Pub Date : 2024-12-01DOI: 10.1053/S1048-6666(24)00067-3
{"title":"Editorial Board (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(24)00067-3","DOIUrl":"10.1053/S1048-6666(24)00067-3","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 4","pages":"Article 101158"},"PeriodicalIF":0.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743180","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}
Pub Date : 2024-12-01DOI: 10.1016/j.oto.2024.101153
Zaamin B. Hussain, Eric R. Wagner
Technological innovations in shoulder arthroplasty could play a major role in addressing problems of implant positioning, stability, and longevity and optimizing patient outcomes. This review discusses the role of extended reality, navigation, patient-specific instrumentation, robotics and artificial intelligence and their applications in training, preoperative planning and intraoperative execution. These nascent technologies have the potential to deliver extraordinary value to patients requiring shoulder arthroplasty but long-term prospective clinical data justifying their mainstream use is currently lacking.
{"title":"Revolutionizing Shoulder Arthroplasty: The Transformative Impact of Extended Reality, Robotics, and Artificial Intelligence on Training, Planning, and Execution","authors":"Zaamin B. Hussain, Eric R. Wagner","doi":"10.1016/j.oto.2024.101153","DOIUrl":"10.1016/j.oto.2024.101153","url":null,"abstract":"<div><div>Technological innovations in shoulder arthroplasty could play a major role in addressing problems of implant positioning, stability, and longevity and optimizing patient outcomes. This review discusses the role of extended reality, navigation, patient-specific instrumentation, robotics and artificial intelligence and their applications in training, preoperative planning and intraoperative execution. These nascent technologies have the potential to deliver extraordinary value to patients requiring shoulder arthroplasty but long-term prospective clinical data justifying their mainstream use is currently lacking.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 4","pages":"Article 101153"},"PeriodicalIF":0.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743188","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}
Pub Date : 2024-12-01DOI: 10.1016/j.oto.2024.101154
Jonathan D. Hughes
{"title":"Shoulder Arthroplasty","authors":"Jonathan D. Hughes","doi":"10.1016/j.oto.2024.101154","DOIUrl":"10.1016/j.oto.2024.101154","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 4","pages":"Article 101154"},"PeriodicalIF":0.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743183","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}
Pub Date : 2024-12-01DOI: 10.1053/S1048-6666(24)00069-7
{"title":"Contributors (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(24)00069-7","DOIUrl":"10.1053/S1048-6666(24)00069-7","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 4","pages":"Article 101160"},"PeriodicalIF":0.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743182","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}
Pub Date : 2024-12-01DOI: 10.1016/j.oto.2024.101149
J. Austin Stratton BS, Steve H. Bayer MD, Justin W. Arner MD
The reverse total shoulder arthroplasty (rTSA) has become an increasingly common procedure with rapidly expanding indications. The purpose of this review is to summarize the history of the rTSA, provide an overview of modern implant design, and discuss the expanding indications for primary rTSA, rTSA in the revision setting, and the associated outcomes. The Grammont rTSA was introduced in 1985 for the treatment of cuff tear arthroplasty (CTA). Due to complications including scapular notching, stress fracture of the acromion and scapular spine, and instability, subsequent iterations have included glenoid component lateralization, changes in glenoid baseplate positioning, variations in humeral neck shaft angle, and inlay vs onlay humeral component design. Modernization of the rTSA design has resulted in expanding indications beyond CTA, including irreparable cuff tear, primary osteoarthritis, and fracture. Modern rTSA designs have demonstrated improvement in patient reported outcomes and pain from preoperative baseline with high patient satisfaction. However, rates of scapular notching increase over time and functional outcomes remain limited by deficits in range of motion, especially with internal rotation. An ideal implant configuration has not been identified, but navigation and extended reality are emerging areas of study that may improve implant placement and patient outcomes.
{"title":"Reverse Shoulder Arthroplasty: History, Indications, Design, Outcomes, and Complications","authors":"J. Austin Stratton BS, Steve H. Bayer MD, Justin W. Arner MD","doi":"10.1016/j.oto.2024.101149","DOIUrl":"10.1016/j.oto.2024.101149","url":null,"abstract":"<div><div>The reverse total shoulder arthroplasty (rTSA) has become an increasingly common procedure with rapidly expanding indications. The purpose of this review is to summarize the history of the rTSA, provide an overview of modern implant design, and discuss the expanding indications for primary rTSA, rTSA in the revision setting, and the associated outcomes. The Grammont rTSA was introduced in 1985 for the treatment of cuff tear arthroplasty (CTA). Due to complications including scapular notching, stress fracture of the acromion and scapular spine, and instability, subsequent iterations have included glenoid component lateralization, changes in glenoid baseplate positioning, variations in humeral neck shaft angle, and inlay vs onlay humeral component design. Modernization of the rTSA design has resulted in expanding indications beyond CTA, including irreparable cuff tear, primary osteoarthritis, and fracture. Modern rTSA designs have demonstrated improvement in patient reported outcomes and pain from preoperative baseline with high patient satisfaction. However, rates of scapular notching increase over time and functional outcomes remain limited by deficits in range of motion, especially with internal rotation. An ideal implant configuration has not been identified, but navigation and extended reality are emerging areas of study that may improve implant placement and patient outcomes.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 4","pages":"Article 101149"},"PeriodicalIF":0.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743186","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}
Pub Date : 2024-12-01DOI: 10.1053/S1048-6666(24)00068-5
{"title":"Table of Contents (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(24)00068-5","DOIUrl":"10.1053/S1048-6666(24)00068-5","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 4","pages":"Article 101159"},"PeriodicalIF":0.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743181","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}
Pub Date : 2024-12-01DOI: 10.1016/j.oto.2024.101152
Cortez L. Brown , Stephen Marcaccio , Joseph P. Mullen , Ryan T. Lin , Sophia McMahon , Amin Karimi , Albert Lin
Originally developed for total knee arthroplasty (TKA), patient-specific instrumentation (PSI) is a validated computer-assisted technique in shoulder arthroplasty involving the use of customized three dimensional (3D)-printed drill guides derived from preoperative planning software to assist in accurate position of components, particularly of the glenoid component. PSI has been shown to improve glenoid component positioning, leading to less outliers by maintaining accuracy while reducing variability. As technology continues to evolve, integrating PSI with other innovations such as computer navigation, robotics, and mixed reality holds the promise of even greater advancements in shoulder arthroplasty. Here we detail the patient indications, surgical technique, and patient outcomes following the use of PSI for shoulder arthroplasty.
{"title":"Patient Specific Instrumentation in Shoulder Arthroplasty","authors":"Cortez L. Brown , Stephen Marcaccio , Joseph P. Mullen , Ryan T. Lin , Sophia McMahon , Amin Karimi , Albert Lin","doi":"10.1016/j.oto.2024.101152","DOIUrl":"10.1016/j.oto.2024.101152","url":null,"abstract":"<div><div>Originally developed for total knee arthroplasty (TKA), patient-specific instrumentation (PSI) is a validated computer-assisted technique in shoulder arthroplasty involving the use of customized three dimensional (3D)-printed drill guides derived from preoperative planning software to assist in accurate position of components, particularly of the glenoid component. PSI has been shown to improve glenoid component positioning, leading to less outliers by maintaining accuracy while reducing variability. As technology continues to evolve, integrating PSI with other innovations such as computer navigation, robotics, and mixed reality holds the promise of even greater advancements in shoulder arthroplasty. Here we detail the patient indications, surgical technique, and patient outcomes following the use of PSI for shoulder arthroplasty.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 4","pages":"Article 101152"},"PeriodicalIF":0.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743189","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}
Pub Date : 2024-09-01DOI: 10.1053/S1048-6666(24)00048-X
{"title":"Editorial Board (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(24)00048-X","DOIUrl":"10.1053/S1048-6666(24)00048-X","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101139"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417284","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}
Pub Date : 2024-09-01DOI: 10.1016/j.oto.2024.101133
Katherine L. Shumate , Ivan S. Tarkin
Nutrition is a modifiable factor which should be optimized in the surgical patient. Peri-operative programs, such as “Strong for Surgery”, identify patients with protein malnutrition and provide resources for adequate feeding in the peri-operative period. The Orthopaedic Trauma patient benefits from this approach to encourage surgical wound healing, avoidance of septic complication, uneventful bone union, and successful rehabilitation. Acute Orthopaedic injuries requiring prompt intervention should be assessed for protein malnutrition and receive supplementation when necessary postoperatively. Patients with peri-articular fracture managed staged or for post-traumatic cases, nutrition should be assessed preoperatively and addressed prior to definitive surgical reconstruction.
营养是一个可调节的因素，应优化手术患者的营养状况。围手术期计划（如 "Strong for Surgery"）可识别蛋白质营养不良的患者，并提供资源，以便在围手术期提供充足的食物。创伤骨科患者可以从这种方法中获益，促进手术伤口愈合，避免化脓性并发症，使骨结合顺利进行并成功康复。需要及时干预的急性骨科创伤患者应进行蛋白质营养不良评估，必要时在术后补充蛋白质。对于分期治疗的关节周围骨折患者或创伤后病例，应在术前对营养进行评估，并在最终手术重建前解决营养问题。
{"title":"Nutritional Prehabilitation in the Orthopaedic Trauma Patient","authors":"Katherine L. Shumate , Ivan S. Tarkin","doi":"10.1016/j.oto.2024.101133","DOIUrl":"10.1016/j.oto.2024.101133","url":null,"abstract":"<div><div>Nutrition is a modifiable factor which should be optimized in the surgical patient. Peri-operative programs, such as “Strong for Surgery”, identify patients with protein malnutrition and provide resources for adequate feeding in the peri-operative period. The Orthopaedic Trauma patient benefits from this approach to encourage surgical wound healing, avoidance of septic complication, uneventful bone union, and successful rehabilitation. Acute Orthopaedic injuries requiring prompt intervention should be assessed for protein malnutrition and receive supplementation when necessary postoperatively. Patients with peri-articular fracture managed staged or for post-traumatic cases, nutrition should be assessed preoperatively and addressed prior to definitive surgical reconstruction.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101133"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417289","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}
Pub Date : 2024-09-01DOI: 10.1016/j.oto.2024.101132
Anthony Belmonte, Logan Roebke, Humza S. Shaikh
Physiologic stress-induced hyperglycemia (SIH) significantly impacts patient outcomes in both nondiabetic and diabetic individuals following orthopaedic trauma. This review synthesizes current literature on SIH's effects, highlighting its association with increased surgical site infections (SSI), extended hospital stays, wound complications, nonunion, need for revision surgery, and mortality. Nondiabetic patients with SIH face worse outcomes compared to euglycemic patients, including a higher risk of deep infections and systemic complications. Diabetic patients experience exacerbated hyperglycemia during trauma, leading to poor wound healing and heightened infection risk. Effective glycemic control, through preoperative optimization, intraoperative monitoring, and postoperative management, is crucial for improving outcomes. Special considerations are discussed for the geriatric population, who are particularly vulnerable to SIH-induced morbidity and mortality. Future directions emphasize developing tailored glycemia management algorithms, utilizing continuous monitoring systems, and fostering multidisciplinary collaboration to optimize care for orthopaedic trauma patients.
{"title":"Hyperglycemia in Orthopaedic Trauma Patients: Implications, Management, and Future Directions","authors":"Anthony Belmonte, Logan Roebke, Humza S. Shaikh","doi":"10.1016/j.oto.2024.101132","DOIUrl":"10.1016/j.oto.2024.101132","url":null,"abstract":"<div><div>Physiologic stress-induced hyperglycemia (SIH) significantly impacts patient outcomes in both nondiabetic and diabetic individuals following orthopaedic trauma. This review synthesizes current literature on SIH's effects, highlighting its association with increased surgical site infections (SSI), extended hospital stays, wound complications, nonunion, need for revision surgery, and mortality. Nondiabetic patients with SIH face worse outcomes compared to euglycemic patients, including a higher risk of deep infections and systemic complications. Diabetic patients experience exacerbated hyperglycemia during trauma, leading to poor wound healing and heightened infection risk. Effective glycemic control, through preoperative optimization, intraoperative monitoring, and postoperative management, is crucial for improving outcomes. Special considerations are discussed for the geriatric population, who are particularly vulnerable to SIH-induced morbidity and mortality. Future directions emphasize developing tailored glycemia management algorithms, utilizing continuous monitoring systems, and fostering multidisciplinary collaboration to optimize care for orthopaedic trauma patients.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101132"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417291","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}
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