Shujuan Wei, Lan Li, Xianfeng Yang, Xinhua Li, Qing Jiang
Pain has very tremendous impact on the patients’ outcomes after knee or hip arthroplasty. It is a psychological experience and caused by the interactions between sensory-discriminative, motivational-affective, and cognitive-evaluative dimensions. But acesodyne medication is the most commonly used method in clinical to reduce pain symptoms after arthroplasy. Few psychological interventions are employed in the establishment of guidelines in pain management. Several studies have proved that pain can be exacerbated and inhibited by the psychological variables. We summarized the predictors for postoperative acute pain and chronic pain in this review. Except the surgical trauma and social factors, the psychological factors have huge influence on the occurrence of the two types of pain. Moreover, the effect of generally used psychological interventions in pain management was demonstrated. We can conclude that the psychological treatment methods [especially cognitive behavior therapy (CBT)] are effective in reducing the postoperative pain.
{"title":"Psychological interventions in the pain management after hip and knee arthroplasty: a mini review","authors":"Shujuan Wei, Lan Li, Xianfeng Yang, Xinhua Li, Qing Jiang","doi":"10.21037/aoj.2019.12.06","DOIUrl":"https://doi.org/10.21037/aoj.2019.12.06","url":null,"abstract":"Pain has very tremendous impact on the patients’ outcomes after knee or hip arthroplasty. It is a psychological experience and caused by the interactions between sensory-discriminative, motivational-affective, and cognitive-evaluative dimensions. But acesodyne medication is the most commonly used method in clinical to reduce pain symptoms after arthroplasy. Few psychological interventions are employed in the establishment of guidelines in pain management. Several studies have proved that pain can be exacerbated and inhibited by the psychological variables. We summarized the predictors for postoperative acute pain and chronic pain in this review. Except the surgical trauma and social factors, the psychological factors have huge influence on the occurrence of the two types of pain. Moreover, the effect of generally used psychological interventions in pain management was demonstrated. We can conclude that the psychological treatment methods [especially cognitive behavior therapy (CBT)] are effective in reducing the postoperative pain.","PeriodicalId":44459,"journal":{"name":"Annals of Joint","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/aoj.2019.12.06","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48745699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-11DOI: 10.21037/AOJ-2020-PJI-12
N. Sandiford, K. Wronka
Periprosthetic joint infection (PJI) is a devastating complication of the total joint arthroplasty (TJA). It presents a great challenge for the treating clinician. Diagnosis as well as management can prove difficult with significant morbidity for the patients and cost for patients, health care providers and society as a whole. Outcomes of equally challenging pathology such as tumors and polytrauma have been shown to be improved when patients are managed by a team as specialists as opposed to single individuals. The purpose of this study is to review the role of the multi-disciplinary team (MDT) approach in the diagnosis and management of PJI. We examine the influence of this approach on clinical outcomes in patients with PJI. We also discuss the organisational and logistical issues associated with establishment of a MDT as well as several other issues not mentioned in the contemporary orthopaedic literature. All published literature examining the role of multidisciplinary care in the management of PJI and the influence of this approach to the management and outcomes of patients with this diagnosis were included. Studies published in languages other than English were excluded. There is a paucity of data on the influence of multidisciplinary care on outcomes of the management of PJI. Evidence suggests that the MDT has important role in ensuring all factors in the management of this complex group are considered and best possible care is delivered. Multicentre randomised clinical trials are required to assess the influence of MDT’S on outcome as well as important questions around the structuring of these teams.
{"title":"The multidisciplinary approach to managing prosthetic joint infection: could this lead to improved outcomes?","authors":"N. Sandiford, K. Wronka","doi":"10.21037/AOJ-2020-PJI-12","DOIUrl":"https://doi.org/10.21037/AOJ-2020-PJI-12","url":null,"abstract":"Periprosthetic joint infection (PJI) is a devastating complication of the total joint arthroplasty (TJA). It presents a great challenge for the treating clinician. Diagnosis as well as management can prove difficult with significant morbidity for the patients and cost for patients, health care providers and society as a whole. Outcomes of equally challenging pathology such as tumors and polytrauma have been shown to be improved when patients are managed by a team as specialists as opposed to single individuals. The purpose of this study is to review the role of the multi-disciplinary team (MDT) approach in the diagnosis and management of PJI. We examine the influence of this approach on clinical outcomes in patients with PJI. We also discuss the organisational and logistical issues associated with establishment of a MDT as well as several other issues not mentioned in the contemporary orthopaedic literature. All published literature examining the role of multidisciplinary care in the management of PJI and the influence of this approach to the management and outcomes of patients with this diagnosis were included. Studies published in languages other than English were excluded. There is a paucity of data on the influence of multidisciplinary care on outcomes of the management of PJI. Evidence suggests that the MDT has important role in ensuring all factors in the management of this complex group are considered and best possible care is delivered. Multicentre randomised clinical trials are required to assess the influence of MDT’S on outcome as well as important questions around the structuring of these teams.","PeriodicalId":44459,"journal":{"name":"Annals of Joint","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45346836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Geoffrey P. Stone, Kaitlyn N Christmas, M. Mighell
Displaced proximal humerus fractures, particularly in osteoporotic bone, often require open reduction and internal fixation (ORIF). Locking plate technology has enhanced our ability to treat these fractures. However, there is a high failure rate when used alone in cases with posteromedial comminution, metadiaphyseal fracture extension, and nonunions. Supplementing medial support with the use of intramedullary fibular strut allograft has been described to prevent a number of complications including humeral head collapse, screw penetration, and overreduction of the greater tuberosity. The purpose of this article is to highlight the principles and technique of open reduction internal fixation of proximal humerus fractures with an intramedullary fibular strut. The function of the fibular strut is to improve construct stability, support the medial calcar and prevent over reduction of the greater tuberosity.
{"title":"Locking plate fixation for proximal humerus fractures—when do I use a fibular strut?","authors":"Geoffrey P. Stone, Kaitlyn N Christmas, M. Mighell","doi":"10.21037/AOJ-20-42","DOIUrl":"https://doi.org/10.21037/AOJ-20-42","url":null,"abstract":"Displaced proximal humerus fractures, particularly in osteoporotic bone, often require open reduction and internal fixation (ORIF). Locking plate technology has enhanced our ability to treat these fractures. However, there is a high failure rate when used alone in cases with posteromedial comminution, metadiaphyseal fracture extension, and nonunions. Supplementing medial support with the use of intramedullary fibular strut allograft has been described to prevent a number of complications including humeral head collapse, screw penetration, and overreduction of the greater tuberosity. The purpose of this article is to highlight the principles and technique of open reduction internal fixation of proximal humerus fractures with an intramedullary fibular strut. The function of the fibular strut is to improve construct stability, support the medial calcar and prevent over reduction of the greater tuberosity.","PeriodicalId":44459,"journal":{"name":"Annals of Joint","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/AOJ-20-42","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48788202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hip resurfacing arthroplasty (HRA) can have unique failure mechanisms not commonly seen with traditional metal on polyethylene total hip replacements (THRs) due to the shape and fixation of the implants, interaction of the bone with the implants, biomechanics of the joint, and the metal-on-metal (MOM) articulation. As such, one should be aware of the most common mechanisms for pain in a hip resurfacing to be able to evaluate the problem with the proper imaging and laboratory studies. Besides the usual causes of pain in a hip arthroplasty such as infection, hip flexor tendonitis, and implant loosening, there can also be bone-to-implant impingement, synovitis from metal debris, and immunologic reaction to metal debris. Thus, the diagnosis of problems in a metal on metal hip resurfacing is aided by the use of diagnostic modalities such as metal ion measurement and metal artifact reduction imaging techniques. The treatment of such problems can consist of a revision to a stemmed THR, either by revising the femoral component only, or performing a revision of both components.
{"title":"Evaluation and treatment of the painful hip resurfacing","authors":"E. Su","doi":"10.21037/aoj.2019.12.12","DOIUrl":"https://doi.org/10.21037/aoj.2019.12.12","url":null,"abstract":"Hip resurfacing arthroplasty (HRA) can have unique failure mechanisms not commonly seen with traditional metal on polyethylene total hip replacements (THRs) due to the shape and fixation of the implants, interaction of the bone with the implants, biomechanics of the joint, and the metal-on-metal (MOM) articulation. As such, one should be aware of the most common mechanisms for pain in a hip resurfacing to be able to evaluate the problem with the proper imaging and laboratory studies. Besides the usual causes of pain in a hip arthroplasty such as infection, hip flexor tendonitis, and implant loosening, there can also be bone-to-implant impingement, synovitis from metal debris, and immunologic reaction to metal debris. Thus, the diagnosis of problems in a metal on metal hip resurfacing is aided by the use of diagnostic modalities such as metal ion measurement and metal artifact reduction imaging techniques. The treatment of such problems can consist of a revision to a stemmed THR, either by revising the femoral component only, or performing a revision of both components.","PeriodicalId":44459,"journal":{"name":"Annals of Joint","volume":"23 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41298440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Slullitel, G. Grammatopoulos, Alessandro Calistr, C. Straeten
There is a paucity of literature on the minimum number of cases necessary to become an expert surgeon in hip resurfacing arthroplasty (HRA). Thus, we aimed to describe (I) the learning curve of a primary hip replacement; (II) the learning curve of HRA using different end-points (complications, joint survival, component alignment and patient-reported outcome measures); and (III) what the minimum number of cases performed per year should be to maintain competency. A comprehensive literature search was performed reviewing joint arthroplasty registries, case-controlled studies, and case-series that have reported on the above. The reported learning curve necessary to decrease the overall complication rate in primary total hip arthroplasty (THA) is 90 cases. Additionally, the literature suggests that at least 35 primary THA cases per year is the recommended number above which complications reduce significantly. There is no doubt that only surgeons trained in primary hip replacement should perform HRA of the hip. On average, a learning curve of 50 cases has been described. Following this threshold, less complications, better radiographic assessment and superior patient reported outcomes have been described. It is the authors’ opinion that at least 25 cases should be performed annually, which is in line with other highly specialized surgical procedures.
{"title":"What is the learning curve associated with a hip resurfacing?","authors":"P. Slullitel, G. Grammatopoulos, Alessandro Calistr, C. Straeten","doi":"10.21037/aoj.2019.09.08","DOIUrl":"https://doi.org/10.21037/aoj.2019.09.08","url":null,"abstract":"There is a paucity of literature on the minimum number of cases necessary to become an expert surgeon in hip resurfacing arthroplasty (HRA). Thus, we aimed to describe (I) the learning curve of a primary hip replacement; (II) the learning curve of HRA using different end-points (complications, joint survival, component alignment and patient-reported outcome measures); and (III) what the minimum number of cases performed per year should be to maintain competency. A comprehensive literature search was performed reviewing joint arthroplasty registries, case-controlled studies, and case-series that have reported on the above. The reported learning curve necessary to decrease the overall complication rate in primary total hip arthroplasty (THA) is 90 cases. Additionally, the literature suggests that at least 35 primary THA cases per year is the recommended number above which complications reduce significantly. There is no doubt that only surgeons trained in primary hip replacement should perform HRA of the hip. On average, a learning curve of 50 cases has been described. Following this threshold, less complications, better radiographic assessment and superior patient reported outcomes have been described. It is the authors’ opinion that at least 25 cases should be performed annually, which is in line with other highly specialized surgical procedures.","PeriodicalId":44459,"journal":{"name":"Annals of Joint","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2019-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/aoj.2019.09.08","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49061301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Turf toe is a relatively rare but serious injury to the first metatarsophalangeal (MTP) joint. The injury is most commonly seen in high level athletes due to hyperdorsiflexion of the first MTP joint. Turf toe can cause significant morbidity and loss of playing time in elite athletes. This article provides a review of the current literature with the author’s surgical technique for turf toe repair.
{"title":"Turf toe: review of the literature and surgical technique","authors":"Tyler W. Fraser, J. Doty","doi":"10.21037/AOJ.2019.05.03","DOIUrl":"https://doi.org/10.21037/AOJ.2019.05.03","url":null,"abstract":"Turf toe is a relatively rare but serious injury to the first metatarsophalangeal (MTP) joint. The injury is most commonly seen in high level athletes due to hyperdorsiflexion of the first MTP joint. Turf toe can cause significant morbidity and loss of playing time in elite athletes. This article provides a review of the current literature with the author’s surgical technique for turf toe repair.","PeriodicalId":44459,"journal":{"name":"Annals of Joint","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2019-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/AOJ.2019.05.03","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46011680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The introduction of the reverse shoulder arthroplasty (RSA) has improved the surgical armamentarium in the treatment of complex proximal humerus fractures in the elderly. Surgical treatment for this patient population has historically seen poor and unpredictable function and outcomes provided by open reduction and internal fixation and hemiarthroplasty (HHR). Negative factors in these patients include osteopenic bone and osteoporosis, which can lead to loss of fixation, screw penetrance, nonunion, tuberosity resorption, poor function, pseudoparalysis and need for secondary operations in both internal fixation and HHR. Reported results and comparative studies have shown support in the use RSA for the treatment of complex proximal humerus fractures in the elderly due to improved predictable functional outcomes and pain relief. These results seem to be reached more easily and with a less dedicated postop rehabilitative program than internal fixation or HHR. Repair and healing of the tuberosities may be more predictable and obtainable with RSA, which leads to improved external rotation, forward elevation, clinical outcomes and patient satisfactions. There is a significant learning curve in the use of this prosthesis; surgeons should use appropriate judgment and have a certain acquaintance with the utilization of the RSA in this setting. Midterm results have been promising in regards to clinical outcomes and longevity; good results can be obtained with careful preoperative planning and attention to detail in utilizing this technique in this ever-growing patient population.
{"title":"Reverse for fracture: indications, techniques, and outcomes","authors":"J. Kazanjian","doi":"10.21037/AOJ.2019.02.05","DOIUrl":"https://doi.org/10.21037/AOJ.2019.02.05","url":null,"abstract":"The introduction of the reverse shoulder arthroplasty (RSA) has improved the surgical armamentarium in the treatment of complex proximal humerus fractures in the elderly. Surgical treatment for this patient population has historically seen poor and unpredictable function and outcomes provided by open reduction and internal fixation and hemiarthroplasty (HHR). Negative factors in these patients include osteopenic bone and osteoporosis, which can lead to loss of fixation, screw penetrance, nonunion, tuberosity resorption, poor function, pseudoparalysis and need for secondary operations in both internal fixation and HHR. Reported results and comparative studies have shown support in the use RSA for the treatment of complex proximal humerus fractures in the elderly due to improved predictable functional outcomes and pain relief. These results seem to be reached more easily and with a less dedicated postop rehabilitative program than internal fixation or HHR. Repair and healing of the tuberosities may be more predictable and obtainable with RSA, which leads to improved external rotation, forward elevation, clinical outcomes and patient satisfactions. There is a significant learning curve in the use of this prosthesis; surgeons should use appropriate judgment and have a certain acquaintance with the utilization of the RSA in this setting. Midterm results have been promising in regards to clinical outcomes and longevity; good results can be obtained with careful preoperative planning and attention to detail in utilizing this technique in this ever-growing patient population.","PeriodicalId":44459,"journal":{"name":"Annals of Joint","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2019-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/AOJ.2019.02.05","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48324995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Shi, N. Clement, R. Bhonde, S. Ikegawa, V. Mascarenhas, B. D. Matteo, P. Indelli, N. Kourkoumelis, E. Rodriguez-Merchan, Mohsen Sheykhhasan, Freddie H. Fu, M. Vaz, Jian-xiang Kong, B. Azantsa, Chuan Ye, F. Halabchi, Stephen Cornish, L. Hausmann, André Luiz Siqueira Campos, Carlos César Lopes de Jesus, C. Jorgensen, E. Ilieva, Weiguo Wang, Laura Villarreal Martinez, Hyochol Ahn, I. Shirinsky, C. Cheung, G. Knutsen, W. Petersen, N. Lane, Hong Cai, W. Xu, Jian Wu, Jun Lu, Yingze Zhang, Q. Jiang
Osteoarthritis (OA), also known as osteoarthrosis, is the most prevalent form of joint pathology. It is attributed to diverse causes like joint injury, obesity, aging, and genetic predisposition. The result is the degeneration of the articular cartilage, the subchondral bone, and the entire joint organ. The articular cartilage destruction, typical of OA, is associated with joint space narrowing and periarticular hypertrophic changes. Chronic knee pain significantly affects quality of life (1). People suffering from OA are often confused about the management of their condition. Healthcare professionals must provide support and clear advice on the possible ways to regulate symptoms like pain and decreased physical function, which have an impact on self-efficacy and social engagement.
{"title":"Society for translational medicine-expert consensus on the treatment of osteoarthritis","authors":"D. Shi, N. Clement, R. Bhonde, S. Ikegawa, V. Mascarenhas, B. D. Matteo, P. Indelli, N. Kourkoumelis, E. Rodriguez-Merchan, Mohsen Sheykhhasan, Freddie H. Fu, M. Vaz, Jian-xiang Kong, B. Azantsa, Chuan Ye, F. Halabchi, Stephen Cornish, L. Hausmann, André Luiz Siqueira Campos, Carlos César Lopes de Jesus, C. Jorgensen, E. Ilieva, Weiguo Wang, Laura Villarreal Martinez, Hyochol Ahn, I. Shirinsky, C. Cheung, G. Knutsen, W. Petersen, N. Lane, Hong Cai, W. Xu, Jian Wu, Jun Lu, Yingze Zhang, Q. Jiang","doi":"10.21037/aoj.2019.12.13","DOIUrl":"https://doi.org/10.21037/aoj.2019.12.13","url":null,"abstract":"Osteoarthritis (OA), also known as osteoarthrosis, is the most prevalent form of joint pathology. It is attributed to diverse causes like joint injury, obesity, aging, and genetic predisposition. The result is the degeneration of the articular cartilage, the subchondral bone, and the entire joint organ. The articular cartilage destruction, typical of OA, is associated with joint space narrowing and periarticular hypertrophic changes. Chronic knee pain significantly affects quality of life (1). People suffering from OA are often confused about the management of their condition. Healthcare professionals must provide support and clear advice on the possible ways to regulate symptoms like pain and decreased physical function, which have an impact on self-efficacy and social engagement.","PeriodicalId":44459,"journal":{"name":"Annals of Joint","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48973489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anterior cruciate ligament (ACL) reconstruction is well established in a single bundle or double bundle technique using hamstrings, quadriceps tendon or patellar tendon. Based on new anatomical findings from the authors about flat ACL and c-shaped tibial insertion, a novel concept was developed to reconstruct the ACL in a more anatomical way. This article describes the new technique of flat ACL reconstruction with graft preparation and creation of flat femoral and tibial bone slits.
{"title":"Anatomical anterior cruciate ligament reconstruction with a flat graft using a new tunnel creation technique","authors":"R. Siebold, R. Śmigielski, M. Herbort, C. Fink","doi":"10.21037/AOJ.2019.05.02","DOIUrl":"https://doi.org/10.21037/AOJ.2019.05.02","url":null,"abstract":"Anterior cruciate ligament (ACL) reconstruction is well established in a single bundle or double bundle technique using hamstrings, quadriceps tendon or patellar tendon. Based on new anatomical findings from the authors about flat ACL and c-shaped tibial insertion, a novel concept was developed to reconstruct the ACL in a more anatomical way. This article describes the new technique of flat ACL reconstruction with graft preparation and creation of flat femoral and tibial bone slits.","PeriodicalId":44459,"journal":{"name":"Annals of Joint","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2019-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/AOJ.2019.05.02","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43772217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This issue of Annals of Joint that I have had the pleasure to guest edit, is truly focused on the revolutionary effects of reverse shoulder arthroplasty on the orthopedic patient in 2019. We have been lucky enough to assimilate leading authors from around the world to help shed insight and highlight the current practice patterns around reverse shoulder arthroplasty (both the primary and revision setting).
{"title":"Evolving trends in reverse shoulder arthroplasty","authors":"J. Abboud","doi":"10.21037/AOJ.2019.01.08","DOIUrl":"https://doi.org/10.21037/AOJ.2019.01.08","url":null,"abstract":"This issue of Annals of Joint that I have had the pleasure to guest edit, is truly focused on the revolutionary effects of reverse shoulder arthroplasty on the orthopedic patient in 2019. We have been lucky enough to assimilate leading authors from around the world to help shed insight and highlight the current practice patterns around reverse shoulder arthroplasty (both the primary and revision setting).","PeriodicalId":44459,"journal":{"name":"Annals of Joint","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2019-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/AOJ.2019.01.08","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46168624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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