Publications by authors named "Lauren Grobaty"
Article Synopsis
- * A total of 2.1% of patients (n=138) experienced dislocations, primarily within the first 90 days post-surgery, with different treatment approaches for dislocation including closed reduction, open reduction, revision arthroplasty, or benign neglect.
- * Among those treated with closed reduction, only 31% were successfully resolved without further intervention, while many either required revision surgery or experienced recurrent dislocations, highlighting the complexity of managing these postoperative complications.
Predictors of dislocations after reverse shoulder arthroplasty: a study by the ASES complications of RSA multicenter research group.
J Shoulder Elbow Surg
January 2024
Article Synopsis
- Instability or dislocation after reverse shoulder arthroplasty (RSA) is a common problem that doctors face when treating patients.
- A big study involving over 6,600 patients from 15 different hospitals looked at how often dislocations happen and what factors might cause them.
- The results showed that the overall dislocation rate was 2.1%, but higher for patients getting revision surgeries, and some patients were more likely to dislocate than others based on their specific shoulder issues.
Article Synopsis
- The study investigates the risk factors for acromial and scapular spine fractures following reverse shoulder arthroplasty in patients with different diagnoses such as glenohumeral arthritis, rotator cuff arthropathy, and massive irreparable rotator cuff tears.
- Data from 4,764 patients who underwent the procedure between January 2013 and June 2019 were analyzed, revealing an overall stress fracture incidence of 4.1%, with higher rates in patients with rotator cuff issues compared to those with arthritis.
- Specifically, the presence of inflammatory arthritis was a significant predictor of fractures in glenohumeral arthritis patients, while factors such as sex and osteoporosis were also relevant in the rotator cuff arthropathy
What Are the Predictors of Poor Patient-Reported Outcomes After Shoulder Instability Surgery?
Orthop J Sports Med
December 2020
Background: Prospectively collected responses to Patient Acceptable Symptom State (PASS) questions after shoulder instability surgery are limited. Responses to these outcome measures are imperative to understanding their clinical utility.
Purpose/hypothesis: The purpose of this study was to evaluate which factors predict unfavorable patient-reported outcomes after shoulder instability surgery, including "no" to the PASS question.
As the U.S. Centers for Medicare & Medicaid Services (CMS) implements value-based reimbursement models based on predetermined outcome measures, access to total joint arthroplasty (TJA) is jeopardized for patients who are disproportionately affected by conditions that predispose them to higher odds of complications.
View Article and Find Full Text PDFIntroduction: Computer-based video training (CBVT) of surgical skills overcomes limitations of 1:1 instruction. We hypothesized that a self-directed CBVT program could teach novices by dividing basic surgical skills into sequential, easily-mastered steps.
Methods: We developed a 12 video program teaching basic knot tying and suturing skills introduced in discrete, incremental steps.