The Experts below are selected from a list of 906 Experts worldwide ranked by ideXlab platform
Craig M Ball - One of the best experts on this subject based on the ideXlab platform.
-
reverse Shoulder arthroplasty compared with Hemiarthroplasty in the treatment of acute proximal humeral fractures
Journal of Shoulder and Elbow Surgery, 2017Co-Authors: Michael Van Der Merwe, Matthew J Boyle, Chris Frampton, Craig M BallAbstract:Background Complex proximal humeral fractures may require prosthetic replacement of the humeral head. Surgical options include reverse Shoulder arthroplasty (RSA) and Shoulder Hemiarthroplasty; however, the optimal technique remains controversial. The goal of this study was to compare functional outcomes and revision rates of RSA with Hemiarthroplasty in patients with acute proximal humeral fractures. Materials and methods Between January 1, 1999, and December 31, 2014, there were 218 patients who underwent RSA and 427 who underwent Hemiarthroplasty for acute proximal humeral fractures identified through New Zealand Joint Registry records. Study groups were compared with regard to baseline characteristics, operative characteristics, and postoperative outcomes (Oxford Shoulder Score [OSS], revision rate, mortality rate) at 6 months and 5 years after surgery. Results RSA patients were significantly older (mean age, 78.2 vs. 71.6 years; P < .001), with a higher proportion of female patients (90% vs. 77%; P < .001) than in the Hemiarthroplasty group. No statistically significant difference existed in revision rate per 100 component-years (0.58 [RSA] vs. 1.16 [Hemiarthroplasty]; P = .137) or 1-year mortality (3.8% vs. 3.4%; P = .805) between both groups. There was no significant difference in 6-month OSS (29.6 vs. 28.4; P = .305). The RSA group demonstrated a superior mean 5-year OSS (37.6 vs. 32.7; P = .078); however, the difference did not achieve statistical significance. Conclusions Although our results suggest that RSA patients may experience superior 5-year functional scores, we have identified no significant difference in functional outcomes and revision rates between RSA and Hemiarthroplasty in the treatment of acute proximal humeral fractures.
-
functional outcomes of reverse Shoulder arthroplasty compared with Hemiarthroplasty for acute proximal humeral fractures
Journal of Shoulder and Elbow Surgery, 2013Co-Authors: Matthew J Boyle, Seungmin Youn, Chris Frampton, Craig M BallAbstract:Background Complex acute proximal humeral fractures may require prosthetic replacement of the proximal humerus. Reverse Shoulder arthroplasty (RSA) has been suggested as an alternative to Hemiarthroplasty in the management of such fractures. This study compared the functional outcomes of RSA with Hemiarthroplasty in patients with acute proximal humeral fractures. Materials and methods All patients who underwent RSA or Shoulder Hemiarthroplasty for acute proximal humeral fractures between January 1, 1999, and December 31, 2010 were identified from The New Zealand Joint Registry. Baseline information, operative characteristics, and postoperative outcomes (Oxford Shoulder Score [OSS] at 6 months and 5 years, revision rate, and mortality rate) were examined and compared between the study groups. Results During the study period, 55 patients underwent RSA and 313 underwent Shoulder Hemiarthroplasty for acute proximal humeral fractures. Compared with Hemiarthroplasty patients, RSA patients were significantly older (mean age, 79.6 vs 71.9 years; P P = .013). The 6-month OSS was 28.1 for RSA and 27.9 for Hemiarthroplasty, which was not significantly different ( P = .923); however, the RSA group had a significantly better 5-year OSS than the Hemiarthroplasty group (41.5 vs 32.3; P = .022). There was no significant difference between the RSA and Hemiarthroplasty groups in revision rate per 100 component-years (1.7 vs 1.1; P = .747) or in 1-year mortality (3.5% vs 3.6%; P > .99). Conclusions Patients with acute proximal humeral fractures who undergo RSA appear to achieve superior 5-year functional outcomes compared with patients who undergo Hemiarthroplasty.
Lawrence V. Gulotta - One of the best experts on this subject based on the ideXlab platform.
-
Hemiarthroplasty versus total Shoulder arthroplasty for Shoulder osteoarthritis a matched comparison of return to sports
American Journal of Sports Medicine, 2016Co-Authors: Grant H. Garcia, Gregory T. Mahony, David M. Dines, Russell F. Warren, Edward V. Craig, Joseph N Liu, Alec L Sinatro, Lawrence V. GulottaAbstract:Background:Return to activity is a commonly used indication for Shoulder Hemiarthroplasty (HA) compared with total Shoulder arthroplasty (TSA). Despite clinical studies demonstrating better functional outcomes after TSA, the literature has failed to show a difference in return to sports.Purpose:To compare rates of return to sports in a matched cohort of TSA and HA patients with a preoperative diagnosis of glenohumeral osteoarthritis (OA).Study Design:Cohort study; Level of evidence, 3.Methods:A prospectively collected registry was queried retrospectively for consecutive patients who underwent HA. Inclusion criteria were preoperative diagnosis of OA and more than 2 years of follow-up. After meeting the inclusion criteria, all HA patients were statistically matched to a TSA patient. All patients had end-stage OA with significant glenohumeral joint space narrowing.Results:At final follow-up, 40 HA patients and 40 TSA patients were available. The average (±SD) age at surgery was 65.7 ± 10.5 years and 66.2 ± 9...
-
sports and work related outcomes after Shoulder Hemiarthroplasty
American Journal of Sports Medicine, 2016Co-Authors: Grant H. Garcia, Gregory T. Mahony, Peter D. Fabricant, David M. Dines, Russell F. Warren, Edward V. Craig, Lawrence V. GulottaAbstract:Background:With an active aging population, more patients expect to return to previous activities and work after surgery.Purpose:To determine the rate and timing to return of sports and employment after Shoulder Hemiarthroplasty.Study Design:Case series; Level of evidence, 4.Methods:This was a retrospective review of consecutive patients who underwent Shoulder Hemiarthroplasty from 2007 to 2013. Follow-up consisted of a patient-reported questionnaire regarding physical fitness, sporting activities, and work status.Results:From 105 patients screened, 79 were available for follow-up. The average follow-up time was 63.1 months, and the average age at follow-up was 69 years. Scores on the visual analog scale for pain improved from 6.2 to 2.1 (P < .001) postoperatively, and those on the American Shoulder and Elbow Surgeons (ASES) Shoulder assessment improved from 34.6 to 71.3 (P < .001). Patients older than 65 years had significantly lower absolute postoperative ASES scores (P = .041) but experienced similar i...
-
national utilization of reverse total Shoulder arthroplasty in the united states
Journal of Shoulder and Elbow Surgery, 2015Co-Authors: William W Schairer, Edward V. Craig, Benedict U Nwachukwu, Stephen Lyman, Lawrence V. GulottaAbstract:Background The substantial increase in the utilization of Shoulder arthroplasty in the United States during the past decade is partly attributable to the growing acceptance of reverse Shoulder arthroplasty (RSA). This study compared the national utilization of and indications for Shoulder Hemiarthroplasty, total Shoulder arthroplasty (TSA), and RSA. Methods The Nationwide Inpatient Sample was used to identify Shoulder arthroplasty procedures performed in the United States in 2011. Indicating diagnoses, demographics, and hospital characteristics were identified for each Shoulder arthroplasty procedure. Multivariable regression identified factors associated with long hospital stays. Results An estimated 66,485 Shoulder arthroplasty procedures were identified (33% RSA, 44% TSA, and 23% Hemiarthroplasty). Common diagnoses for RSA were rotator cuff tear and arthritis (80%) and proximal humerus fracture (10%). TSA was performed for osteoarthritis in 93% of cases. Hemiarthroplasty was performed for osteoarthritis (45%) and proximal humerus fracture (38%). One quarter of proximal humerus fractures treated with arthroplasty received RSA compared with 69.8% that underwent Hemiarthroplasty. Mortality occurred in 0.08% of patients with atraumatic diagnoses but in 0.53% of patients with proximal humerus fractures ( P Conclusions RSAs accounted for one third of all Shoulder arthroplasty procedures in the United States in 2011. Whereas the majority of RSAs are performed for rotator cuff tear arthropathy, one quarter of proximal humerus fractures are treated with RSA, suggesting the strong uptake of this relatively new procedure in the United States.
Mark A Frankle - One of the best experts on this subject based on the ideXlab platform.
-
use of the reverse Shoulder prosthesis for the treatment of failed Hemiarthroplasty in patients with glenohumeral arthritis and rotator cuff deficiency
Journal of Bone and Joint Surgery-british Volume, 2007Co-Authors: Jonathan C Levy, Nazeem A Virani, Derek Pupello, Mark A FrankleAbstract:We report the use of the reverse Shoulder prosthesis in the revision of a failed Shoulder Hemiarthroplasty in 19 Shoulders in 18 patients (7 men, 11 women) with severe pain and loss of function. The primary procedure had been undertaken for glenohumeral arthritis associated with severe rotator cuff deficiency. Statistically significant improvements were seen in pain and functional outcome. After a mean follow-up of 44 months (24 to 89), mean forward flexion improved by 26.4° and mean abduction improved by 35°. There were six prosthesis-related complications in six Shoulders (32%), five of which had severe bone loss of the glenoid, proximal humerus or both. Three Shoulders (16%) had non-prosthesis related complications. The use of the reverse Shoulder prosthesis provides improvement in pain and function for patients with failure of a Hemiarthroplasty for glenohumeral arthritis and rotator cuff deficiency. However, high rates of complications were associated with glenoid and proximal humeral bone loss.
-
Use of the reverse Shoulder prosthesis for the treatment of failed Hemiarthroplasty in patients with glenohumeral arthritis and rotator cuff deficiency
The Journal of bone and joint surgery. British volume, 2007Co-Authors: Jonathan C Levy, Derek Pupello, N. Virani, Mark A FrankleAbstract:We report the use of the reverse Shoulder prosthesis in the revision of a failed Shoulder Hemiarthroplasty in 19 Shoulders in 18 patients (7 men, 11 women) with severe pain and loss of function. The primary procedure had been undertaken for glenohumeral arthritis associated with severe rotator cuff deficiency. Statistically significant improvements were seen in pain and functional outcome. After a mean follow-up of 44 months (24 to 89), mean forward flexion improved by 26.4 degrees and mean abduction improved by 35 degrees . There were six prosthesis-related complications in six Shoulders (32%), five of which had severe bone loss of the glenoid, proximal humerus or both. Three Shoulders (16%) had non-prosthesis related complications. The use of the reverse Shoulder prosthesis provides improvement in pain and function for patients with failure of a Hemiarthroplasty for glenohumeral arthritis and rotator cuff deficiency. However, high rates of complications were associated with glenoid and proximal humeral bone loss.
Matthew J Boyle - One of the best experts on this subject based on the ideXlab platform.
-
reverse Shoulder arthroplasty compared with Hemiarthroplasty in the treatment of acute proximal humeral fractures
Journal of Shoulder and Elbow Surgery, 2017Co-Authors: Michael Van Der Merwe, Matthew J Boyle, Chris Frampton, Craig M BallAbstract:Background Complex proximal humeral fractures may require prosthetic replacement of the humeral head. Surgical options include reverse Shoulder arthroplasty (RSA) and Shoulder Hemiarthroplasty; however, the optimal technique remains controversial. The goal of this study was to compare functional outcomes and revision rates of RSA with Hemiarthroplasty in patients with acute proximal humeral fractures. Materials and methods Between January 1, 1999, and December 31, 2014, there were 218 patients who underwent RSA and 427 who underwent Hemiarthroplasty for acute proximal humeral fractures identified through New Zealand Joint Registry records. Study groups were compared with regard to baseline characteristics, operative characteristics, and postoperative outcomes (Oxford Shoulder Score [OSS], revision rate, mortality rate) at 6 months and 5 years after surgery. Results RSA patients were significantly older (mean age, 78.2 vs. 71.6 years; P < .001), with a higher proportion of female patients (90% vs. 77%; P < .001) than in the Hemiarthroplasty group. No statistically significant difference existed in revision rate per 100 component-years (0.58 [RSA] vs. 1.16 [Hemiarthroplasty]; P = .137) or 1-year mortality (3.8% vs. 3.4%; P = .805) between both groups. There was no significant difference in 6-month OSS (29.6 vs. 28.4; P = .305). The RSA group demonstrated a superior mean 5-year OSS (37.6 vs. 32.7; P = .078); however, the difference did not achieve statistical significance. Conclusions Although our results suggest that RSA patients may experience superior 5-year functional scores, we have identified no significant difference in functional outcomes and revision rates between RSA and Hemiarthroplasty in the treatment of acute proximal humeral fractures.
-
functional outcomes of reverse Shoulder arthroplasty compared with Hemiarthroplasty for acute proximal humeral fractures
Journal of Shoulder and Elbow Surgery, 2013Co-Authors: Matthew J Boyle, Seungmin Youn, Chris Frampton, Craig M BallAbstract:Background Complex acute proximal humeral fractures may require prosthetic replacement of the proximal humerus. Reverse Shoulder arthroplasty (RSA) has been suggested as an alternative to Hemiarthroplasty in the management of such fractures. This study compared the functional outcomes of RSA with Hemiarthroplasty in patients with acute proximal humeral fractures. Materials and methods All patients who underwent RSA or Shoulder Hemiarthroplasty for acute proximal humeral fractures between January 1, 1999, and December 31, 2010 were identified from The New Zealand Joint Registry. Baseline information, operative characteristics, and postoperative outcomes (Oxford Shoulder Score [OSS] at 6 months and 5 years, revision rate, and mortality rate) were examined and compared between the study groups. Results During the study period, 55 patients underwent RSA and 313 underwent Shoulder Hemiarthroplasty for acute proximal humeral fractures. Compared with Hemiarthroplasty patients, RSA patients were significantly older (mean age, 79.6 vs 71.9 years; P P = .013). The 6-month OSS was 28.1 for RSA and 27.9 for Hemiarthroplasty, which was not significantly different ( P = .923); however, the RSA group had a significantly better 5-year OSS than the Hemiarthroplasty group (41.5 vs 32.3; P = .022). There was no significant difference between the RSA and Hemiarthroplasty groups in revision rate per 100 component-years (1.7 vs 1.1; P = .747) or in 1-year mortality (3.5% vs 3.6%; P > .99). Conclusions Patients with acute proximal humeral fractures who undergo RSA appear to achieve superior 5-year functional outcomes compared with patients who undergo Hemiarthroplasty.
Chris Frampton - One of the best experts on this subject based on the ideXlab platform.
-
reverse Shoulder arthroplasty compared with Hemiarthroplasty in the treatment of acute proximal humeral fractures
Journal of Shoulder and Elbow Surgery, 2017Co-Authors: Michael Van Der Merwe, Matthew J Boyle, Chris Frampton, Craig M BallAbstract:Background Complex proximal humeral fractures may require prosthetic replacement of the humeral head. Surgical options include reverse Shoulder arthroplasty (RSA) and Shoulder Hemiarthroplasty; however, the optimal technique remains controversial. The goal of this study was to compare functional outcomes and revision rates of RSA with Hemiarthroplasty in patients with acute proximal humeral fractures. Materials and methods Between January 1, 1999, and December 31, 2014, there were 218 patients who underwent RSA and 427 who underwent Hemiarthroplasty for acute proximal humeral fractures identified through New Zealand Joint Registry records. Study groups were compared with regard to baseline characteristics, operative characteristics, and postoperative outcomes (Oxford Shoulder Score [OSS], revision rate, mortality rate) at 6 months and 5 years after surgery. Results RSA patients were significantly older (mean age, 78.2 vs. 71.6 years; P < .001), with a higher proportion of female patients (90% vs. 77%; P < .001) than in the Hemiarthroplasty group. No statistically significant difference existed in revision rate per 100 component-years (0.58 [RSA] vs. 1.16 [Hemiarthroplasty]; P = .137) or 1-year mortality (3.8% vs. 3.4%; P = .805) between both groups. There was no significant difference in 6-month OSS (29.6 vs. 28.4; P = .305). The RSA group demonstrated a superior mean 5-year OSS (37.6 vs. 32.7; P = .078); however, the difference did not achieve statistical significance. Conclusions Although our results suggest that RSA patients may experience superior 5-year functional scores, we have identified no significant difference in functional outcomes and revision rates between RSA and Hemiarthroplasty in the treatment of acute proximal humeral fractures.
-
functional outcomes of reverse Shoulder arthroplasty compared with Hemiarthroplasty for acute proximal humeral fractures
Journal of Shoulder and Elbow Surgery, 2013Co-Authors: Matthew J Boyle, Seungmin Youn, Chris Frampton, Craig M BallAbstract:Background Complex acute proximal humeral fractures may require prosthetic replacement of the proximal humerus. Reverse Shoulder arthroplasty (RSA) has been suggested as an alternative to Hemiarthroplasty in the management of such fractures. This study compared the functional outcomes of RSA with Hemiarthroplasty in patients with acute proximal humeral fractures. Materials and methods All patients who underwent RSA or Shoulder Hemiarthroplasty for acute proximal humeral fractures between January 1, 1999, and December 31, 2010 were identified from The New Zealand Joint Registry. Baseline information, operative characteristics, and postoperative outcomes (Oxford Shoulder Score [OSS] at 6 months and 5 years, revision rate, and mortality rate) were examined and compared between the study groups. Results During the study period, 55 patients underwent RSA and 313 underwent Shoulder Hemiarthroplasty for acute proximal humeral fractures. Compared with Hemiarthroplasty patients, RSA patients were significantly older (mean age, 79.6 vs 71.9 years; P P = .013). The 6-month OSS was 28.1 for RSA and 27.9 for Hemiarthroplasty, which was not significantly different ( P = .923); however, the RSA group had a significantly better 5-year OSS than the Hemiarthroplasty group (41.5 vs 32.3; P = .022). There was no significant difference between the RSA and Hemiarthroplasty groups in revision rate per 100 component-years (1.7 vs 1.1; P = .747) or in 1-year mortality (3.5% vs 3.6%; P > .99). Conclusions Patients with acute proximal humeral fractures who undergo RSA appear to achieve superior 5-year functional outcomes compared with patients who undergo Hemiarthroplasty.