Background: Operating room (OR) efficiency is of paramount importance for scheduling, cost efficiency and to allow for the high operating volume required to address the growing demand for arthroplasty. The purpose of this study was to develop a machine learning predictive model for Total Shoulder Arthroplasty (TSA) procedure duration and to identify factors which are predictive of a prolonged procedure.
Methods: A retrospective review was undertaken of all TSA between 2013-2021 in a large academic institution.
Purpose: The purpose of this study was to perform a systematic review to determine whether there were clinically significant differences in patient reported outcomes (PROMs) from 1- to 2-year follow-up following rotator cuff repair (RCR).
Methods: A literature search of three databases was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Randomized controlled trials (RCTs) reporting on PROMS at 1- and 2-years follow-up following RCR were included.
Background: The purpose of this study was to systematically review the literature to ascertain the clinical outcomes of the Latarjet procedure in patients with seizure disorders (SD) versus controls.
Methods: Two independent reviewers performed a literature search using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines using PubMed, Embase and Scopus databases. Only studies reporting on outcomes of the Latarjet procedure comparing patients with pre-existing SDs, or those comparing such patients versus controls were considered for inclusion.
Introduction: Anterior shoulder instability in adults over the age of 40 is frequently managed non-operatively. There is limited published evidence for the surgical management of these patients. This study aims to assess the risk of recurrence and functional outcomes in older adults after Arthroscopic Bankart Repair (ARB).
View Article and Find Full Text PDFObjective: To perform a systematic review and meta-analysis to compare the results of the Latarjet procedure performed using screws (S) or suture-button for coracoid graft fixation.
Methods: A systematic search in Pubmed, EMBASE, and The Cochrane Library databases was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Cohort studies comparing outcomes in the Latarjet procedure with screw fixation versus the Latarjet procedure with suture-button fixation were included.
Background: The purpose of this study was to systematically review the rate and time frame to return to sports in collision athletes following arthroscopic Bankart repair.
Methods: A systematic literature search based on Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines, utilizing the EMBASE, MEDLINE, and The Cochrane Library Databases was performed. Manuscripts were included if they studied collision or contact athletes, reported on return to play rates or percentages, underwent arthroscopic Bankart repair, published in a peer-reviewed journal, and published in English.
Background: To systematically review the literature assessing glenoid bone loss restoration by different bone block options and compare their dimensions.
Methods: Systematic examination of articles in PubMed and EMBASE databases was performed per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to find studies of bone grafts for treating anterior glenohumeral instability. Statistical analyses were conducted via Review Manager, and a -value of <0.
Purpose: To determine the prevalence of spin in systematic reviews (SRs) and meta-analyses of clinical studies of the remplissage procedure.
Methods: Two reviewers independently performed a literature search of the PubMed, Scopus, and Embase databases using the search term "remplissage" in accordance with Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The full article of each included SR was assessed for the presence of the 15 most common types of spin.
J Shoulder Elbow Surg
November 2024
Background: The risk factors associated with recurrent instability following Latarjet procedure remain poorly understood. The purpose of this study was to conduct a systematic review to elucidate risk factors contributing to therapeutic failure after the Latarjet procedure.
Methods: A comprehensive literature search was performed using the PubMed/MEDLINE and Embase databases based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.
Background: The aim of this study was to systematically review the literature on concomitant repair of superior labral and rotator cuff tears, in light of the paucity of published clinical evidence.
Methods: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses compliant search of PubMed, Embase, and Cochrane Library databases was performed for clinical studies of patients undergoing combined repairs of the rotator cuff and superior labrum.
Results: Ten studies comprising 241 shoulders were included, with a mean age of 52.
Background: Reverse shoulder arthroplasty (RSA) is an established operative treatment for failed rotator cuff repair (RCR) that may not be amenable to revision repair. The purpose of this meta-analysis is to evaluate the clinical outcomes for patients undergoing RSA following prior failed RCR compared with patients without prior RCR undergoing primary RSA.
Methods: A systematic search of articles in Pubmed, EMBASE and The Cochrane Library databases was carried out according to PRISMA guidelines.
J Hand Surg Glob Online
September 2024
Hypothesis: The purpose of this study was to systematically review complications arising from intramedullary nailing (IMN) of proximal and humeral shaft fractures. This study hypothesized that there would be a low rate of complications and revision among patients treated with IMN for humerus fractures.
Methods: Two independent reviewers performed a literature search in the PubMed database based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
J Shoulder Elbow Surg
January 2025
Background: Arthroscopic rotator cuff repair (ARCR) is one of the most common orthopedic procedures in the general population. Despite its prevalence, the price of ARCR varies significantly across regions, hospital models, and settings. The purpose of this study was to examine the effect of Geographic Region, Certificate of Need (CON) laws, and Medicaid expansion on ARCR pricing.
View Article and Find Full Text PDFRotator cuff arthropathy is a spectrum of disease states secondary to full-thickness cuff tears classified by rotator cuff insufficiency and degenerative disease within the shoulder joint. Diagnosis can be made through standard physical exam and radiographic films demonstrating varying levels of weakness, along with acetabularization, femoralization, and superior migration of the humeral head. Severity of disease is classified through both the Hamada and Seebauer grading systems, which are used clinically to determine the appropriate treatment algorithm.
View Article and Find Full Text PDFJ Am Acad Orthop Surg Glob Res Rev
August 2024
Background: Loss of shoulder range of motion (ROM) is common after surgical management of anterior shoulder instability; however, it remains unclear to what degree this is related to their injury.
Aim: The purpose of this study was to compare passive shoulder ROM in patients with ASI to a normal contralateral shoulder.
Methods: A total of 121 patients undergoing stabilization surgery were prospectively enrolled.
Background: Recent mandates from the Center for Medicare and Medicaid Services require United States hospitals to disclose health care service pricing. Yet, there's a gap in understanding how state-level factors affect hospital service pricing, like total shoulder arthroplasty (TSA). Comprehending these influences can help policymakers and health care providers manage costs and improve care access for vulnerable populations.
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