Background: ChatGPT is rapidly becoming a source of medical knowledge for patients. This study aims to assess the completeness and accuracy of ChatGPT's answers to the most frequently asked patients' questions about shoulder pathology.Methods: ChatGPT (version 3.5) was queried to produce the five most common shoulder pathologies: biceps tendonitis, rotator cuff tears, shoulder arthritis, shoulder dislocation and adhesive capsulitis. Subsequently, it generated the five most common patient questions regarding these pathologies and was queried to respond. Responses were evaluated by three shoulder and elbow fellowship-trained orthopedic surgeons with a mean of 9 years of independent practice, on Likert scales for accuracy (1-6) and completeness (rated 1-3).Results: For all questions, responses were deemed acceptable, rated at least \"nearly all correct,\" indicated by a score of 5 or greater for accuracy, and \"adequately complete,\" indicated by a minimum of 2 for completeness. The mean scores for accuracy and completeness, respectively, were 5.5 and 2.6 for rotator cuff tears, 5.8 and 2.7 for shoulder arthritis, 5.5 and 2.3 for shoulder dislocations, 5.1 and 2.4 for adhesive capsulitis, 5.8 and 2.9 for biceps tendonitis.Conclusion: ChatGPT provides both accurate and complete responses to the most common patients' questions about shoulder pathology. These findings suggest that Large Language Models might play a role as a patient resource; however, patients should always verify online information with their physician.Level of evidence: Level V Expert Opinion.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241283971"},"PeriodicalIF":1.5,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629945","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

Lateralization and inclination angle in reverse arthroplasty-what do we know? 反向关节成形术中的侧位和倾角--我们知道些什么？

IF 1.5

Shoulder and Elbow Pub Date : 2024-09-25 DOI: 10.1177/17585732241281910

Anders L Ekelund, Didier Poncet

引用次数: 0

Is revision to anatomic shoulder arthroplasty still an option? A systematic review. 解剖肩关节置换术的翻修仍是一种选择吗？系统综述。

IF 1.5

Shoulder and Elbow Pub Date : 2024-09-25 DOI: 10.1177/17585732241284512

Musab Gulzar, Kathryn M Welp, Michelle J Chang, Jarret M Woodmass, Jacob A Worden, Hayden L Cooke, Krishna N Chopra, Michael B Gottschalk, Eric R Wagner

{"title":"Is revision to anatomic shoulder arthroplasty still an option? A systematic review.","authors":"Musab Gulzar, Kathryn M Welp, Michelle J Chang, Jarret M Woodmass, Jacob A Worden, Hayden L Cooke, Krishna N Chopra, Michael B Gottschalk, Eric R Wagner","doi":"10.1177/17585732241284512","DOIUrl":"10.1177/17585732241284512","url":null,"abstract":"Background: With the historical complications when using total shoulder arthroplasty (TSA) to revise failed arthroplasties, and the success of the reverse prosthesis in the revision setting, the question arises whether revision to TSA is still a reasonable option? This systematic review examines revision to TSA and the factors associated with outcomes.Methods: A systematic review was performed for studies of TSA used to revise a failed hemiarthroplasty or TSA. The primary outcome was implant failure leading to a repeat revision arthroplasty. Secondary outcomes included visual analog scale (VAS) pain scores, shoulder motion and other clinical outcomes of shoulder function. Data were pooled to generate representative frequency-weighted means.Results: Thirteen studies were included, totaling 312 shoulders. Etiologies for revision included glenoid arthrosis (62%), glenoid component failure (36%), and other (2%). Of which, 39% of cases experienced complications and 12% required another arthroplasty revision. Secondary outcomes such as VAS pain, Constant, ASES and UCLA score improved, but none were statistically significant. Unsatisfactory outcomes were higher among patients with glenoid bone loss, instability, and soft tissue deficiencies.Discussion: Revision to anatomic TSA can be an acceptable option in certain patients. However, the high rate of complications and glenoid loosening, makes this a limited approach for a revision to anatomic TSA procedure.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241284512"},"PeriodicalIF":1.5,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629953","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

Complications and revision rates after total shoulder arthroplasty are similar between patients with and without diabetes mellitus. 糖尿病患者和非糖尿病患者接受全肩关节置换术后的并发症和翻修率相似。

IF 1.5

Shoulder and Elbow Pub Date : 2024-09-25 DOI: 10.1177/17585732241278207

Ryan Sanii, Johnny Kasto, Joshua P Castle, Jordan Jay, Gabriel Burdick, Stephanie J Muh

{"title":"Complications and revision rates after total shoulder arthroplasty are similar between patients with and without diabetes mellitus.","authors":"Ryan Sanii, Johnny Kasto, Joshua P Castle, Jordan Jay, Gabriel Burdick, Stephanie J Muh","doi":"10.1177/17585732241278207","DOIUrl":"10.1177/17585732241278207","url":null,"abstract":"Purpose: There is wide variability in the conclusions of studies examining the effects of diabetes mellitus (DM) on outcomes of shoulder arthroplasty (SA). The objective of this study was to determine if there are differences in complication profiles between patients with DM and those without undergoing anatomic and reverse total SA.Methods: A retrospective review of patients undergoing SA in a single center from January 2014 to December 2019 was performed. Patients were then stratified into two cohorts, patients with controlled DM (mean hemoglobin A1C < 7%) and those without. Outcomes analyzed included intraoperative complications, postoperative complications, and revision surgery rates. Emergency department (ED) visits and hospital readmissions within 30 days were also recorded.Results: A total of 595 patients underwent SA. No significant difference was found between the diabetes (n = 151) and control group (n = 444) with regard to length of stay (P = .168), complications (P = .286), infection rate (P = .977), 30-day ED visits (P = .789), and readmissions (P = .230). The average time to revision was 26.8 months in the diabetes group and 26.6 months in the control group (P = .989).Conclusions: Following SA patients with controlled DM showed no increased risk of postoperative infection, ED visitation,hospital readmission, and revision surgery rate when compared to non-diabetics.Level of evidence: Level III-retrospective cohort.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241278207"},"PeriodicalIF":1.5,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629949","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

The role of humerus cortical thickness in predicting osteoporosis in MR imaging. 肱骨皮质厚度在磁共振成像中预测骨质疏松症的作用。

IF 1.5

Shoulder and Elbow Pub Date : 2024-09-11 DOI: 10.1177/17585732241279090

Sevde Nur Emir, Safiye Sanem Dereli Bulut

{"title":"The role of humerus cortical thickness in predicting osteoporosis in MR imaging.","authors":"Sevde Nur Emir, Safiye Sanem Dereli Bulut","doi":"10.1177/17585732241279090","DOIUrl":"10.1177/17585732241279090","url":null,"abstract":"Aim: This study aims to evaluate the efficacy of humerus cortical thickness on coronal T1-weighted images of the humerus in distinguishing patients with normal vs. abnormal bone mineral density (BMD).Methods: Patients (n:138) with shoulder magnetic resonance imaging (MRI) and dual-energy x-ray absorptiometry (DXA) scans were evaluated. Patients were grouped into normal and low BMD (osteopenia and osteoporosis) according to DXA. An average cortical bone thickness (CBTavg) and gauge cortical bone thickness (CBTg) were calculated from the proximal humerus on coronal T1W MRI. Sensitivity and specificity for the prediction of osteoporosis were determined for several cortical bone thickness thresholds.Results: Proximal humerus average cortical bone thickness measurements strongly correlated with DXA femur and lumbar scores (p < 0.01). Gauge cortical thickness measurements also correlated with DXA femur and lumbar scores (p < 0.01). Average cortical bone thickness measurement of 4.52 mm was determined to be a potential marker for predicting osteoporosis, with a sensitivity of 92.3% and a specificity of 84.9%.Conclusion: Average cortical bone thickness measurements obtained from shoulder MRI are correlated with DXA. It appears to be effective in differentiating patients with normal and abnormal BMD and may help to opportunistically predict patients with osteoporosis in a rapid, simple and practical way, potentially guiding further diagnostic assessments.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241279090"},"PeriodicalIF":1.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629960","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

The association between self-assessed improvement in mental health preceding rotator cuff repair and patient satisfaction: A retrospective cohort study. 肩袖修复术后自我评估的心理健康改善与患者满意度之间的关系：回顾性队列研究

IF 1.5

Shoulder and Elbow Pub Date : 2024-08-30 DOI: 10.1177/17585732241274577

Brady P Moore, Dexter Allen, David S Clark, Jeremy S Somerson

{"title":"The association between self-assessed improvement in mental health preceding rotator cuff repair and patient satisfaction: A retrospective cohort study.","authors":"Brady P Moore, Dexter Allen, David S Clark, Jeremy S Somerson","doi":"10.1177/17585732241274577","DOIUrl":"10.1177/17585732241274577","url":null,"abstract":"Background: The association between preoperative mental health trends and arthroscopic rotator cuff repair (RCR) outcomes and patient satisfaction has not been previously described. We investigated the association between a subjective change in preoperative mental health and patient-reported outcome measures (PROMs) and achievement of patient satisfaction and substantial clinical benefit (SCB), defined as an improvement of American Shoulder and Elbow Surgeons Standardized Shoulder Assessment score ≥ 17.5, following RCR.Methods: Among patients undergoing RCR, various PROMs were collected preoperatively and at follow-up intervals up to 2 years postoperatively. Patient satisfaction and achievement of SCB were analyzed relative to subjective reports of better, worse, or unchanged mental health in the year preceding RCR and preoperative PROMs.Results: Eighty-eight patients (47 male and 41 female) with a median age of 60.0 years (interquartile range (IQR), 10.0) were included in this study. All patients (n = 13) who reported improved mental health status preceding RCR had significantly better satisfaction (P = 0.03) and SCB (P ≤ 0.05) at 2 years postoperatively compared to patients who reported worse or unchanged mental status.Discussion: Subjective improvement in mental health status preceding arthroscopic RCR was associated with patient satisfaction and achievement of SCB at 2 years postoperatively.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241274577"},"PeriodicalIF":1.5,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648962","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 the use of a tensioning device improve stability for suture fixation of glenoid bone constructs? A biomechanical analysis. 使用张力装置是否能提高盂骨结构缝合固定的稳定性？生物力学分析。

IF 1.5

Shoulder and Elbow Pub Date : 2024-08-30 DOI: 10.1177/17585732241276428

Kyle D Paul, Allen A Yazdi, David M Sylvester, Marshall D Williams, Mathew D Hargreaves, Amit M Momaya, Eugene W Brabston, Brent A Ponce

{"title":"Does the use of a tensioning device improve stability for suture fixation of glenoid bone constructs? A biomechanical analysis.","authors":"Kyle D Paul, Allen A Yazdi, David M Sylvester, Marshall D Williams, Mathew D Hargreaves, Amit M Momaya, Eugene W Brabston, Brent A Ponce","doi":"10.1177/17585732241276428","DOIUrl":"10.1177/17585732241276428","url":null,"abstract":"Purpose: The purpose of this study is to quantify the difference in biomechanical stability of suture button (SB) and suture tape cerclage (STC) constructs with hand tensioning versus device tensioning of anterior glenoid augmentation bone grafts in an anterior glenoid bone loss model.Methods: Artificial bone blocks with a density of 15 lb/ft3 (240.3 kg/m3) were used as models for glenoid fixation with bone graft. The biomechanical stability of SB and STC tensioned by hand was compared to those tensioned by a device. Average displacement (mm) following application of various forces (50, 100, 150, and 200 N) during a 7-phase, 100-cycle, stairstep cyclic loading protocol was recorded.Results: Both SB and STC fixation displayed significantly lower construct displacement at all tested forces when tensioned with a device versus hand (p < 0.001). Device-tensioned SB and STC were comparable in construct stability at forces below 100N. However, at forces above 100 N, device-tensioned SB exhibited significantly less displacement than device-tensioned STC.Discussion: Using a tensioning device for SB or STC fixation of a coracoid graft model results in less displacement and improved stability compared to hand tensioning. Biomechanically, a tensioning device enhances the stability of suture fixation in glenoid bone graft constructs.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241276428"},"PeriodicalIF":1.5,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648953","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