Acromial morphology has previously been defined as a risk factor for some shoulder pathologies. Yet, study results are inconclusive and not all major diseases have sufficiently investigated. Thus, the aim of present was to analyze predictive value three radiological parameters including critical angle, acromion index, lateral angle in relationship symptomatic patients with either cuff tear arthropathy, glenohumeral osteoarthritis, rotator tear, impingement, tendinitis calcarea.A total 1000...

Background: The number of arthroscopic rotator cuff surgeries is consistently increasing. Although generally considered successful, the reported retears after repair substantial. Short-term clinical outcomes are to be rarely impaired by tendon retears, whereas our knowledge, there no study documenting long-term and integrity repair. Purpose: To investigate longitudinal reconstruction. Study Design: Case series; Level evidence, 4. Methods: Thirty patients who underwent with suture anchors for...

Aims The purpose of the present study was to evaluate impact intravenous tranexamic acid on reduction blood loss, transfusion rate, and early post-operative clinical outcome in total shoulder arthroplasty. Patients Methods A randomised, placebo-controlled trial which included 54 patients undergoing unilateral primary stemless anatomical or stemmed reverse arthroplasty undertaken. received either 100 ml saline (placebo, n = 27), together with 1000 mg (TXA, 27) intravenously prior skin...

Posttraumatic anteroinferior shoulder dislocations with concomitant glenoid bone loss show high recurrence rates. The open J-bone graft technique for implant-less anatomic restoration of bony structure has previously been described, whereas results arthroscopic techniques are currently not available.To evaluate clinical and radiological outcome after reconstruction the recurrent glenohumeral instability.Case series; Level evidence, 4.Fifteen shoulders 14 patients instability were...

Stemless shoulder arthroplasty is a fairly new concept. Clinical and radiological follow-up essential to prove implant safety This prospective single-centre study was performed evaluate the influence of changes on clinical mid-term outcome following stemless humeral head replacement with hollow screw fixation. Short- evaluations were in 73 consecutive shoulders treated mainly for idiopathic posttraumatic osteoarthritis including 40 hemi- (HSA) 33 total arthroplasties (TSA). Operating times...

Background: The anatomic restoration of glenoid morphology with an implant-free J-shaped iliac crest bone graft offers alternative to currently widely used reconstruction techniques. No biomechanical data on the J-bone grafting technique are available. Purpose: To evaluate (1) glenohumeral contact patterns, (2) fixation under cyclic loading, and (3) initial stabilizing effect technique. Study Design: Controlled laboratory study. Methods: Eight fresh-frozen cadaveric shoulders grafts were for...

Summary Effective pain therapy after shoulder surgery is the main prerequisite for safe management in an ambulatory setting. We evaluated adverse events and hospital re‐admission using a database of 509 interscalene catheters inserted during surgery. Adverse were recorded 34 (6.7%) patients (9 (1.8%) catheter dislocations diagnosed recovery room, 9 at home with pain, 2 (0.4%) without dislocation, 1 (0.2%) ‘secondary’ pneumothorax intervention 13 (2.6%) other). Twelve (2.4%) re‐admitted to (8...

Background: Delamination in rotator cuff tears has been identified as a prognostic factor for negative outcome after repair, with reported prevalence between 38% and 88%. Purpose: To compare biomechanical properties of 3 repair techniques delaminated tears. Study Design: Controlled laboratory study. Methods: Eighteen fresh-frozen cadaveric shoulders were used to evaluate footprint reconstruction, contact area pressure, displacement under cyclical loading, load failure double-row...

Abstract Background The purpose of this study was to compare restoration mechanical limb alignment and three-dimensional component-positioning between conventional patient-specific instrumentation in total knee arthroplasty. Methods Radiographic data patients undergoing mobile-bearing arthroplasty ( n = 1257), using either 442) or 812), were analyzed. To evaluate accuracy axis 3D-component-positioning instrumentation, absolute deviations from the targeted neutral planned implant positions...

Background: The rotator cuff is known to consist of 2 macroscopically visible layers that have different biomechanical properties. Sometimes the inferior layer may be neglected during repair. However, it controversial whether double-layer (DL) repair superior single-layer (SL) in terms retear rate and outcome. Purpose: To investigate DL as compared with SL could decrease rates after arthroscopic reconstruction posterosuperior tears. Study Design: Randomized controlled trial; Level evidence,...

Between the years 1971 and 1975 a surgical treatment of hallux rigidus according to Keller Brandes was performed on 293 patients. From 100 patients with 137 operated feet clinical roentgenological examination evaluated 12 16 after surgery. The subjective assessment showed in 92% very good or results. Important for success operation is correct amount bone removal proximal phalanx (between 1/3 1/2) resultant width nearthrotic joint space. analysis podographic retraction sesamoids no...

Rotator cuff repairs are the most common procedures in shoulder surgery, but still show long-term retear rates of up to 70%. Nonanatomic reconstruction is one possible cause repair failure. The rotator histologically consists 5 separate layers which 2 macroscopically identifiable: superior or tendinous layer and inferior capsule-ligamentous layer. In case tears, these often retracted different degrees. intraoperative detectable prevalence delamination reaches 85%. Anatomical repair, also...