Article
Medicine, General & Internal
David Endell, Laurent Audige, Alexandra Grob, Hans-Kaspar Schwyzer, Michael Glanzmann, Alex Marzel, Markus Scheibel
Summary: This retrospective study investigated the association between participation in sports or physical activity involving the upper extremity and 5-year clinical and radiological outcomes for primary RSA patients. Patients engaging in sports activities involving the upper extremity showed similarly good functional scores 5 years post-RSA as the other groups, without additional signs of implant loosening.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Orthopedics
Richard J. McLaughlin, Anastasia J. Whitson, Anna Panebianco, Winston J. Warme, Frederick A. Matsen III, Jason E. Hsu
Summary: This study reports the MCID of the SST and the MCID of the %MPI for 5 different shoulder arthroplasty types, showing significant differences in the MCID values for different types of arthroplasty, which can be used to assess the effectiveness of shoulder arthroplasty.
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2022)
Article
Orthopedics
Richard J. McLaughlin, Anastasia J. Whitson, Anna Panebianco, Winston J. Warme, Frederick A. Matsen, Jason E. Hsu
Summary: Preoperative and postoperative patient self-reported measures are crucial for understanding the benefits of shoulder arthroplasty for different diagnoses and surgical approaches. This study aimed to report the minimal clinically important difference (MCID) of the Simple Shoulder Test (SST) and the percentage of maximal possible improvement (%MPI) for 5 different arthroplasty types, showing that the MCID and %MPI values differ among the various types of shoulder arthroplasty.
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2022)
Article
Medicine, General & Internal
Haifeng Liu, Tony Chieh-Ting Huang, Hanzhong Yu, Yicun Wang, Daping Wang, Zeling Long
Summary: A study compared the effects of TSA and RSA on OA patients with or without rotator cuff damage. The results showed that for patients with rotator cuff damage, the complication rates of RSA were comparable to TSA. However, for patients without rotator cuff damage, RSA had more and severer complications.
Article
Orthopedics
Brittany N. Garcia, Andrew Tyser, Hernan Roca, Nikolas H. Kazmers
Summary: Patient-reported outcome measurement (PROM) tools are essential in evaluating health status and treatment response. Their use has increased in clinical practice and research, particularly in the field of upper extremity care. Parameters such as minimal clinically important difference, substantial clinical benefit, and patient acceptable symptom state contribute to a comprehensive understanding of the clinical significance of patient-reported outcomes.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2023)
Article
Medicine, General & Internal
Sebastian Klingebiel, Christoph Theil, Georg Gosheger, Kristian Nikolaus Schneider, Thomas Ackmann, Maximilian Timme, Dominik Schorn, Dennis Liem, Carolin Rickert
Summary: Two-stage revision following periprosthetic joint infection of the shoulder allows appropriate infection control in the majority of patients. However, overall complications and revision rates due to mechanical failure or reinfection are high. Reimplantation of RSA seem superior to alternative prosthesis models in terms of function and patient satisfaction.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Orthopedics
Armin Arshi, Troy Sekimura, Benjamin Kelley, Erik N. Zeegen, Jess H. Lonner, Alexandra Stavrakis
Summary: Computer-assisted navigation and robotic-assisted methods in total knee arthroplasty can improve mechanical and component alignment. However, compared to conventional surgery, the advantages of these new technologies in patient-reported outcome measures are not significant, with only a minority of studies reaching clinical significance.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Eduardo A. Malavolta, Gustavo J. Yamamoto, Daniel T. Bussius, Jorge H. Assuncao, Fernando B. Andrade-Silva, Mauro E. C. Gracitelli, Arnaldo A. Ferreira Neto
Summary: This study aimed to determine the minimal clinically important difference (MCID) values in the analysis of clinical results to measure patient perception of improvement and satisfaction before and after surgery. The results showed that patients with higher preoperative scores had lower MCID values, which should be considered in postoperative comparisons between treatment groups.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2022)
Article
Orthopedics
P. G. Robinson, D. J. MacDonald, G. J. Macpherson, J. T. Patton, N. D. Clement
Summary: The study identified the MCID of 8.1, MIC of 17.7, MDC of 8, and PASS threshold of 29 for the FJS. These values can be used to assess clinical difference, meaningful change, and patient satisfaction following THA.
BONE & JOINT JOURNAL
(2021)
Article
Orthopedics
Kevin A. Hao, Carl Tams, Micah J. Nieboer, Joseph J. King, Thomas W. Wright, Ryan W. Simovitch, Moby Parsons, Bradley S. Schoch
Summary: Changes in outcome scores after total shoulder arthroplasty are often used to measure surgical success, but the ability to differentiate success among high-functioning patients is limited due to ceiling effects in many outcome scores. This study compares the proportion of patients achieving the minimal clinically important difference (MCID) and percentage maximal possible improvement (%MPI) for different outcome scores, and defines the %MPI thresholds associated with patient satisfaction after primary total shoulder arthroplasty.
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2023)
Article
Orthopedics
Micah J. Nieboer, Kevin A. Hao, Carl Tams, Joseph J. King, Thomas W. Wright, Ryan W. Simovitch, Moby Parsons, Bradley S. Schoch
Summary: This study aimed to compare the proportion of patients achieving the minimal clinically important difference (MCID) and percentage maximal possible improvement (%MPI) for different outcome scores, and to determine the %MPI thresholds associated with patient satisfaction following primary reverse total shoulder arthroplasty (rTSA). The results showed that outcome scores with known ceiling effects had higher rates of patients achieving the 30% MPI but not the MCID, while outcome scores without significant ceiling effects had higher rates of patients achieving the MCID but not the 30% MPI.
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2023)
Article
Orthopedics
Amy Z. Blackburn, Andrew Homere, Kyle Alpaugh, Christopher M. Melnic, Hany S. Bedair
Summary: This study evaluated surgeon performance variability in primary and revision total knee and hip arthroplasty through minimal clinically important difference. The results showed differences in achievement rates across surgeons in both primary and revision joint arthroplasty, independent of patient or surgeon factors.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Florian Freislederer, Felix Toft, Laurent Audige, Alex Marzel, David Endell, Markus Scheibel
Summary: RSA with 135 degrees humeral inclination and a lateralized glenosphere shows similar outcome scores as the classic Grammont design but enables better preservation of external rotation and reduces the rate of scapular notching.
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2022)
Article
Orthopedics
Mariano E. Menendez, Suleiman Y. Sudah, Matthew R. Cohn, Pablo Narbona, Alexandre Ladermann, Johannes Barth, Patrick J. Denard
Summary: This study aimed to establish the minimal clinically important difference and patient acceptable symptom state for commonly used outcome measures in patients undergoing the Latarjet procedure. The study also explored the correlations between preoperative patient characteristics and achievement of these outcomes. The findings provide valuable parameters for evaluating the clinical effectiveness of the Latarjet procedure and designing future clinical trials.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2022)
Article
Medicine, General & Internal
Joaquin Sanchez-Sotelo
Summary: The history of humeral component design has evolved to contemporary short stems and stemless implants aiming to preserve bone and minimize adverse bone reactions, while facing the challenge of potential malalignment. The future of primary shoulder arthroplasty will focus on designing an optimal plan and providing computer-assisted tools for accurate execution.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Orthopedics
Carlos Torrens, Joan Miquel, Raquel Martinez, Fernando Santana
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2020)
Article
Orthopedics
Carlos Torrens, Anna Fraile, Fernando Santana, Lluis Puig, Albert Alier
INTERNATIONAL ORTHOPAEDICS
(2020)
Article
Orthopedics
Carlos Torrens, Fernando Santana, Joan Miquel
Summary: The study found that opinion leader studies in shoulder surgery attract more attention in the medical community than RCT studies, despite RCTs being published in journals with higher impact factors and opinion leader studies mainly consisting of level IV evidence studies with more conflicts of interest present.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Infectious Diseases
Carlos Torrens, Beatriz Bellosillo, Joan Gibert, Albert Alier, Fernando Santana, Nuria Prim, Stephane Corvec
Summary: This study found that the presence of C. acnes at the end of primary shoulder arthroplasty may lead to infection, causing early or delayed periprosthetic joint infections in some patients.
EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES
(2022)
Article
Orthopedics
Carlos Torrens, Jorge Amestoy, Ines Rodriguez-Delourme, Fernando Santana
Summary: The study aimed to compare the effects of different approaches (deltopectoral vs. anterosuperior) on metaglene positioning in reverse shoulder arthroplasty. The results showed no significant differences in glenosphere overhang, but differences were observed in glenosphere tilt, prosthesis scapular neck angle, and beta angle. There were no significant differences between groups in terms of functional outcomes, scapular notch development, and complication rates.
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2021)
Article
Orthopedics
J. Miquel, R. Martinez, F. Santana, P. Marimon, C. Torrens
Summary: This study evaluated the functional and radiographic results of transosseous suture fixation in treating displaced proximal humeral fractures. The results showed that this technique was safe with good outcomes in terms of function and radiographic results, and had low complication and reintervention rates.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Orthopedics
Carlos Torrens, Raquel Martinez, Fernando Santana
Summary: The number of patients lost to follow-up in shoulder arthroplasty increases over time, reaching 34.3% by the seventh year. Older patients, severely obese patients, and those with higher ASA scores were at a higher risk of being lost to follow-up.
CLINICS IN ORTHOPEDIC SURGERY
(2022)
Article
Orthopedics
Carlos Torrens, Daniel Perez-Prieto, Lluis Puig, Nuria Prim, Fernando Santana, Albert Alier
Summary: The objective of this study was to determine the minimum number of cultures needed to detect Cutibacterium acnes in primary reverse shoulder arthroplasties (RSAs). A minimum of 8 cultures are needed to detect it in the skin, while a minimum of 6 cultures are needed to detect it in deep tissues during an RSA.
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2023)
Article
Orthopedics
Carlos Torrens, Raquel Mari, Lluis Puig-Verdier, Fernando Santana, Albert Alier, Eva Garcia-Jarabo, Alba Gomez-Sanchez, Stephane Corvec
Summary: The purpose of this study was to compare the functional outcomes and complication rate between patients with and without C. acnes contamination after primary reverse shoulder arthroplasty surgery. The study found that although patients with C. acnes-positive cultures had a higher complication rate, their clinical outcomes were similar to those with negative cultures.
INTERNATIONAL ORTHOPAEDICS
(2023)
