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Surgery of the Shoulder
Published in Timothy W R Briggs, Jonathan Miles, William Aston, Heledd Havard, Daud TS Chou, Operative Orthopaedics, 2020
Nick Aresti, Omar Haddo, Mark Falworth
Shoulder arthroplasty can be used to effectively treat advanced degenerative joint disease and unreconstructable trauma cases. The three main types of arthroplasty are humeral hemiarthroplasties, anatomic total shoulder replacements and reverse polarity shoulder replacements. The indication, age of the patient and integrity of the rotator cuff are all important in deciding between the types. Hemiarthroplasties are essentially a humeral replacement of the total anatomical replacement leaving the glenoid intact, and thus are not considered further. Reverse polarity shoulder replacements are indicated in cuff-deficient shoulders. They replace the humeral head with a socket and the glenoid with a glenosphere, with an aim of shifting the centre of rotation of shoulder medially and inferiorly, thus improving the lever arm of the deltoid.
Principles of Joint Prostheses
Published in Verna Wright, Eric L. Radin, Mechanics of Human Joints, 2020
Joint replacement arthroplasty, based on the principles outlined, is one of the most successful operations ever introduced in orthopedic surgery. The technological advances of the past decade and those to come hold the promise of bener materials and designs, which can form better interfaces with the skeleton. Such advances must be carefully examined by surgeons who perform joint replacement and physicians who refer their patients for these procedures so appropriate operations can be offered and the success of joint replacement arthroplasty improved.
Complications of surgical treatment for osteoporotic fractures
Published in Peter V. Giannoudis, Thomas A. Einhorn, Surgical and Medical Treatment of Osteoporosis, 2020
Paul C. Baldwin, Christian Krettek
When compared to treatment with internal fixation, primary arthroplasty procedures have been reported to be cost-effective and have a lower rate of complications (81). Hemiarthroplasty or total hip arthroplasty procedures can be performed based on patient characteristics such as health, independent activity level, functional level and cognitive level, as well as surgeon preference. Literature suggests that patients treated with total hip arthroplasty have better functional outcomes and health-quality of life when compared to patients treated with hemiarthroplasty (82).
The Western Ontario and McMaster Universities Osteoarthritis, Lequesne Algofunctional index, Arthritis Impact Measurement Scale-short form, and Visual Analogue Scale in patients with knee osteoarthritis: responsiveness and minimal clinically important differences
Published in Disability and Rehabilitation, 2023
Reza Salehi, Leila Valizadeh, Hossein Negahban, Mehrnoosh Karimi, Shahin Goharpey, Shadab Shahali
Even if the clinical changes are small, an instrument should be able to detect them [29]. In the clinical setting, a cut-off point must be established to differentiate improved patients from unimproved patients. The WOMAC, Lequesne Algofunctional, AIMS2-SF questionnaires and VAS-pain had acceptable ability to detect of changes (The optimal cut-off points of 12.5, 2.75, 4.5 and 2.25, respectively). The current findings are consistent with those of Greco et al., who found that the MCID value of the WOMAC questionnaire at 6 and 12 months was 11.5 [24]. Angst et al. found that the MCID rating of the WOMAC questionnaire three months following physiotherapy treatment for hip and knee osteoarthritis was 17–22% higher than it was before treatment. In their research, they looked at internal responsiveness [30]. Escobar et al. found that the MCID meaning of the Spanish edition of the WOMAC questionnaire after completing knee arthroplasty was 30 score [5]. Arthroplasty therapy reduces impairment more effectively than rehabilitation treatment. Unfortunately, no report was found due to research for other questionnaires. In studies of responsiveness, various approaches have been used. As a result, the MICD's approximate varies as a function of the various calculation methods [31].
Inflammatory rheumatic diseases in patients with ochronotic arthropathy
Published in Modern Rheumatology, 2021
Tuba Yuce Inel, Pelin Teke Kisa, Ali Balci, Sadettin Uslu, Zumrut Arslan, Burcu Ozturk Hismi, Ulku Ucar, Nur Arslan, Fatos Onen, Ismail Sari
AKU is a rare metabolic disease caused by mutations in the HGD gene. Less than a thousand AKU patients reported in the literature [10,11]. Because of its rarity, there is no controlled study on AKU, and current knowledge on clinical course and treatment is limited. National registries and case series reported a slightly higher male predominance in AKU, and about one-third of the patients are estimated to have OcA [10–12]. Patients generally become symptomatic during the third decade as a result of the degenerative process caused by HGA crystals [13]. To improve pain symptoms and range of motion in the affected joints, some patients may require arthroplasty, but the exact prevalence of this procedure in OcA is not known [14]. The average of OcA patients undergoing joint replacement is 55 years, which is considered to be ten years earlier than the typical population values [15,16]. Prosthetic survival in OcA patients reported comparable to individuals with osteoarthritis [17]. In this study, there was a slight male predominance in the adult AKU cohort, and nearly half of these patients were complicated with OcA. Peripheral joint involvement was more prominent in large joints such as shoulder, hip, and knee. Half of OcA patients required arthroplasty because of destructive arthritis at a median age of 52. None of our patients required revision arthroplasty in a median follow-up of 6 years.
Experiences of pre- and postoperative information among patients undergoing knee arthroplasty: a systematic review and narrative synthesis
Published in Disability and Rehabilitation, 2021
Amanda Agnes Østervig Buus, Ole Kristian Hejlsen, Charlotte Dorisdatter Bjørnes, Britt Laugesen
Experiences of receiving information from healthcare professionals among patients undergoing knee arthroplasty have not previously been systematically investigated. Previous systematic reviews have focused on the experiences of older patients undergoing hip and knee arthroplasty [35], the impact of arthroplasty surgery on patients’ quality of life [36,37] and the effect of preoperative information sessions on, e.g., length of stays and anxiety [23,25]. Most reviews do not distinguish between patients undergoing hip and knee arthroplasty [23,25,35,36]. Yet, experiences may differ between these two populations as patients undergoing knee arthroplasty have less and slower progress in postoperative pain and physical function than patients undergoing hip arthroplasty [38–40]. Furthermore, the improvements in pain and function that can be achieved within the first three months after hip arthroplasty can take up to one year to experience in patients who have undergone knee arthroplasty [41]. There is a need to investigate how information assists patients undergoing knee arthroplasty in managing their condition throughout the entire surgical care pathway. Therefore, the aim of this review was to identify and synthesize knowledge of how patients undergoing knee arthroplasty experience pre- and postoperative information provided by healthcare professionals.