Journal of shoulder and elbow arthroplasty最新文献_第10页

Deltopectoral Approach Deltopectoral方法

Journal of shoulder and elbow arthroplasty Pub Date : 2020-01-01 DOI: 10.1007/978-3-030-19285-3_3

Bujar Shabani, Dafina Bytyqi, R. Ballis

引用次数: 2

Complications of Reverse Total Shoulder Arthroplasty 反向全肩关节置换术的并发症

Journal of shoulder and elbow arthroplasty Pub Date : 2020-01-01 DOI: 10.1007/978-3-030-19285-3_20

A. Bitzer, Ronak N. Kotian, Jorge L Rojas, E. McFarland

引用次数: 0

Shoulder Arthroplasty: The Shoulder Club Guide 肩关节成形术:肩关节棒指南

Journal of shoulder and elbow arthroplasty Pub Date : 2020-01-01 DOI: 10.1007/978-3-030-19285-3

M. Lungren, M. R. Evans, G. Huri, F. Familiari, Y. Moon, M. Doral

引用次数: 1

Acromioclavicular Joint Injuries 肩锁关节损伤

Journal of shoulder and elbow arthroplasty Pub Date : 2020-01-01 DOI: 10.1007/978-3-030-19285-3_19

O. Bilge, N. Karalezlİ, G. Huri, M. Doral

引用次数: 0

Elbow Arthroplasty: Current Techniques and Complications 肘关节置换术:当前技术和并发症

Journal of shoulder and elbow arthroplasty Pub Date : 2020-01-01 DOI: 10.1007/978-3-030-14455-5

引用次数: 1

Rehabilitation Following Shoulder Arthroplasty 肩关节置换术后的康复

Journal of shoulder and elbow arthroplasty Pub Date : 2020-01-01 DOI: 10.1007/978-3-030-19285-3_10

G. Lullini, G. Muccioli, G. Ravazzolo, S. Zaffagnini

引用次数: 0

Stemless RTSA

Journal of shoulder and elbow arthroplasty Pub Date : 2020-01-01 DOI: 10.1007/978-3-030-19285-3_12

C. Witney-Lagen, P. Consigliere, L. Natera, Ofer Levy

引用次数: 0

Reverse Shoulder Arthroplasty for B2 Glenoid Deformity. B2型肩关节畸形的反向肩关节置换术。

Journal of shoulder and elbow arthroplasty Pub Date : 2019-12-30 eCollection Date: 2019-01-01 DOI: 10.1177/2471549219897661

Andrew M Holt, Thomas W Throckmorton

引用次数: 8

A Point-Based Model to Predict Absolute Risk of Revision in Anatomic Shoulder Arthroplasty. 基于点的模型预测解剖肩关节置换术翻修绝对风险。

Journal of shoulder and elbow arthroplasty Pub Date : 2019-10-21 eCollection Date: 2019-01-01 DOI: 10.1177/2471549219883446

Peter Lc Lapner, Meaghan D Rollins, Meltem G Tuna, Caleb Netting, Anan Bader Eddeen, Carl van Walraven

{"title":"A Point-Based Model to Predict Absolute Risk of Revision in Anatomic Shoulder Arthroplasty.","authors":"Peter Lc Lapner, Meaghan D Rollins, Meltem G Tuna, Caleb Netting, Anan Bader Eddeen, Carl van Walraven","doi":"10.1177/2471549219883446","DOIUrl":"https://doi.org/10.1177/2471549219883446","url":null,"abstract":"Background: Total shoulder arthroplasty (TSA) has demonstrated good long-term survivorship but early implant failure can occur. This study identified factors associated with shoulder arthroplasty revision and constructed a risk score for revision surgery following shoulder arthroplasty.Methods: A validated algorithm was used to identify all patients who underwent anatomic TSA between 2002 and 2012 using population-based data. Demographic variables included shoulder implant type, age and sex, Charlson comorbidity score, income quintile, diagnosis, and surgeon arthroplasty volume. The associations of covariates with time to revision were measured while treating death as a competing risk and were expressed in the Shoulder Arthroplasty Revision Risk Score (SARRS).Results: During the study period, 4079 patients underwent TSA. Revision risk decreased in a nonlinear fashion as patients aged and in the absence of osteoarthritis with no influence from surgery type or other covariables. The SARRS ranged from -21 points (5-year revision risk 0.75%) to 30 points (risk 11.4%). Score discrimination was relatively weak 0.55 (95% confidence interval: 0.530.61) but calibration was very good with a test statistic of 5.77 (df = 8, P = .762).Discussion: The SARRS model accurately predicted the 5-year revision risk in patients undergoing TSA. Validation studies are required before this score can be used clinically to predict revision risk. Further study is needed to determine if the addition of detailed clinical data including functional outcome measures and the severity of glenohumeral arthrosis increases the model's discrimination.","PeriodicalId":73942,"journal":{"name":"Journal of shoulder and elbow arthroplasty","volume":"3 ","pages":"2471549219883446"},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2471549219883446","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39396532","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

Shoulder Arthroplasty for Posttraumatic Arthritis Is Associated With Increased Transfusions and Longer Operative Times 创伤后关节炎肩关节置换术与输血量增加和手术时间延长有关

Journal of shoulder and elbow arthroplasty Pub Date : 2019-10-01 DOI: 10.1177/2471549219882133

Tyler A. Luthringer, Benjamin S. Kester, Oluwadamilola Kolade, M. Virk, M. Alaia, K. Campbell

{"title":"Shoulder Arthroplasty for Posttraumatic Arthritis Is Associated With Increased Transfusions and Longer Operative Times","authors":"Tyler A. Luthringer, Benjamin S. Kester, Oluwadamilola Kolade, M. Virk, M. Alaia, K. Campbell","doi":"10.1177/2471549219882133","DOIUrl":"https://doi.org/10.1177/2471549219882133","url":null,"abstract":"Introduction: Posttraumatic arthritis (PTA) is a common sequela of proximal humerus fractures that is commonly managed with anatomic or reverse total shoulder arthroplasty (TSA). TSA for PTA is more challenging than that performed for primary osteoarthritis and frequently leads to worse patient outcomes. CPT uniformly classifies all cases of primary TSA, irrespective of procedural complexity and resource utilization. This study analyzes intraoperative differences and 30-day outcomes for anatomic and reverse TSA performed in the posttraumatic shoulder. Methods: Patients undergoing TSA from 2008 to 2015 were selected from the National Surgical Quality Improvement Program database and stratified according to concurrent procedures and administrative codes indicating posttraumatic diagnoses. Perioperative parameters and 30-day complications were recorded; multivariate analyses were performed to determine whether PTA was a risk factor for poor outcomes. Results: A total of 8508 primary and 243 posttraumatic TSAs were identified. Posttraumatic TSA patients were slightly younger (P = .003), more likely to be female (P < .001), smokers (P = .029), and diabetic (P = .003). Diagnosis of PTA was an independent risk factor for prolonged operative times ≥160 minutes (≥1 standard deviation above the mean, P = .003; odds ratio [OR]: 1.718; 95% confidence interval [CI]: 1.204–2.449) and increased bleeding requiring transfusion (P < .001; OR: 2.719; 95% CI: 1.607–4.600). Although posttraumatic TSA had a tendency for longer hospital admissions, 30-day readmissions were not significantly different between cohorts. Conclusions: Compared with primary osteoarthritis, a preoperative diagnosis of PTA is an independent risk factor for prolonged operative times and postoperative transfusion in anatomic or reverse TSA patients; such patients may be less than optimal candidates for same-day discharges or outpatient shoulder arthroplasty.","PeriodicalId":73942,"journal":{"name":"Journal of shoulder and elbow arthroplasty","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2471549219882133","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45237293","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}

引用次数: 1