Journal of shoulder and elbow surgery
-
J Shoulder Elbow Surg · Jan 2011
Comparative StudyA comparison of perioperative outcomes in patients with and without rheumatoid arthritis after receiving a total shoulder replacement arthroplasty.
The long-term survival rate of total shoulder arthroplasty (TSA) is comparable to hip and knee arthroplasty. Although TSA is considered a safe and effective procedure with low complications in patients with osteoarthritis and rheumatoid arthritis (RA), data are lacking on perioperative complications. Complication rates and hospital disposition differences between patients with and without RA who underwent TSA were investigated. We hypothesized that RA patients would have poorer perioperative outcomes after TSA. ⋯ The findings suggest that the perioperative complications of a total shoulder replacement for patients with and without RA are similar. Contrary to our expectations, TSA patients with RA had shorter and less costly hospital stays and were more likely to have routine discharge. Complications are likely more long-term in nature than detected in this study and require longer follow-up beyond perioperative periods for fruition.
-
J Shoulder Elbow Surg · Jan 2011
Complications of clavicle fractures treated with intramedullary fixation.
Recent studies have demonstrated better outcomes with operative fixation of displaced midshaft clavicle fractures. We hypothesize that the risk of major complication with intramedullary fixation for clavicle fractures will be low. ⋯ Patients with intramedullary fixation can expect smaller scars, no long-term hardware complications, and small potential for refracture or further hardware-related complications after hardware removal.
-
J Shoulder Elbow Surg · Jan 2011
Results of concomitant rotator cuff and SLAP repair are not affected by unhealed SLAP lesion.
To verify the anatomic results of combined repair of a full-thickness rotator cuff tear and superior labral anterior and posterior (SLAP) lesion. In addition, we compared the anatomic and functional outcomes according to the status of the repaired SLAP lesion. ⋯ An unhealed SLAP lesion did not preclude the successful outcome of concomitant rotator cuff repair. Therefore, repair of a concomitant SLAP lesion may not be an essential procedure for a successful outcome of a rotator cuff repair.