Research

Assessing the hospital volume–outcome relationship in total elbow arthroplasty

Background: Total elbow arthroplasty (TEA) is an effective intervention for multiple elbow disorders including complex fracture in elderly patients, post-traumatic arthropathy, inflammatory arthropathy, and distal humeral nonunion. Given its known therapeutic value and low utilization rate, an investigation into the thresholds for TEA institutional volume–outcome relationships is warranted. The purpose of this study was to identify TEA volume thresholds that serve as predictors of institutional outcomes including complications, readmissions, revisions, cost of care, length of stay (LOS), and non-home discharge. We hypothesized that increased institutional volume would be associated with decreased 90-day adverse outcomes and resource utilization.

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Clinical and Functional Outcomes by Graft Type in Superior Capsular Reconstruction

Background: In recent years, superior capsular reconstruction (SCR) has emerged as a promising treatment for massive rotator cuff tears and has been performed with an array of graft options, most commonly dermal allograft and tensor fascia lata (TFL) autograft.

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In Older Adults with 3- or 4-Part Dislocated Proximal Humeral Fractures, Reverse Shoulder Arthroplasty Improved Anterior Elevation and Constant Score, but Not DASH Scores, Quality of Life, or Radiographic Outcomes Compared with Hemiarthroplasty

Question: In older adults with dislocated 3- or 4-part proximal humeral fractures, what are the effects of reverse shoulder arthroplasty (RSA) compared with hemiarthroplasty (HA) on range of motion and function?

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Orthopaedic Application of Cryotherapy: A Comprehensive Review of the History, Basic Science, Methods, and Clinical Effectiveness

Abstract: Cold therapy, also known as cryotherapy, includes the use of bagged ice, ice packs, compressive cryotherapy devices, or whole-body cryotherapy chambers. Cryotherapy is commonly used in postoperative care for both arthroscopic and open orthopaedic procedures.

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