Shoulder Arthroplasty
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2021 ◽  
Vol 28 ◽  
pp. 5-9
Michael Marsalli ◽  
Juan De Dios Errázuriz ◽  
Marco A. Cartaya ◽  
Joaquín De La Paz ◽  
Diego N. Fritis ◽  

2021 ◽  
pp. 175857322110497
Ryan M. Cox ◽  
Benjamin A. Hendy ◽  
Michael J. Gutman ◽  
Matthew Sherman ◽  
Joseph A. Abboud ◽  

Background Comorbidity indices can help identify patients at risk for postoperative complications. Purpose of this study was to compare different comorbidity indices to predict discharge destination and complications after shoulder arthroplasty. Methods Retrospective review of institutional shoulder arthroplasty database of primary anatomic (TSA) and reverse (RSA) shoulder arthroplasties. Patient demographic information was collected in order to calculate Modified Frailty Index (mFI-5), Charlson Comorbidity Index (CCI), age adjusted CCI (age-CCI), and American Society of Anesthesiologists physical status classification system (ASA). Statistical analysis performed to analyze length of stay (LOS), discharge destination, and 90-day complications. Results There were 1365 patients included with 672 TSA and 693 RSA patients. RSA patients were older and had higher CCI, age adjusted CCI, ASA, and mFI-5 ( p < 0.001). RSA patients had longer lengths of stay (LOS), more likely to have an adverse discharge ( p < 0.001), and higher reoperation rate ( p = 0.003). Age-CCI was most predictive of adverse discharge (AUC 0.721, 95% CI 0.704–0.768). Discussion Patients undergoing RSA had more medical comorbidities, experienced greater LOS, higher reoperation rate, and were more likely to have an adverse discharge. Age-CCI had the best ability to predict which patients were likely to require higher-level discharge planning.

2021 ◽  
Vol 0 ◽  
pp. 1-6
Matthew Sarvesvaran ◽  
Suresh Srinivasan ◽  
Rahatdeep Singh Brar ◽  
Raj Bhatt ◽  
Harun Gupta ◽  

Shoulder arthroplasty imaging requires a thorough understanding of surgical techniques, biomechanics involved during and after the joint replacement surgery and complications unique to shoulder arthroplasties. One may believe that imaging of complications requires excessive complex imaging modalities such as MRI or nuclear imaging. However, contrary to such beliefs, one can diagnose such complications mostly on radiographs. We will describe advances in immediate pre-operative imaging and utility of imaging to diagnose shoulder arthroplasty- related complications in part 2 of our two-part pictorial review series.

2021 ◽  
Vol Publish Ahead of Print ◽  
Yining Lu ◽  
Matthew R. Cohn ◽  
James Baker ◽  
Grant Garrigues ◽  
Gregory Nicholson ◽  

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