Publications by authors named "Ashwin V Deshmukh"
Total shoulder arthroplasty: long-term survivorship, functional outcome, and quality of life.
J Shoulder Elbow Surg
February 2006
This study examines long-term outcomes of total shoulder arthroplasty (TSA) via survivorship analysis, patient questionnaires, and minimum 10-year physical examinations. The study group consisted of 320 consecutive TSAs performed in 267 patients between 1974 and 1988. Diagnoses included rheumatoid arthritis (69%), osteoarthritis (22%), and juvenile rheumatoid arthritis (4.
View Article and Find Full Text PDFBackground: Despite reports of excellent results with the Weaver-Dunn coracoacromial ligament transfer, many authors recommend augmenting the transfer with supplemental fixation. The authors of this study sought to determine whether there is a biomechanical basis for this assertion and which augmentative method, if any, most closely restored acromioclavicular motion to normal.
Hypothesis: Augmentative coracoclavicular fixation provides better restoration of normal acromioclavicular joint laxity and an increased failure load when compared with the Weaver-Dunn reconstruction alone.
Article Synopsis
- Subacromial decompression is commonly used to treat impingement syndrome when other methods fail, but concerns have emerged about potential side effects, specifically increased laxity in the acromioclavicular joint.
- A study was conducted on eighteen cadaveric shoulders to assess how this procedure affects joint laxity, revealing that subacromial decompression increased both anteroposterior and superior joint compliance significantly.
- While the procedure’s immediate results show increased laxity in the acromioclavicular joint, the long-term clinical impact of these changes remains uncertain.