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Journal of shoulder and elbow arthroplasty最新文献

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Axillary Nerve Palsy 腋窝神经麻痹
Journal of shoulder and elbow arthroplasty
Pub Date : 2020-01-01 DOI: 10.1007/978-3-030-19285-3_2
N. Özkan, Sena Gül Çakır
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引用次数: 0
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
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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
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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
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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
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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
{"title":"Stemless RTSA","authors":"C. Witney-Lagen, P. Consigliere, L. Natera, Ofer Levy","doi":"10.1007/978-3-030-19285-3_12","DOIUrl":"https://doi.org/10.1007/978-3-030-19285-3_12","url":null,"abstract":"","PeriodicalId":73942,"journal":{"name":"Journal of shoulder and elbow arthroplasty","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73101470","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: 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
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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
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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

In shoulder osteoarthritis, the B2 glenoid presents challenges in treatment because of the excessive retroversion and posterior deficiency of the glenoid. Correction of retroversion and maintenance of a stable joint line with well-fixed implants are essential for the successful treatment of this deformity with arthroplasty. Reverse shoulder arthroplasty offers several key advantages in achieving this goal, including favorable biomechanics, a well-fixed baseplate, and proven success in other applications. Techniques such as eccentric reaming, bone grafting, and baseplate augmentation allow surgeons to tailor treatment to the patient's altered anatomy. Eccentric reaming is favored for correction of small defects or mild version anomalies. Current trends favor bone grafting for larger corrections, though augmented components have shown early promise with the potential for expanded use. With overall promising results reported in the literature, reverse shoulder arthroplasty is a useful tool for treating older patients with B2 glenoid deformities.

在肩关节骨性关节炎中，由于肩关节过度后倾和后部缺陷，B2肩关节盂在治疗中提出了挑战。用固定良好的假体矫正后倾和维持关节线的稳定是成功治疗关节置换术的关键。在实现这一目标的过程中，反向肩关节置换术有几个关键的优势，包括良好的生物力学性能、固定良好的底板以及在其他应用中的成功。诸如偏心扩孔、植骨和基板增强等技术使外科医生能够根据患者解剖结构的改变来定制治疗方案。偏心扩孔适用于小缺陷或轻度畸形的矫正。目前的趋势倾向于骨移植进行更大的矫正，尽管增强组件已经显示出扩大使用潜力的早期前景。根据文献报道的总体结果，反向肩关节置换术是治疗老年B2型肩关节畸形患者的有效工具。
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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

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.

背景:全肩关节置换术(TSA)显示出良好的长期生存率，但早期植入物可能发生失败。本研究确定了与肩关节置换术翻修相关的因素，并构建了肩关节置换术后翻修手术的风险评分。方法:采用一种经过验证的算法，使用基于人群的数据识别2002年至2012年间接受解剖性TSA的所有患者。人口统计学变量包括肩关节植入物类型、年龄和性别、Charlson合并症评分、收入五分位数、诊断和外科医生关节置换术量。在将死亡视为竞争风险并在肩关节置换术翻修风险评分(SARRS)中表达时，测量协变量与翻修时间的关联。结果:在研究期间，4079例患者接受了TSA。翻修风险随患者年龄增长和无骨关节炎呈非线性降低，不受手术类型或其他协变量的影响。SARRS范围从-21分(5年修订风险0.75%)到30分(风险11.4%)。评分判别性相对较弱，为0.55(95%可信区间:0.530.61)，但校准非常好，检验统计量为5.77 (df = 8, P = .762)。讨论:SARRS模型准确预测了TSA患者的5年翻修风险。在此评分用于临床预测翻修风险之前，需要进行验证研究。需要进一步的研究来确定加入详细的临床数据，包括功能结果测量和盂肱关节的严重程度是否会增加模型的辨别能力。
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引用次数: 0
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