JSES reviews, reports, and techniques最新文献

{"title":"Use of pre-operative 3D planning software for revision shoulder arthroplasty: clinical experience data from a survey in a real-world setting","authors":"Matthias Regling Dipl-Kfm ,&nbsp;Brendan M. Patterson MD, MPH","doi":"10.1016/j.xrrt.2024.05.010","DOIUrl":"10.1016/j.xrrt.2024.05.010","url":null,"abstract":"<div><h3>Background</h3><div>Preoperative 3D planning is routinely used in primary shoulder arthroplasty, while specific challenges in the revision setting make such approaches more cumbersome and less accessible. Recently, an established preoperative planning software (Blueprint; Stryker, Tornier SAS, Montbonnot-Saint-Martin, France) was expanded to offer a capability for planning of revision and complex primary shoulder arthroplasty cases. The aim of this study was to survey experienced surgeons on their perception of the new software feature for preoperative 3D planning in the setting of revision shoulder arthroplasty.</div></div><div><h3>Methods</h3><div>An observational survey was conducted from January 2022 to October 2022 among orthopedic surgeons performing revision shoulder arthroplasty cases. The survey was part of the Early Product Surveillance program, with the primary goal of obtaining observational data from surgical experience in a real-world setting. A two-staged survey process was applied with separate questionnaires to seek voluntary feedback on the preoperative planning phase as well as on the intraoperative evaluation of the software planning features in revision shoulder arthroplasty.</div></div><div><h3>Results</h3><div>Twenty-five fellowship-trained orthopedic surgeons from the USA and Canada participated in the survey and reported their feedback on 34 revision shoulder arthroplasty cases that were preoperatively planned with the use of Blueprint revision planning software. The surgeons were largely in favor of the revision software planning features and confirmed perceived benefits of its use in the preoperative planning stage of revision shoulder arthroplasty cases. Reported benefits in the preoperative planning phase included increased efficiency and improved ease of creating an appropriate surgical plan as well as increased confidence to execute revision shoulder arthroplasty cases. Surgeons also noted improvements in translation of preoperative planning to intraoperative execution of revision cases, including more appropriate implant selection and improved accuracy of implant placement.</div></div><div><h3>Conclusion</h3><div>The feedback from fellowship-trained shoulder arthroplasty surgeons on the use of the new software feature for preoperative 3D planning of revision shoulder arthroplasty is largely favorable. Further research should be conducted to investigate whether these surgeon-perceived benefits can lead to improved clinical outcomes for patients.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 4","pages":"Pages 783-789"},"PeriodicalIF":0.0,"publicationDate":"2024-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142440938","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}

{"title":"A case of pediatric Monteggia fracture–dislocation with ipsilateral distal radius fracture","authors":"","doi":"10.1016/j.xrrt.2024.06.002","DOIUrl":"10.1016/j.xrrt.2024.06.002","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 4","pages":"Pages 850-853"},"PeriodicalIF":0.0,"publicationDate":"2024-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141398664","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}

{"title":"Surgical treatment of a glenolabral articular disruption lesion using knotless labral repair and minced cartilage procedure: a case report","authors":"","doi":"10.1016/j.xrrt.2024.05.008","DOIUrl":"10.1016/j.xrrt.2024.05.008","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 4","pages":"Pages 834-838"},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141399390","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}

{"title":"Outcomes of tendon transfers for scapular winging in young military athletes","authors":"","doi":"10.1016/j.xrrt.2024.05.009","DOIUrl":"10.1016/j.xrrt.2024.05.009","url":null,"abstract":"<div><h3>Background</h3><div>The partial pectoralis major transfer for the treatment of serratus anterior deficiency and modified Eden-Lange/Triple Tendon Transfer for trapezius deficiency result in improvement in pain and shoulder function. However, athletic function following these procedures is unknown. The purpose of this study is to determine the outcomes and return to military duty and athletic tasks following partial pectoralis major transfer and Tripler Tendon Transfer.</div></div><div><h3>Methods</h3><div>A retrospective review of prospectively gathered data was performed for all patients surgically treated for medial and lateral scapular winging at two military medical centers. Preoperative patient-reported outcomes collected included the Single Assessment Numeric Evaluation (SANE), Visual Analog Scale (VAS), and American Shoulder and Elbow Surgeons (ASES). Patients were excluded if they had less than 1 year follow-up, no postoperative patient-reported outcomes or return to military duty data.</div></div><div><h3>Results</h3><div>Eleven patients were surgically treated for scapular winging, 7 patients for serratus anterior deficiency and 4 patients for trapezius deficiency and were available for follow-up at a mean of 28 months. The mean preoperative outcome scores were SANE 40.9%, VAS 4.4 and ASES 54.4. Significant improvement in SANE 77.4% (<em>P</em> = .001), VAS 1.8 (<em>P</em> = .017) and ASES 75.7 (<em>P</em> = .008) was identified. Five of the 9 (55.6%) active-duty service members were able to meet their fitness requirements and remain on active-duty status.</div></div><div><h3>Conclusion</h3><div>The split pectoralis major transfer for serratus anterior deficiency and the Triple Tendon Transfer for trapezius deficiency are excellent treatment options in patients who have high physical demands.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 4","pages":"Pages 779-782"},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141412976","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}

{"title":"High rates of return to sport after suprascapular nerve decompression: an updated systematic review","authors":"","doi":"10.1016/j.xrrt.2024.05.007","DOIUrl":"10.1016/j.xrrt.2024.05.007","url":null,"abstract":"<div><h3>Background</h3><div>Suprascapular nerve decompression (SSND) remains a controversial procedure. In 2018, Momaya et al published the first systematic review of SSND noting satisfactory outcomes with low rates of complications; however, numerous studies published since have noted no benefit in routinely adding SSND to other arthroscopic surgeries, contributing to existing contention regarding the procedure. The purpose of this study is to provide an updated assessment of outcomes after SSND.</div></div><div><h3>Methods</h3><div>To conduct this updated systematic review, a search of PubMed (MEDLINE) for relevant studies published prior to January 21, 2023 was conducted. Outcomes including patient-reported clinical outcomes, return to sport, preoperative and postoperative electrodiagnostic testing, and adverse events were collected and pooled for assessment. Studies were eligible for inclusion if they met Momaya et al’s inclusion criteria and/or reported outcomes following SSND at either the suprascapular notch or spinoglenoid notch.</div></div><div><h3>Results</h3><div>In total, 730 patients from 33 studies were eligible for inclusion. All patient-reported outcome measure scores including American Shoulder Elbow Surgeon Standardized Shoulder Assessment; Constant-Murley score; Disabilities of the Arm, Shoulder, and Hand; Subjective Shoulder Value; University of California–Los Angeles shoulder; and visual analog scale pain scores improved significantly postoperatively, with improvements ranging from 53.5% to 102.6% of preoperative values. Ultimately, 98% (n = 90/92) of patients returned to sport or military duty and 96% of these patients returned at their previous level of activity (n = 48/50) without heterogeneity among rates between studies (<em>P</em> = .176, <em>P</em> = .238, respectively). Preoperative electrodiagnostic testing was conducted in 93% of patients, and 90% had associated abnormal findings. Continued symptoms were noted among 12% of patients (n = 39/322) with significantly different rates observed between studies. Complications from operative management not limited to SSND occurred in 11% of patients (n = 64/576) and reoperations occurred in 3.3% of patients (n = 15/455).</div></div><div><h3>Conclusion</h3><div>Suprascapular neuropathy treated with SSND significantly improves patient-reported outcomes and is noninferior to similar procedures without SSND. Appropriate clinical diagnosis of suprascapular neuropathy is required as opposed to a routine adjunct procedure with other arthroscopic shoulder surgery. Ultimately, SSND is associated with high rates of return to sport and relatively low rates of adverse events; however, the risk of continued symptoms and electrodiagnostic test-related complications is an important point on preoperative counseling.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 4","pages":"Pages 654-661"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141281858","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}

{"title":"Surgical management of glenohumeral instability in patients with Ehlers-Danlos syndrome/hypermobility spectrum disorder and their risk of reoperation","authors":"","doi":"10.1016/j.xrrt.2024.03.006","DOIUrl":"10.1016/j.xrrt.2024.03.006","url":null,"abstract":"<div><h3>Background</h3><div>This study aims to characterize the types of procedures performed on patients previously diagnosed with Ehlers-Danlos syndrome (EDS)/hypermobility spectrum disorder (HSD) and investigate rates of revision surgery following open, arthroscopic, or bony stabilization procedures in patients with and without a preoperative diagnosis of EDS/HSD.</div></div><div><h3>Methods</h3><div>This is a retrospective comparative study utilizing a large nationwide claims database. Records were queried between January 2011 and December 2021 for patients undergoing surgical management for glenohumeral instability using Current Procedural Terminology codes. Patients with preoperative diagnoses of EDS/HSD were identified using International Classifications of Disease, ninth revision and tenth revision billing codes. Multivariable logistic regression was used to analyze the distribution of surgical techniques performed for patients with HSD and compare rates of revision operation following open, arthroscopic, and/or bony procedures. Unadjusted and adjusted odds ratios (aOR) and 95% confidence intervals are reported for each comparison. A <em>P</em> value of .05 was used to signify statistical significance.</div></div><div><h3>Results</h3><div>Patients with preoperative diagnoses of EDS/HSD were significantly more likely to undergo open posterior (aOR = 3.47, 95% CI [2.13, 5.31]), open capsulorrhaphy (aOR = 5.04, 95% CI [3.97, 6.32]), and Latarjet (aOR = 1.84, 95% CI [1.33, 2.48]) procedures than patients without EDS/HSD. In contrast, these patients were significantly less likely to undergo arthroscopic Bankart repair (aOR = 0.48, 95% CI [0.40, 0.58]). Preoperative EDS/HSD was also associated with increased rates of secondary shoulder surgery (aOR = 2.63, 95% CI [2.01, 3.39]), but not necessarily ipsilateral revision shoulder surgery (aOR = 1.64, 95% CI [0.89, 2.77], <em>P</em> = .87).</div></div><div><h3>Conclusions</h3><div>The present study demonstrates that EDS/HSD results in greater likelihood of shoulder instability being surgically managed through open procedures as opposed to arthroscopic procedures, as well as greater likelihood of requiring subsequent surgical procedures. These findings provide critical insights to patients with EDS/HSD and their clinical providers for developing treatment plans for shoulder instability. Providers should educate patients with known hyperlaxity to make them aware of their increased odds of future reoperation. Surgeons should also prioritize assessment of ligamentous laxity in all patients and adjust individual treatment protocols accordingly.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 4","pages":"Pages 757-761"},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140787005","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}

{"title":"Is popularity of total elbow arthroplasty in the United States decreasing? An analysis of trends, demographics, and indications","authors":"","doi":"10.1016/j.xrrt.2024.03.005","DOIUrl":"10.1016/j.xrrt.2024.03.005","url":null,"abstract":"<div><h3>Background</h3><div>Total elbow arthroplasty (TEA) is an effective surgical intervention that can be used in the treatment of elbow pathologies including osteoarthritis (OA), complex distal humerus fractures, and rheumatoid arthritis (RA). However, there is a paucity of literature assessing trends in the utilization of TEA. The purpose of this study was to identify trends in TEA utilization in the United States (U.S.) from 2010 to 2018.</div></div><div><h3>Methods</h3><div>A query of the IBM Watson Health MarketScan Database was performed to identify patients that underwent TEA from 2010 to 2018 using Current Procedural Terminology and International Classification of Disease coding. Patients were stratified based on surgical indication into the following groups: distal humerus fracture/post-traumatic sequelae, RA, OA, and other. Population estimates from the U.S. Census Bureau were used to estimate the annual incidence and procedural trends of primary TEA for each surgical indication. Further stratification evaluated TEA trends based on sex, age, and geographic region.</div></div><div><h3>Results</h3><div>A total of 6522 primary TEAs were performed between 2010 and 2018. The total annual volume of TEAs performed from the start to the end of this time period decreased by 33%, from 694 to 466 cases. Overall, the majority (53.9%, n = 3514) of all TEAs from 2010 to 2018 were performed to treat distal humerus fractures/post-traumatic sequelae, while 22.3% (n = 1457) were performed for RA, 10.8% (n = 702) for OA, and 13.0% (n = 849) for other. Volume and incidence of TEA decreased over time from 2010 to 2018 regardless of surgical indication, sex, and age. The greatest decreases in volume and incidence in TEAs during the study period was observed for RA (58% and 60%, respectively). The smallest change in volume and incidence of TEA was observed for OA, with a 9% decrease in volume from 57 to 52 cases and 14% decrease in incidence from 0.19 to 0.16 per 1,000,000 people.</div></div><div><h3>Conclusions</h3><div>The incidence and volume of primary TEAs in the U.S. decreased from 2010 to 2018, regardless of surgical indication, sex, and age. The most common indication for TEA is distal humerus fractures and traumatic sequelae, and RA is now a much less common indication than it was in the past. Understanding the national trends of TEA utilization allows us to visualize changes in practice over time to highlight preferences in the treatment of various elbow pathologies.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 4","pages":"Pages 797-804"},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140763092","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}

{"title":"Understanding loss of internal rotation after reverse shoulder arthroplasty: a narrative review of current literature","authors":"Mihir Sheth MD ,&nbsp;Raymond Kitziger BSA ,&nbsp;Anup A. Shah MD","doi":"10.1016/j.xrrt.2024.03.001","DOIUrl":"10.1016/j.xrrt.2024.03.001","url":null,"abstract":"<div><h3>Background</h3><div>Functional internal rotation (fIR) can be limited after reverse shoulder arthroplasty (RSA) and can result in difficulties performing activities of daily living (ADLs). The goal of this narrative review is to summarize the growing body of research on optimizing fIR after RSA that may be useful to clinical practice.</div></div><div><h3>Methods</h3><div>A narrative review of recent literature on IR after RSA.</div></div><div><h3>Results</h3><div>IR required for ADLs is a compound motion involving multiple joints and planes; for this reason, the term “functional internal rotation” can be used to differentiate this motion from glenohumeral IR. Measuring IR by vertebral level is limited by interobserver reliability and poor correlation with the ability to perform ADLs. IR-specific scores or questions may be more relevant. Patient-based factors that influence IR include body mass index, thoracic spine sagittal alignment, humeral torsion, preoperative humerothoracic extension, and scapulothoracic mobility. Surgically, a healed subscapularis repair appears to improve IR and anterior latissimus dorsi transfers have been described with favorable results. Tools to predict IR after RSA are emerging and may be helpful to counseling patients on implant selection.</div></div><div><h3>Conclusion</h3><div>FIR after RSA is optimized by maximizing impingement-free arc of motion and subscapularis repair in patients with mobile scapulothoracic joints, adequate preoperative humerothoracic extension, and low body mass index.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 4","pages":"Pages 647-653"},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142440941","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}

{"title":"Dual reconstruction, combined anterior latissimus dorsi with teres major and posterior lower trapezius tendon transfer, for massive irreparable rotator cuff tears: a case report","authors":"","doi":"10.1016/j.xrrt.2024.02.004","DOIUrl":"10.1016/j.xrrt.2024.02.004","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 4","pages":"Pages 843-849"},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140283297","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}

{"title":"Distal tibia osteochondral allograft as a successful treatment for a glenoid chondral defect in a pediatric patient","authors":"Logan Radtke MD,&nbsp;Cameron Guy MD,&nbsp;Adrik Da Silva BS,&nbsp;Travis Maak MD,&nbsp;Peter Chalmers MD","doi":"10.1016/j.xrrt.2024.02.005","DOIUrl":"10.1016/j.xrrt.2024.02.005","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 2","pages":"Pages 315-318"},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666639124000348/pdfft?md5=40dc30ffd59fa9aa4c91a71e02a246f1&pid=1-s2.0-S2666639124000348-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140269154","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}