Techniques in Shoulder and Elbow Surgery Techniques in Shoulder and Elbow Surgery RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Lesser Tuberosity Osteotomy Versus Subscapularis Peel: Is There a Preferred Approach for Subscapularis Management in Anatomic Shoulder Arthroplasty?
Failure of the subscapularis to heal following shoulder arthroplasty can compromise the success of the procedure and may result in pain, instability, and weakness. Options for subscapularis management during exposure include lesser tuberosity osteotomy, subscapularis peel, and subscapularis tenotomy. The optimal approach to subscapularis management remains controversial. The techniques for lesser tuberosity osteotomy and subscapularis peel are described. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - February 4, 2016 Category: Orthopaedics Tags: Hot Topics and Controversies Source Type: research

Glenohumeral Arthritis: Current Indications for Hemiarthroplasty Versus Total Shoulder Arthroplasty
Total shoulder arthroplasty remains the procedure of choice for most end-stage degenerative conditions; however, hemiarthroplasty is a reasonable alternative for young, active patients with heavy-lifting demands. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - February 4, 2016 Category: Orthopaedics Tags: Hot Topics and Controversies Source Type: research

Postoperative Rehabilitation and Outcomes of Primary Anatomic Shoulder Arthroplasty
The purpose of this review is to outline appropriate rehab and discuss outcomes of anatomic total shoulder arthroplasty. Rehabilitation is an important part in producing an effective total shoulder arthroplasty. Implant protection, guided motion and strengthening, and pain control are pillars of appropriate rehab that should start immediately following surgery. Regardless of rehab specifics, the physician must maintain communication with the patient and therapist to individualize the patient's therapy milestones. Outcomes following anatomic total shoulder arthroplasty have proven to be durable and reproducible. Total shoul...
Source: Techniques in Shoulder and Elbow Surgery - February 4, 2016 Category: Orthopaedics Tags: Invited Techniques Source Type: research

Managing Glenoid Bone Loss in Primary Total Shoulder Arthroplasty
Treatment of shoulder osteoarthritis with primary anatomic total shoulder arthroplasty may be challenging in the setting of posterior glenoid bone loss. This paper describes considerations and techniques in the management of significant glenoid wear. The authors’ preferred surgical technique is presented. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - February 4, 2016 Category: Orthopaedics Tags: Invited Techniques Source Type: research

Surgical Approach and Dealing With the Subscapularis in Primary Shoulder Arthroplasty
The optimal management of the subscapularis tendon during total shoulder arthroplasty remains controversial. Subscapularis mobilization is required to gain access to the glenohumeral joint during the deltopectoral approach. Failure of the subscapularis to heal, or postoperative rupture, has been associated with poor clinical outcomes. Current evidence supporting subscapularis tenotomy, lesser tuberosity osteotomy, and subscapularis peel are summarized, as surgical techniques. Regardless of technique used, an anatomic and substantial repair with heavy nonabsorbable stitches and plate augmentation is necessary to withstand g...
Source: Techniques in Shoulder and Elbow Surgery - February 4, 2016 Category: Orthopaedics Tags: Invited Techniques Source Type: research

Total Shoulder Arthroplasty: Historical Perspective, Indications, and Epidemiology
The first reported prosthetic arthroplasty of any type was a reverse total shoulder arthroplasty performed in approximately 1892. The modern era of shoulder arthroplasty began in the 1950s when Neer developed and reported on solid vitallium proximal humeral hemiarthroplasty implanted for fracture. Subsequent developments include modular components, total shoulder arthroplasty for degenerative arthrosis, and reverse total shoulder for rotator cuff arthropathy. Current trends have led to bone sparing humeral designs including resurfacing, smaller stems, and stemless implants as well as humeral components that can accommodate...
Source: Techniques in Shoulder and Elbow Surgery - February 4, 2016 Category: Orthopaedics Tags: Invited Techniques Source Type: research

Biomaterials in Total Shoulder Arthroplasty
Modern component designs for total shoulder arthroplasty, including short-stem and stemless humeral components and hybrid glenoid components, show promising early and mid-term outcomes, but glenoid component failure remains the most common complication. Component loosening remains the leading cause of glenoid failure and must be the focus of future designs. Cemented all-polyethylene components, with or without bony ingrowth, and hybrid glenoid components presently show the most encouraging results with regard to long-term fixation and durability. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - February 4, 2016 Category: Orthopaedics Tags: Invited Techniques Source Type: research

Anatomic Total Shoulder Arthroplasty Special Edition Preface
No abstract available (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - February 4, 2016 Category: Orthopaedics Tags: Introduction Source Type: research

Controversies in Shoulder Arthroplasty
This article is a summary of those proceedings. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - November 3, 2015 Category: Orthopaedics Tags: Techniques Source Type: research

Outpatient Treatment of Compensated Cuff Arthropathy Using Inlay Arthroplasty With Subscapularis Preservation
Management of the rotator cuff–deficient shoulder remains challenging particularly for younger patients with higher functional demands. Patients presenting with signs and symptoms of cuff tear arthropathy (CTA) are frequently treated with reverse, total, or hemishoulder arthroplasty. Life expectancy must be taken into consideration when deciding on the treatment path for high-demand patients, particularly in light of significant complication rates and poor revision strategies for reverse shoulder arthroplasty. Subsets of patients presenting with early CTA stage IA (Seebauer Classification, Burkhart type I) are suitable c...
Source: Techniques in Shoulder and Elbow Surgery - November 3, 2015 Category: Orthopaedics Tags: Techniques Source Type: research

Biological Augmentation of Rotator Cuff Repair: Platelet-rich Plasma (PRP) and Bone Marrow Aspirate (BMA)
Biological therapies that can augment tendon to bone healing are desirable for the management of clinical conditions such as failed rotator cuff (RC) repair, chronic retracted RC tears, and RC tears in a compromised host (smokers, chronic medical conditions including diabetes). Bone marrow aspirate and platelet-rich plasma are 2 autologous biological therapies that are currently being used clinically to augment tendon to bone healing. The indications for this biological therapy, its efficacy, duration, dosage, and optimum cellular concentration are in the process of evolution and require continued ongoing investigations fo...
Source: Techniques in Shoulder and Elbow Surgery - November 3, 2015 Category: Orthopaedics Tags: Techniques Source Type: research

Direct Suture Repair of Unstable Osteochondritis Dissecans Lesions of the Capitellum: A Surgical Technique
Osteochondritis dissecans of the capitellum represents a challenging clinical entity. For lesions that are unstable, cause mechanical symptoms, or fail conservative management, surgical intervention may be considered. Prior reports have described debridement, microfracture, retrograde drilling, osteochondral autologous transplantation surgery, distal humeral realignment osteotomy, and direct repair with pins or osteochondral pegs. For well-attached lesions without significant fragmentation, fixation may be achieved using a simple direct suture repair technique. This method involves passage of a mattress-type suture through...
Source: Techniques in Shoulder and Elbow Surgery - November 3, 2015 Category: Orthopaedics Tags: Techniques Source Type: research

Reverse Shoulder Arthroplasty in the Treatment of Proximal Humeral Fractures
The addition of the reverse prosthetic arthroplasty has become an attractive option in the treatment of complex fractures of the proximal humerus, particularly in elderly patients in whom bone may not be ideal for internal fixation or in whom tuberosity bone quality or comminution might make healing uncertain when considering hemiarthroplasty. The following suggests a reproducible technique accompanied by technical pearls which may help make reverse arthroplasty results more predictable in fracture management. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - November 3, 2015 Category: Orthopaedics Tags: Hot Topics and Controversies Source Type: research

Proximal Humerus Fractures, ORIF, and Key Steps in Fracture Reduction and Fixation
Proximal humeral fractures are generally treated nonoperatively. However, when the orthopedic surgeon is faced with displaced proximal humeral fractures that require surgery technical challenges often frustrate even the most talented of surgeons. This manuscript is designed to provide a methodical, easy-to-reproduce roadmap for surgeons to simplify this complicated procedure. Specific attention is paid to real-life, low-cost pearls and keys to avoiding pitfalls to maximize patient outcome and minimize surgeon frustration. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - November 3, 2015 Category: Orthopaedics Tags: Hot Topics and Controversies Source Type: research

Distal Biceps Repair With Acellular Dermal Graft Augmentation
We describe a technique for using acellular dermal allograft to augment (not bridge) attritional distal biceps ruptures. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - August 5, 2015 Category: Orthopaedics Tags: Techniques Source Type: research