当前位置： SCI文献检索 > JOURNAL OF SHOULDER AND ELBOW SURGERY期刊下所有文献 > Electrothermal arthroscopic capsulorrhaphy: old technology, new evidence. A multicenter randomized clinical trial.

Electrothermal arthroscopic capsulorrhaphy: old technology, new evidence. A multicenter randomized clinical trial.

Abstract：

BACKGROUND:Radiofrequency technology for shoulder instability was rapidly adopted despite limited clinical evidence and a poor understanding of its indications. Reports of serious adverse events followed, leading to its abandonment. This paper presents findings from a multicenter randomized clinical trial evaluating the safety and efficacy of electrothermal arthroscopic capsulorrhaphy (ETAC) compared with open inferior capsular shift (ICS) and reviews the role of randomized trials in adopting new technology. METHODS:Patients (>14 years) diagnosed with multidirectional instability or multidirectional laxity with anteroinferior instability and failed nonoperative treatment were enrolled. Patients with bone lesions or labral, biceps anchor, or full-thickness rotator cuff tears were excluded intraoperatively. Outcomes included Western Ontario Shoulder Instability Index, function and recurrent instability at 2 years postoperatively, and surgical times. RESULTS:Fifty-four subjects (mean age, 23 years; 37 women) were randomized to ETAC (n = 28) or open ICS (n = 26). The groups were comparable at baseline, except for external rotation at the side. At 2 years postoperatively, there were no statistically or clinically significant differences between groups for the Western Ontario Shoulder Instability Index (P = .71), American Shoulder and Elbow Surgeons score (P = .43), Constant score (P = .43), and active range of motion. Recurrent instability was not statistically different (ETAC, 2; open, 4; P = .41). ETAC (23 minutes) was significantly shorter than open ICS (59 minutes) (P < .01) surgery. Three subjects (1 ETAC, 2 open) had stiff shoulders. CONCLUSIONS:At 2 years postoperatively, quality of life and functional outcomes between groups were not clinically different. ETAC had fewer complications and episodes of recurrence compared with open surgery. This evidence reinforces the need to critically evaluate new technology before widespread clinical use.

journal_name

J Shoulder Elbow Surg

journal_title

Journal of shoulder and elbow surgery

authors

Mohtadi NG,Kirkley A,Hollinshead RM,McCormack R,MacDonald PB,Chan DS,Sasyniuk TM,Fick GH,Paolucci EO,Joint Orthopaedic Initiative for National Trials of the Shoulder-Canada.

doi

10.1016/j.jse.2014.02.022

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

1171-80

issue

8

eissn

1058-2746

issn

1532-6500

pii

S1058-2746(14)00161-X

journal_volume

23

pub_type

杂志文章,多中心研究,随机对照试验

相关文献

JOURNAL OF SHOULDER AND ELBOW SURGERY文献大全
  • Chronic Essex-Lopresti injuries: an alternative treatment method.

    abstract：BACKGROUND:Currently, no technique has met general acceptance for the restoration of forearm longitudinal stability in chronic Essex-Lopresti injuries. The purpose of this study is to present an alternative treatment method for chronic Essex-Lopresti lesions by radial head replacement and ulnar shortening osteotomy. M...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2014.01.043

    authors： Venouziou AI,Papatheodorou LK,Weiser RW,Sotereanos DG

    更新日期：2014-06-01 00:00:00

  • Radiographic assessment of cemented humeral components in shoulder arthroplasty.

    abstract：:Forty-three shoulder arthroplasties performed with the use of cemented Neer II humeral components and followed radiographically for a mean of 6.6 years (range, 2-20 years) were analyzed. A humeral component was considered radiographically "at risk" for clinical loosening when a radiolucent line 2 mm or greater in widt...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1067/mse.2001.118482

    authors： Sanchez-Sotelo J,O'Driscoll SW,Torchia ME,Cofield RH,Rowland CM

    更新日期：2001-11-01 00:00:00

  • Medium-term natural history of subacromial impingement syndrome.

    abstract：BACKGROUND:We evaluated the factors that affect the natural course of subacromial impingement syndrome in patients without rotator cuff tears. METHODS:In total, 63 patients were included. During the first evaluation, we recorded each patient's age, gender, profession, body mass index (BMI), hand dominance, alcohol and...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2015.06.007

    authors： Ertan S,Ayhan E,Güven MF,Kesmezacar H,Akgün K,Babacan M

    更新日期：2015-10-01 00:00:00

  • Glenoid vault endosteal dimensions: an anthropometric study with special interest in implant design.

    abstract：:An understanding of the morphology of the glenoid is important from the viewpoint of implant design and selection. This study describes the endosteal dimensions and shape of the glenoid and correlates these results with age, gender, and the presence of osteoarthritis. This study used 72 scapulae. Data were obtained fr...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2006.03.008

    authors： Bicknell RT,Patterson SD,King GJ,Chess DG,Johnson JA

    更新日期：2007-05-01 00:00:00

  • The upper band of the subscapularis tendon in the rat has altered mechanical and histologic properties.

    abstract：BACKGROUND:The subscapularis is an important mover and stabilizer of the glenohumeral joint. Since the advent of shoulder arthroscopy, partial tears are found in 43% of rotator cuff patients. While partial tears to the upper band occur more commonly, little is known about the structure and mechanical behavior of the in...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2011.11.038

    authors： Thomas SJ,Miller KS,Soslowsky LJ

    更新日期：2012-12-01 00:00:00

  • Intraobserver and interobserver reliability of the Copeland-Levy classification for arthroscopic evaluation of subacromial impingement.

    abstract：BACKGROUND:Defining a simple and reliable classification for acromial and bursal impingement lesions is necessary to standardize terminology, to improve communication, and to allow better evaluation of the proper treatment of impingement lesions and rotator cuff tears. The purpose of this study was to assess orthopedic...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2017.07.018

    authors： Atoun E,Gilat R,van Tongel A,Pradhan R,Cohen O,Rath E,Levy O

    更新日期：2017-12-01 00:00:00

  • The Critical Difference in the DASH Outcome Measure After Essential Upper Extremity Tumor Surgery.

    abstract：BACKGROUND:The DASH (Disabilities of the Arm, Shoulder and Hand) is a scored questionnaire that is widely used to evaluate the health-related quality-of-life of patients with upper-limb musculoskeletal disorders. However, numerical changes in the measure scores lack clinical significance without meaningful threshold ch...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2020.11.027

    authors： Ogura K,Yakoub MA,Christ AB,Fujiwara T,Nikolic Z,Boland PJ,Athanasian EA,Healey JH

    更新日期：2021-01-20 00:00:00

  • The natural course of atraumatic shoulder instability.

    abstract：:Over the years, we have observed a shifting among loose shoulder, voluntary dislocation, habitual dislocation, and sustained subluxation, leading us to the conclusion that they are all varieties of the same condition: atraumatic shoulder instability. For this study, we followed the natural course of atraumatic shoulde...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1067/mse.2001.111962

    authors： Kuroda S,Sumiyoshi T,Moriishi J,Maruta K,Ishige N

    更新日期：2001-03-01 00:00:00

  • Economic evaluations in shoulder pathologies: a systematic review of the literature.

    abstract：BACKGROUND:Economic evaluations provide decision makers with a tool for reducing health care costs because they assess both the costs and consequences of health care interventions. This study reviewed the quality of published economic evaluations for shoulder pathologies. MATERIALS AND METHOD:A MEDLINE search was cond...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.jse.2011.05.019

    authors： Kuye IO,Jain NB,Warner L,Herndon JH,Warner JJ

    更新日期：2012-03-01 00:00:00

  • Structural glenoid allograft reconstruction during reverse total shoulder arthroplasty.

    abstract：BACKGROUND:Large glenoid defects present a challenge during primary and revision reverse total shoulder arthroplasty (RTSA) especially when humeral head autograft is not available as a bone graft source. The purpose of this study was to evaluate the clinical and radiographic outcomes of RTSA with concomitant structural...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2019.07.011

    authors： Tashjian RZ,Broschinsky K,Stertz I,Chalmers PN

    更新日期：2020-03-01 00:00:00

  • Functional outcome of surgical treatment of symptomatic nonunion and malunion of midshaft clavicle fractures.

    abstract：:Disability caused by nonunited or malunited fracture of the midshaft clavicle is a rare condition that is expressed by local pain or neurovascular impairment. This condition is usually treated by reduction of the fracture and stable fixation with augmentation by autogenous bone graft. We evaluated the functional outco...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2006.12.002

    authors： Rosenberg N,Neumann L,Wallace AW

    更新日期：2007-09-01 00:00:00

  • Reoperation for failed rotator cuff repair: Analysis of fifty cases.

    abstract：:Fifty patients who underwent reoperation for failure of previous repair of rotator cuff rupture were evaluated 24 to 84 months after final repair (mean 30 months). Forty-eight of these patients had undergone all previous attempts at repair elsewhere. Most patients had had one or two earlier attempts, but four patients...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/S1058-2746(09)80054-2

    authors： Neviaser RJ,Neviaser TJ

    更新日期：1992-11-01 00:00:00

  • Periprosthetic shoulder infection in the United States: incidence and economic burden.

    abstract：BACKGROUND:Periprosthetic joint infection (PJI) is a major cause of morbidity after shoulder arthroplasty. PJI epidemiology has not been well studied. We aimed to analyze the historical incidence, predisposing factors, and economic burden of PJI after shoulder arthroplasty in the United States. METHODS:Primary shoulde...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2014.11.044

    authors： Padegimas EM,Maltenfort M,Ramsey ML,Williams GR,Parvizi J,Namdari S

    更新日期：2015-05-01 00:00:00

  • Is nonoperative management of partial distal biceps tears really successful?

    abstract：BACKGROUND:The current treatment of partial distal biceps tears is a period of nonoperative management, followed by surgery, if symptoms persist. Little is known about the success rate and outcomes of nonoperative management of this illness. METHODS:We identified 132 patients with partial distal biceps tears through a...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2017.12.010

    authors： Bauer TM,Wong JC,Lazarus MD

    更新日期：2018-04-01 00:00:00

  • Elbow joint instability: A kinematic model.

    abstract：:The effect of simultaneous ulnar and radial collateral ligament division on the kinematics of the elbow joint is studied in a cadaveric model. Severance of the anterior part of the ulnar collateral ligament and the annular ligament led to significant elbow joint instability in valgus and varus stress and in forced ext...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/S1058-2746(09)80093-1

    authors： Olsen BS,Henriksen MG,Søjbjerg JO,Helmig P,Sneppen O

    更新日期：1994-05-01 00:00:00

  • Does the timing of surgery for proximal humeral fracture affect inpatient outcomes?

    abstract：BACKGROUND:Delayed surgical treatment of hip fractures is associated with adverse medical outcomes, but it is unclear whether the same is true for proximal humeral fractures. The purpose of this study was to evaluate the relationship between surgical delay for proximal humeral fracture and inpatient adverse events, in-...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2014.03.010

    authors： Menendez ME,Ring D

    更新日期：2014-09-01 00:00:00

  • Is the Simple Shoulder Test a valid outcome instrument for shoulder arthroplasty?

    abstract：BACKGROUND:The Simple Shoulder Test (SST) is a brief, inexpensive, and widely used patient-reported outcome tool, but it has not been rigorously evaluated for patients having shoulder arthroplasty. The goal of this study was to rigorously evaluate the validity of the SST for outcome assessment in shoulder arthroplasty ...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2017.03.029

    authors： Hsu JE,Russ SM,Somerson JS,Tang A,Warme WJ,Matsen FA 3rd

    更新日期：2017-10-01 00:00:00

  • Long-term clinical outcomes, motion, strength, and function after total claviculectomy.

    abstract：BACKGROUND:Total excision of the clavicle is rarely performed. No previous study has documented long-term outcomes with objective measurements of strength, motion, and patient-centered outcomes. We present the long-term consequences of total claviculectomy on shoulder girdle function, global upper extremity function, a...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2013.05.011

    authors： Rubright J,Kelleher P,Beardsley C,Paller D,Shackford S,Beynnon B,Shafritz A

    更新日期：2014-02-01 00:00:00

  • The extraneural and intraneural arterial anatomy of the ulnar nerve at the elbow.

    abstract：:The purpose of this report was to investigate the vascular anatomy of the ulnar nerve at the elbow with a technique of combined India ink and latex injection followed by nondissection chemical debridement. Twenty-two fresh human cadaveric arms were injected with India ink to stain the intraneural microcirculation foll...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/s1058-2746(99)90048-4

    authors： Yamaguchi K,Sweet FA,Bindra R,Gelberman RH

    更新日期：1999-01-01 00:00:00

  • Large coronal shear fractures of the capitellum and trochlea treated with headless compression screws.

    abstract：BACKGROUND:The purpose of this study is to retrospectively evaluate the clinical outcomes of 18 patients with large coronal shear fractures of the capitellum and lateral trochlea that underwent open reduction and internal fixation with headless compression screws. METHODS:Eighteen patients were identified (16 women, 2...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2009.05.012

    authors： Mighell M,Virani NA,Shannon R,Echols EL Jr,Badman BL,Keating CJ

    更新日期：2010-01-01 00:00:00

  • Impaction autografting: bone-preserving, secure fixation of a standard humeral component.

    abstract：BACKGROUND:When fixed with bone ingrowth, a tight diaphyseal press fit, or cement, the humeral component of a shoulder arthroplasty may present problems of malposition, stress shielding, or periprosthetic fracture or difficulty with removal at revision arthroplasty. We have avoided the need for these fixation methods b...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2016.03.008

    authors： Lucas RM,Hsu JE,Gee AO,Neradilek MB,Matsen FA 3rd

    更新日期：2016-11-01 00:00:00

  • Reverse total shoulder arthroplasty compared to stemmed hemiarthroplasty for proximal humeral fractures: a registry analysis of 5946 patients.

    abstract：BACKGROUND:There is an increasing trend toward the use of reverse total shoulder arthroplasty (RTSA) over stemmed hemiarthroplasty (HA) for the management of proximal humeral fractures. There are limited data available comparing the revision rates for RTSA and HA in the setting of a fracture. The aim of this study was ...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2020.04.005

    authors： Critchley O,McLean A,Page R,Taylor F,Graves S,Lorimer M,Peng Y,Hatton A,Bain G

    更新日期：2020-12-01 00:00:00

  • The incidence of early radiolucencies about a pegged glenoid component using cement pressurization.

    abstract：:Glenoid component loosening is the most common early mode of failure of total shoulder arthroplasty (TSA) We hypothesised that the use of a pegged glenoid component with a modern glenoid reaming system and an instrumented cement pressurization technique would achieve a low prevalence of early radiolucent lines. Of 81 ...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jse.2008.01.147

    authors： Barwood S,Setter KJ,Blaine TA,Bigliani LU

    更新日期：2008-09-01 00:00:00

  • The effect of biceps reattachment site.

    abstract：BACKGROUND:We hypothesize that an anatomic repair of the distal biceps tendon would recreate native tendon moment arm and forearm rotation, while a nonanatomic insertion would compromise moment arm and forearm rotation. METHODS:Isometric supination torque was measured at 60° of pronation, neutral, and 60° of supinatio...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2010.05.027

    authors： Schmidt CC,Weir DM,Wong AS,Howard M,Miller MC

    更新日期：2010-12-01 00:00:00

  • Geometry of the proximal humerus and implications for prosthetic design.

    abstract：:The purpose of this study was to add critical information to the data already available on anthropometry of the proximal humerus. Two hundred macerated humeri were examined. Measurements were taken either directly on the bones or on standardized radiographic projections. The methodology was validated and showed a mean...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1067/mse.2002.124429

    authors： Hertel R,Knothe U,Ballmer FT

    更新日期：2002-07-01 00:00:00

  • Short-term to medium-term outcomes of cemented Vitallium radial head prostheses after early excision for radial head fractures.

    abstract：:Studies show that the radial head is a significant stabilizer to valgus and varus stresses and external rotatory stability. We review the outcomes of patients who had radial head replacement in our institution. Six patients with Mason-Johnston type III or IV radial head fractures underwent radial head replacement and ...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2007.07.020

    authors： Lim YJ,Chan BK

    更新日期：2008-03-01 00:00:00

  • Patient outcomes after humeral fracture surgery during the COVID-19 outbreak in Spain.

    abstract：BACKGROUND:The global spread of the 2019 novel coronavirus (COVID-19) has profoundly affected the way we conduct our health care practices. The goal of this paper is to report the outcomes of 11 patients who underwent humeral fracture surgery in the first few weeks of the COVID-19 outbreak in Spain. METHODS:This was a...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2020.06.001

    authors： Garcia-Portabella M,Nuñez JH,Batalla L,Plomer M,Lakhani K,Massons J

    更新日期：2020-08-01 00:00:00

  • Mechanical changes induced by thermal stimulation in collagenous tissue.

    abstract：:Radiofrequency thermal stimulation is used as a therapeutic procedure for joint laxity, but its thermal effects are still controversial. Although collagen shrinkage may be expected, this conclusion is empirical and not universally accepted. The purpose of this study was to investigate the mechanical response of collag...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2007.06.015

    authors： Gomes JE,Kruel A,Müller LM

    更新日期：2008-01-01 00:00:00

  • Influence of glenohumeral conformity on glenoid stresses after total shoulder arthroplasty.

    abstract：:Glenohumeral conformity has been reported to be one of the most critical implant-related features that may affect the occurrence of glenoid loosening. This study evaluated the mechanical effects of this parameter with a 3-dimensional finite element model of a prosthetic shoulder, which included the scapula, the humeru...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2005.09.021

    authors： Terrier A,Büchler P,Farron A

    更新日期：2006-07-01 00:00:00

  • Evaluation of an anesthetic pump for postoperative care after shoulder surgery.

    abstract：:In theory, a prolonged, local infusion of anesthetic into a surgical field should reduce postoperative pain. Recently, disposable products have become available to implement this, but the balance between cost and benefit is controversial. This study evaluated such a device in two specific types of arthroscopic surgery...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s1058-2746(03)00207-6

    authors： Quick DC,Guanche CA

    更新日期：2003-11-01 00:00:00