Brian Levings, D.O. - Orthopaedic Surgeon
 

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Return to Work After Anatomic Total Shoulder Arthroplasty for Patients 55 Years and Younger at Average 5-Year Follow-up

Source: Healio

As the number of anatomic total shoulder arthroplasties performed on younger patients continues to grow, return to work after surgery becomes increasingly important. The purpose of this study was to evaluate the ability of anatomic total shoulder arthroplasty to return patients 55 years or younger to work postoperatively.

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Patients with preoperative fatty degeneration had worse outcomes after rotator cuff repair

Source: Healio

Patients with large or massive rotator cuff tears who had intact tendons after arthroscopic rotator cuff repair experienced worse outcomes if they had preoperative fatty degeneration of the infraspinatus or subscapularis with Goutallier stage 2 or higher, according to results.

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Anatomic press-fit short stem linked with significant clinical improvements after TSA

Source: Healio

Patients who underwent total shoulder arthroplasty with an anatomic press-fit short stem had significant clinical improvements, with few complications and minimal radiographic changes at short-term follow-up, according to results published in The Journal of Shoulder and Elbow Surgery.

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Current tobacco use linked with increased pain, narcotic use after total shoulder arthroplasty

Source: Healio

Results showed significantly greater VAS scores preoperatively and at 12 weeks postoperatively among patients in the current tobacco use group vs. nonusers and former users. Researchers also found current tobacco users had a significantly lower mean improvement in VAS scores.

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Debridement cited as better initial option to treat infection after reverse shoulder arthroplasty

Source: Healio

Results from a retrospective, multicenter study by French researchers that investigated treatment options for infection after reverse shoulder arthroplasty supported the use of debridement as a first-line treatment, but noted this option had a 54% healing rate.

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The Relationship Between Shoulder Stiffness and Rotator Cuff Healing

Source: The Journal of Bone and Joint Surgery

A total of 1,533 consecutive shoulders had an arthroscopic rotator cuff repair by a single surgeon. Patients assessed their shoulder stiffness using a Likert scale preoperatively and at 1, 6, 12, and 24 weeks (6 months) postoperatively, and examiners evaluated passive range of motion preoperatively and at 6, 12, and 24 weeks postoperatively. Repair integrity was determined by ultrasound evaluation at 6 months.

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Concomitant rotator cuff, biceps repair led to greater improvement in PROs

Source: Healio

Despite inferior baseline patient-reported outcomes, patients who underwent rotator cuff repair with concomitant biceps procedure had greater improvement in outcomes at 1-year postoperatively compared with patients who underwent rotator cuff repair alone, according to results.

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Brian Levings, D.O. - Orthopaedic Surgeon
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