Surgical treatment of proximal humerus fractures: a systematic review and meta-analysis

Hohmann, Erik; Keough, Natalie; Glatt, Vaida; Tetsworth, Kevin

doi:10.1007/s00590-022-03436-3

Cited by 10 publications

(10 citation statements)

References 65 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In accordance with current literature, PRP may be indicated for early and moderate forms of OA [7, 24, 29, 43, 53]. Newer evidence shows that the intra‐articular administration of PRP might also improve the symptoms of the patient, regardless of the degree of cartilage damage, however good subgroup analysis according to the Kellgren and Lawrence classification are often lacking [7, 11].…”

Section: Discussionmentioning

confidence: 60%

Platelet-rich plasma (PRP) as therapy for cartilage, tendon and muscle damage – German working group position statement

Tischer

Bode

Buhs³

et al. 2020

J EXP ORTOP

View full text Add to dashboard Cite

Purpose: Platelet rich plasma (PRP) is widely used in orthopaedics, but is still heavily debated. Therefore, a survey among the German "Working Group for Clinical Tissue Regeneration" of the German Society of Orthopaedics and Traumatology was conducted to achieve a consensus about the current therapeutical potential of PRP. Methods: A first survey (n = 65 experts, all orthopaedic/trauma surgeons) was conducted (n = 13 questions). Following, a second round (n = 40 experts) was conducted with 31 questions to achieve consensus in 5 categories: three most common indications, PRP application, future research areas. Results: Therapeutic PRP application was regarded as useful (89%), possibly even more important in the future (90%). Most common indications were tendon pathologies (77%), osteoarthritis (OA) (68%), muscle injuries (57%) and cartilage damage (51%). Consensus was reached in 16/31 statements. The application of PRP for early knee OA (Kellgren-Lawrence grade II) was regarded as potentially useful, as well as for acute and chronic tendinopathies. For chronic lesions (cartilage, tendons), multiple injections (2-4) were seen preferable to singular injections. However, no sufficient data exists on the time interval between the injections. Standardization of PRP preparation, application, frequency, as well as determining the range of indication is strongly recommended. Conclusions: There is a need of further standardization of the PRP preparation methods, indication and application protocols for knee OA and other indications, which must be further evaluated in basic science studies and randomized controlled clinical trials. Level of evidence: Consensus of expert opinion, Level V.

show abstract

Section: Discussionmentioning

confidence: 60%

Platelet-rich plasma (PRP) as therapy for cartilage, tendon and muscle damage – German working group position statement

Tischer

Bode

Buhs³

et al. 2020

J EXP ORTOP

View full text Add to dashboard Cite

show abstract

“…differences in tibial slope) and dynamic in vivo knee kinematics. Retrospective studies suggest steeper PTS may be a risk factor for ACL injury [15, 16, 20, 33, 38], and steeper PTS may also be associated with greater anterior tibial translation [25, 40] and rotatory laxity [36] after ACL reconstruction (ACL‐R). Recently, Bates et al have demonstrated in a robotic simulation study using 12 cadaveric knees that medial compartment tibial slope angle was moderately correlated with peak internal torque [4].…”

Section: Discussionmentioning

confidence: 99%

“…Clinical imaging studies [6, 13, 15, 16, 20, 33] and computational modeling studies [28] suggest that increased posterior tibial slope (PTS) is associated with increased risk for anterior cruciate ligament (ACL) injury. Biomechanically, cadaveric studies have found steeper PTS is associated with increased anterior tibial translation (ATT) and ACL graft loading [4, 5, 12, 19].…”

Section: Introductionmentioning

confidence: 99%

Posterior tibial slope and meniscal slope correlate with in vivo tibial internal rotation during running and drop jump

Tanaka

Gale

Nishida

et al. 2022

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Purpose The relationship between tibial bony and meniscus anatomy and knee kinematics during in vivo, high-impact activities remains unclear. This study aimed to determine if the posterior tibial slope (PTS) and meniscal slope (MS) are associated with in vivo anterior-posterior translation and internal tibia rotation during running and double-leg drop jumps in healthy knees. Methods Nineteen collegiate athletes performed fast running at 5.0 m/s on an instrumented treadmill and double-leg drop jump from a 60 cm platform while biplane radiographs of the knee were acquired at 150 Hz. Tibiofemoral kinematics were determined using a validated model-based tracking process. Medial and lateral PTS and MS were measured using magnetic resonance imaging (MRI). ResultsIn fast running, more internal tibia rotation was associated with greater PTS (ρ = 0.336, P = 0.039) and MS (ρ = 0.405, P = 0.012) in the medial knee compartment. In the double-leg drop jump, more internal tibia rotation was associated with greater PTS (ρ = 0.431, P = 0.007) and MS (ρ = 0.323, P = 0.005) in the medial knee compartment, as well as a greater PTS in the lateral knee compartment (ρ = 0.445, P = 0.005). Conclusion These indings suggest that the medial and lateral PTS and medial MS are associated with the amount of knee rotation during high-impact activities. These in vivo indings improve our understanding of ACL injury risk by linking bone and meniscus morphology to dynamic kinematics.

show abstract

“…The study population included all primary total stemmed (anatomic) shoulder replacement (sTSR) for osteoarthritis (OA), primary reverse total shoulder replacement (rTSR) for OA or cuff arthropathy (CA), and primary rTSR for fracture. Hemiarthroplasty for fracture was not explored, as the gold standard of arthroplasty care for proximal humeral fractures has transitioned to rTSR over the last decade 14 . These procedures were grouped accordingly by private or public hospital based on where the operation was completed, and comparison between hospital setting was performed.…”

Section: Methodsmentioning

confidence: 99%

“…Hemiarthroplasty for fracture was not explored, as the gold standard of arthroplasty care for proximal humeral fractures has transitioned to rTSR over the last decade. 14 These procedures were grouped accordingly by private or public hospital based on where the operation was completed, and comparison between hospital setting was performed. For each category of joint replacement, data included the total number of operations and total revisions.…”

Section: Methodsmentioning

confidence: 99%

Does hospital setting influence shoulder replacement revision rate? A national comparison of outcomes between private and public settings

Paltoglou,

Gill,

Lorimer

et al. 2023

ANZ Journal of Surgery

View full text Add to dashboard Cite

BackgroundAustralian healthcare relies on both private and public sectors to meet the demand for surgical care. Rapid growth of shoulder replacement surgery highlights a disparity in service provision, with two‐thirds occurring privately. This study aimed to assess the influence of hospital setting on shoulder replacement revision rate at a national level.MethodsAll primary shoulder replacements recorded by the Australian Orthopaedic Association National Joint Replacement Registry from April 2004 to December 2020 were included. Private and public settings were compared for stemmed total shoulder replacement (sTSR) for osteoarthritis (OA), reverse total shoulder replacement (rTSR) for OA/cuff arthropathy (CA), and rTSR for fracture. The primary outcome was cumulative percent revision (CPR), with Kaplan–Meier estimates of survivorship to determine differences between private and public hospitals, recorded as hazard ratios (HR). Secondary analyses investigated differences between hospital settings, targeting hospital outliers for revision and prosthesis selection.ResultsPrimary sTSR (OA) demonstrated a higher revision rate in private hospitals compared to public hospitals (HR = 1.27; P = 0.001), as did rTSR (OA/CA) after 3 months (HR = 1.33; P = 0.003). However, no significant difference was observed for primary rTSR (fracture) (HR = 1.10; P = 0.484). Restricting rTSR (OA/CA) to the best performing prosthesis combinations eliminated the difference between private and public outcomes (HR 1.10; P = 0.415). No other secondary analysis altered the primary result.ConclusionsDifferences exist between private and public hospitals for revision rate following primary shoulder replacement. Prosthesis selection accounts for some of the variation. Further analysis into patient specific characteristics is necessary to better understand these disparities.

show abstract

Surgical treatment of proximal humerus fractures: a systematic review and meta-analysis

Cited by 10 publications

References 65 publications

Platelet-rich plasma (PRP) as therapy for cartilage, tendon and muscle damage – German working group position statement

Platelet-rich plasma (PRP) as therapy for cartilage, tendon and muscle damage – German working group position statement

Posterior tibial slope and meniscal slope correlate with in vivo tibial internal rotation during running and drop jump

Does hospital setting influence shoulder replacement revision rate? A national comparison of outcomes between private and public settings

Contact Info

Product

Resources

About