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38. Letters to the Editor

Author

Woods, G. William, Elkousy, Hussein, and OʼConnor, Daniel P.

Published
2006

45. Early Complication Rates Following Total Shoulder Arthroplasty for Instability Arthropathy With a Prior Coracoid Transfer Procedure.

Author

Bender, Michael J., Morris, Brent J., Laughlin, Mitzi S., Sheth, Mihir M., Budeyri, Aydin, Le, Ryan K., Elkousy, Hussein A., and Edwards, T. Bradley

Abstract

The purpose of this study was to report early complications for anatomic total shoulder arthroplasty (aTSA) performed for instability arthropathy after a prior coracoid transfer procedure and compare them with those of a control group of patients following aTSA for primary osteoarthritis. A retrospective review was performed of 14 patients after aTSA with a prior coracoid transfer procedure. A control group of 42 patients with an aTSA for primary osteoarthritis were matched 3:1 according to age, sex, body mass index, comorbidities, and dominant shoulder. Chart reviews identified any complications within 1 year, in addition to blood loss and operative time in both groups. Preoperative computed tomography scans were used to determine Walch glenoid classification and Goutallier classification of the subscapularis. The mean operative time was not significantly different between the coracoid transfer cohort and the control group, and the mean estimated blood loss was only 6.9 mL greater in the coracoid transfer group. The coracoid transfer group had 2 (14.3%) patients with complications, with 1 early revision for an acute deep infection. The control group had 4 (9.5%) complications in 3 (7.1%) patients, with no early revisions. There was no statistical difference in complications between the groups (P=.618). Anatomic TSA for instability arthropathy after coracoid transfer had similar operative time, blood loss, and 1-year complication rates as those of the control group. These results provide some evidence to support the continued use of aTSA in select patients with instability arthropathy after prior coracoid transfer procedure. [Orthopedics. 2021;44(4):e482-e486.]. [ABSTRACT FROM AUTHOR]

Published
2021
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46. Letters to the editor

Author

Lupparelli, Stefano, Calvisi, Vittorio, Romanini, Emilio, Matsumoto, Akio, Kuroda, Ryosuke, Yoshiya, Shinichi, Kurosaka, Masahiro, Fulkerson, John P., Woods, G. William, Elkousy, Hussein, O'Connor, Daniel P., MacDonald, Kelly, Beall, Douglas P., and Pasque, Charles B.

Subjects
Health, Sports and fitness
Abstract

Dear Editor: We are writing with reference to the article by Matsumoto et al, 'A Comparison of Bone-Patellar Tendon-Bone and Bone-Hamstring Tendon-Bone Autografts for Anterior Cruciate Ligament Reconstruction' (February 2006, [...]

Published
2006

49. Risk Factors for Preoperative Opioid Use in Patients Undergoing Primary Anatomic Total Shoulder Arthroplasty.

Author

Morris, Brent J., Sheth, Mihir M., Laughlin, Mitzi S., Elkousy, Hussein A., and Edwards, T. Bradley

Subjects
SHOULDER joint surgery, SHOULDER pain, NARCOTICS, RANGE of motion of joints, ANALGESICS, ACQUISITION of data, OSTEOARTHRITIS, LONGITUDINAL method
Abstract

The effect of preoperative opioid use in orthopedic patients has been highlighted. Numerous studies have identified worse patient outcomes with pre-operative opioid use; however, there is currently no information identifying risk factors for preoperative opioid use in the total shoulder arthroplasty (TSA) population. The purpose of this study was to determine risk factors for preoperative opioid use in patients undergoing primary anatomic TSA for primary osteoarthritis (OA) and to determine baseline preoperative patient-reported outcomes (PROs) in preoperative opioid users compared with nonopioid users. The authors studied 982 TSAs performed for primary glenohumeral joint OA in a prospective TSA registry. Patient demographic and clinical characteristics were prospectively assessed and included age; sex; socioeconomic status (SES); smoking status; body mass index (BMI); and history of chronic back pain, depression, diabetes mellitus, and heart disease. Preoperative PROs, range of motion measurements, and preoperative opioid use for shoulder pain were assessed. Overall, 254 (25.9%) of 982 total patients were taking preoperative opioids for shoulder pain in the setting of primary OA. Female sex (P=.023), younger age (P=.019), obesity (BMI >30 kg/m2) (P=.043), chronic back pain (P<.001), and lower SES (P=.002) were associated with increased preoperative opioid use following multivariate logistic regression. Patients with opioid use had significantly worse preoperative pain scores (P<.001), American Shoulder and Elbow Surgeons scores (P<.001), and total Constant scores (P<.002) compared with the non-opioid group. [Orthopedics. 2020;43(6):356-360.]. [ABSTRACT FROM AUTHOR]

Published
2020
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