JSES reviews, reports, and techniques最新文献_第10页

Confirming polyethylene wear via outpatient nanoscopy following anatomical total shoulder arthroplasty 解剖型全肩关节置换术后通过门诊纳米镜确认聚乙烯磨损情况

JSES reviews, reports, and techniques Pub Date : 2024-02-16 DOI: 10.1016/j.xrrt.2024.01.010

引用次数: 0

Narcotic prescribing practices in shoulder surgery before and after the institution of narcotic e-prescribing 麻醉药品电子处方制度实施前后肩部手术中的麻醉药品处方做法

JSES reviews, reports, and techniques Pub Date : 2024-02-15 DOI: 10.1016/j.xrrt.2024.01.004

Emily Kleinbart BA , Haley Tornberg BS , Christopher Rivera-Pintado MD , Krystal Hunter PhD , Matthew T. Kleiner MD , Lawrence S. Miller MD , Mark Pollard MD , Catherine J. Fedorka MD

{"title":"Narcotic prescribing practices in shoulder surgery before and after the institution of narcotic e-prescribing","authors":"Emily Kleinbart BA , Haley Tornberg BS , Christopher Rivera-Pintado MD , Krystal Hunter PhD , Matthew T. Kleiner MD , Lawrence S. Miller MD , Mark Pollard MD , Catherine J. Fedorka MD","doi":"10.1016/j.xrrt.2024.01.004","DOIUrl":"10.1016/j.xrrt.2024.01.004","url":null,"abstract":"<div><h3>Background</h3><p>Given the current opioid epidemic, it is crucial to highly regulate the prescription of narcotic medications for pain management. The use of electronic prescriptions (e-scripts) through the hospital’s electronic medical record platform allows physicians to fill opioid prescriptions in smaller doses, potentially limiting the total quantity of analgesics patients have access to and decreasing the potential for substance misuse. The purpose of this study is to determine how the implementation of e-scripts changed the quantity of opioids prescribed following shoulder surgeries.</p></div><div><h3>Methods</h3><p>For this single-center retrospective study, data were extracted for all patients aged 18 years or more who received a shoulder procedure between January 2015 and December 2020. Total milligrams of morphine equivalents (MMEs) of opioids prescribed within the 90 days following surgery were compared between 3 cohorts: preimplementation of the 2017 New Jersey Opioid laws (Pre-NJ opioid laws), post-NJ Opioid Laws but pre-escripting, and postimplementation of e-scripting in 2019 (postescripting). Any patient prescribed preoperative opioids, prescribed opioids by nonorthopedic physicians, under the care of a pain management physician, or had a simultaneous nonshoulder procedure was excluded from this study.</p></div><div><h3>Results</h3><p>There were 1857 subjects included in this study; 796 pre-NJ opioid laws, 520 post-NJ opioid laws, pre-escripting, and 541 postescripting. Following implementation of e-scripting on July 1, 2019, there was a significant decrease in total MMEs prescribed (<em>P</em> < .001) from a median of 90 MME (interquartile range 65, 65-130) preimplementation to a median 45 MME (interquartile range 45, 45-90) MME postimplementation Additionally, there was a statistically significant decrease in opioids prescribed for all procedures (<em>P</em> < .001) and for 3 (<em>P</em> < .001) of the 4 orthopedic surgeons included in this study.</p></div><div><h3>Conclusion</h3><p>Our study demonstrated a significant reduction in total MMEs prescribed overall, for all shoulder surgeries, and for the majority of our institution’s providers in the postoperative period following the e-scripting implementation in July 2019. E-scripting is a valuable tool in conjunction with education and awareness on the national, institutional, provider, and patient levels to combat the opioid epidemic.</p></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 2","pages":"Pages 208-212"},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266663912400018X/pdfft?md5=55c4873eba38696d2b06049df2b7396a&pid=1-s2.0-S266663912400018X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139886141","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

Acromial stress fracture after anatomic shoulder arthroplasty: a case report 解剖肩关节置换术后肩峰应力性骨折：病例报告

JSES reviews, reports, and techniques Pub Date : 2024-02-15 DOI: 10.1016/j.xrrt.2024.01.005

Namdar Kazemi MD

引用次数: 0

Simultaneous bilateral total shoulder arthroplasty with contralateral autograft transfer for glenoid deficiency 同时进行双侧全肩关节置换术和对侧自体移植物移植治疗盂骨缺损

JSES reviews, reports, and techniques Pub Date : 2024-02-06 DOI: 10.1016/j.xrrt.2024.01.002

Emanuele Maggini MD , Markus Scheibel MD

引用次数: 0

Concomitant internal joint stabilizer augmentation with isometric lateral ulnar collateral ligament repair for unstable elbow dislocations: a surgical technique 不稳定肘关节脱位的等长侧尺侧副韧带修复术与关节内稳定器植入术：一种手术技术

JSES reviews, reports, and techniques Pub Date : 2024-02-05 DOI: 10.1016/j.xrrt.2024.01.003

Nathan W. White MD, Kristofer S. Matullo MD, FAOA

引用次数: 0

Proximal humerus variable angle locking plate for the treatment of periprosthetic humeral fractures in a patient with previous tendon transfers: a case report 用肱骨近端可变角度锁定钢板治疗曾进行过肌腱转移的肱骨假体周围骨折：病例报告

JSES reviews, reports, and techniques Pub Date : 2024-02-01 DOI: 10.1016/j.xrrt.2023.10.004

Rodrigo de Marinis MD , Cristóbal López MD , Christina Regan BS , Sergio F. Guarin Perez MD , Alfonso Valenzuela MD , Gonzalo Kameid MD , Rodrigo Liendo MD

引用次数: 0

Forearm and elbow secondary surgical procedures in neonatal brachial plexus palsy: a systematic scoping review 新生儿臂丛神经麻痹的前臂和肘部二次手术：系统性范围界定综述

JSES reviews, reports, and techniques Pub Date : 2024-02-01 DOI: 10.1016/j.xrrt.2023.10.003

Amanda Azer BA , Aedan Hanna MBS , Dhvani Shihora BS , Anthony Saad BA , Yajie Duan BS , Aleksandra McGrath MD , Alice Chu MD

{"title":"Forearm and elbow secondary surgical procedures in neonatal brachial plexus palsy: a systematic scoping review","authors":"Amanda Azer BA , Aedan Hanna MBS , Dhvani Shihora BS , Anthony Saad BA , Yajie Duan BS , Aleksandra McGrath MD , Alice Chu MD","doi":"10.1016/j.xrrt.2023.10.003","DOIUrl":"10.1016/j.xrrt.2023.10.003","url":null,"abstract":"<div><h3>Background</h3><p>Neonatal Brachial plexus palsy is an injury during delivery that can lead to loss of motor function and limited range of motion in patients due to damage of nerves in the brachial plexus. This scoping review aims to explore types of procedures performed and assess outcomes of forearm and elbow secondary surgery in pediatric patients.</p></div><div><h3>Methods</h3><p>Searches of PubMed, Cochrane, Cumulative Index to Nursing and Allied Health Literature, Web of Sciences, and Scopus were completed to obtain studies describing surgical treatment of elbow and forearm in pediatric patients with neonatal Brachial plexus palsy. 865 abstracts and titles were screened by two independent reviewers resulting in 295 full text papers; after applying of inclusion and exclusion criteria 18 articles were included. The level of evidence of this study is level IV.</p></div><div><h3>Results</h3><p>Ten main procedures were performed to regain function of the forearm and elbow in neonatal brachial plexus birth palsy patients. Procedures had different aims, with supination contracture (6) and elbow flexion restoration (5) being the most prevalent. The variance between preoperative and postoperative soft tissue and bony procedures outcomes decreased and showed improvement with respect to the aim of each procedure category. For soft tissue procedures, a statistically significant increase was found between preoperative and postoperative values for active elbow flexion, passive supination, and active supination. For bony procedures, there was a statistically significant decrease between preoperative and postoperative values of passive and active supination.</p></div><div><h3>Conclusion</h3><p>Overall, all procedures completed in the assessed articles of this study were successful in their aim. Bony procedures, specifically osteotomies, were found to have a wider range of results, whereas soft tissue procedures were found to be more consistent and reproducible with respect to their outcomes. Bony and soft tissue procedures were found vary in their aims and outcomes. This study indicates the need for further research to augment knowledge about indications and long-term benefits to each procedure.</p></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 1","pages":"Pages 61-69"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666639123001049/pdfft?md5=423e06b4f0568319db957b799f9d9ff8&pid=1-s2.0-S2666639123001049-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139300293","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

Midterm outcomes of primary reverse shoulder arthroplasty: a systematic review of studies with minimum 5-year follow-up 初级反向肩关节置换术的中期效果：对至少随访 5 年的研究进行系统回顾

JSES reviews, reports, and techniques Pub Date : 2024-02-01 DOI: 10.1016/j.xrrt.2023.09.003

Tom R. Doyle Mb, BCh , Sophia Downey , Eoghan T. Hurley MCh, PhD , Christopher Klifto MD , Hannan Mullett MCh, FRCS , Patrick J. Denard MD , Grant E. Garrigues MD , Mariano E. Menendez MD

{"title":"Midterm outcomes of primary reverse shoulder arthroplasty: a systematic review of studies with minimum 5-year follow-up","authors":"Tom R. Doyle Mb, BCh , Sophia Downey , Eoghan T. Hurley MCh, PhD , Christopher Klifto MD , Hannan Mullett MCh, FRCS , Patrick J. Denard MD , Grant E. Garrigues MD , Mariano E. Menendez MD","doi":"10.1016/j.xrrt.2023.09.003","DOIUrl":"10.1016/j.xrrt.2023.09.003","url":null,"abstract":"<div><h3>Background</h3><p>Excellent short-term outcomes after reverse shoulder arthroplasty (RSA) have been reported, but longer term outcomes in the existing literature are sparse and vary widely. The purpose of this study is to systematically assess the existing literature to quantify functional outcomes and complication rates after RSA at a minimum of five years of follow-up.</p></div><div><h3>Methods</h3><p>A Preferred Reporting Items for Systematic Reviews and Meta-analyses-compliant systematic literature search of the PubMed and Embase databases was undertaken. Studies reporting outcomes after primary RSA for nontrauma-related indications with a minimum of 5-year follow-up were included.</p></div><div><h3>Results</h3><p>Overall, 20 studies satisfied all inclusion criteria. This represented 1591 shoulders in 1556 patients (32.1% males), with a mean age of 70.2 ± 5.0 years and mean follow-up of 8.8 years, or 106.2 ± 30.1 months (60-243). At final follow-up, the mean reported Constant Murley score was 62.1 ± 5.0 (49.0-83.0). The mean adjusted Constant Murley score was 83.5 ± 12.5 (58-111.9). The mean American Shoulder and Elbow Surgeons score was 81.8 ± 4.6, while the mean subjective shoulder value was 74.6 ± 6.4. Overall, 88% of patients rated their satisfaction as either good or very good. The range of active forward flexion, abduction, external, and internal rotation were respectively, 126° ± 13°, 106° ± 11°, 22° ± 11°, and 6° ± 2°. The overall rate of revision surgery was 4.9% (0%-45.5%). Regarding complications, the rate of prosthetic joint infection was 4.3% (0%-26.7%), shoulder dislocation was 3.7% (0%-20.4%), and acromial fracture was 2.0% (0%-8.8%). At final follow-up, 30.9% of shoulders had some degree of scapular notching.</p></div><div><h3>Conclusion</h3><p>This systematic review shows that RSA results in high satisfaction rates, good clinical outcomes, as well as modest complication and revision rates at minimum 5-year follow-up.</p></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 1","pages":"Pages 1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666639123000871/pdfft?md5=b02c7523105af04ba5f29fcaf19863b6&pid=1-s2.0-S2666639123000871-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134933989","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

Knotted or knotless double-row rotator cuff repair retear rates: a systematic review and meta-analysis 有结或无结双排肩袖修复再撕裂率：系统回顾和荟萃分析

JSES reviews, reports, and techniques Pub Date : 2024-02-01 DOI: 10.1016/j.xrrt.2023.09.008

João A. Figueiredo MD , Marco Sarmento PhD , Nuno Moura MD , Diogo Silva Gomes MD , António Cartucho MD

{"title":"Knotted or knotless double-row rotator cuff repair retear rates: a systematic review and meta-analysis","authors":"João A. Figueiredo MD , Marco Sarmento PhD , Nuno Moura MD , Diogo Silva Gomes MD , António Cartucho MD","doi":"10.1016/j.xrrt.2023.09.008","DOIUrl":"10.1016/j.xrrt.2023.09.008","url":null,"abstract":"<div><h3>Background</h3><p>Arthroscopic rotator cuff tear repair techniques used to rely on knot-tying double row techniques, but the advent of knotless transosseous equivalent procedures introduced a new variable to the debate. The purpose of this study is to determine which technique is associated with lower retear rates. For its’ biomechanical advantages, the authors’ hypothesis is that knotless techniques would have lower retear rates.</p></div><div><h3>Methods</h3><p>A systematic literature search was performed via PubMed and Google Scholar by two independent reviewers following PRISMA guidelines. Papers reporting retear rates after rotator cuff arthroscopic repair using knotted double-row or knotless transosseous equivalent techniques, evaluated by magnetic resonance imaging at least 6 months after surgery, were retrieved. Studies that do not differentiate between techniques and nonclinical reports were excluded. Eligible data was analyzed with Review Manager 5.4.1 using Mantel-Haenszel statistics with a fixed effect model.</p></div><div><h3>Results</h3><p>The authors’ initial literature search retrieved 511 reports. After the selection process, 24 articles were available for this review, and 9 were eligible for meta-analysis. A comparison of 1888 subjects from noncomparative reports and a meta-analysis of reports in which both techniques were studied could not show a statistically significant difference in technique retear rates.</p></div><div><h3>Discussion and conclusion</h3><p>The current report revealed no significant difference in retear rates between the two arthroscopic repair techniques. Studies’ quality was a limitation. Only two reported level 1 evidence. This review could not control variables such as cuff tear size, tissue quality, or individual comorbidities. Larger and longer follow-up studies could be helpful to further investigate this topic.</p></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 1","pages":"Pages 15-19"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666639123000950/pdfft?md5=aae4250fdfbff05159975b5443719a07&pid=1-s2.0-S2666639123000950-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135849925","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

Wakeboarder’s arm - complete tear of the short head of the biceps brachii and coracobrachialis: a case report and review of the literature 滑板运动员的手臂 - 肱二头肌短头和肱二头肌冠状肌完全撕裂：病例报告和文献综述

JSES reviews, reports, and techniques Pub Date : 2024-02-01 DOI: 10.1016/j.xrrt.2023.10.007

João A. Bonadiman MD , Vitor La Banca MD , Burton D. Dunlap MD , Niraj V. Lawande BS , Grant E. Garrigues MD

引用次数: 0