Abstract：
:The degree to which subjective patient-reported measures reflects objective findings or how well subjective and objective measures reflect patient satisfaction is not well established. The purpose of this study was to determine the correlation between such measures before and after shoulder arthroplasty. A group of 174 patients (93 total shoulder arthroplasty and 81 reverse shoulder arthroplasty) were prospectively evaluated pre- and postoperatively (mean follow-up, 49 months) with the following subjective measures: American Shoulder and Elbow Surgeons score, Simple Shoulder Test, Short Form 36 (SF-36) summary scores, and patient satisfaction. Objective measures included Biodex isometric strength and videotaped range of motion. The objective measures were combined to derive 1 number representative of the overall shoulder function. All measures improved from their preoperative statuses except the SF-36 physical component summary in patients undergoing revision and the SF-36 mental component summary in patients undergoing primary reverse shoulder arthroplasty. A patient satisfaction score of 5 or more was seen in 89% of patients. Preoperatively, a significant (P<.05) correlation existed between the American Shoulder and Elbow Surgeons and the Simple Shoulder Test (ρ=0.546), American Shoulder and Elbow Surgeons score and SF-36 physical component summary (ρ=0.407), and Simple Shoulder Test and SF-36 physical component summary (ρ=0.479). Objective measures had lower correlations (ρ<0.4) with subjective scores. Postoperatively, the correlation improved among all measures. Patient satisfaction correlated more with subjective than objective measures. Subjective measures had relatively low correlations with objective measures. Improvements in the current measures are necessary to provide evidence-based comparisons of the effectiveness of shoulder arthroplasty.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Harreld K,Clark R,Downes K,Virani N,Frankle Mdoi
10.3928/01477447-20130523-29subject
Has Abstractpub_date
2013-06-01 00:00:00pages
808-14issue
6eissn
0147-7447issn
1938-2367journal_volume
36pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract：:The Neer I (polyethylene glenoid), Neer II (plastic glenoid surface with metal backing), Cofield, and Gristina monospherical total shoulder prostheses were tested for joint subluxation resistance and glenoid component fixation strength. Synthetic glenoid models with consistent structural properties and standard under-...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1988-01-01 00:00:00
abstract：:Ankylosing spondylitis is a disease in which inflammation of joints, most often in the axial skeleton, can lead to reactive fibrosis and eventual joint fusion with associated immobility and kyphosis. The disease often involves extra-articular features, such as uveitis and aortic regurgitation, as well as associated in...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20140124-27
更新日期：2014-02-01 00:00:00
abstract：:Obesity is prevalent in the developed world and is associated with significant costs to the health care system. The effect of morbid obesity in patients operatively treated for long-bone fractures of the lower extremity is largely unknown. The National Trauma Data Bank was accessed to determine if morbidly obese patie...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20101123-03
更新日期：2011-01-03 00:00:00
abstract：:A case of "trigger finger" due to flexor digitorum superficialis tendon "tag" following a hyperextension injury to the metacarpophalangeal joint is reported. The tag formed as a result of avulsion of the flexor digitorum superficialis tendon slip from its insertion in the middle phalanx. ...
journal_title：Orthopedics
pub_type： 社论
doi：10.3928/0147-7447-19801101-08
更新日期：1980-11-01 00:00:00
abstract：:In a multicenter, randomized, double-blind, parallel trial, the efficacy and tolerability of two regimens of naproxen sodium were compared in a two-day treatment of moderate to severe pain following open surgery of the hip, shoulder, knee, and ankle joints. Of 147 patients enrolled, the data of 99 were valid for effic...
journal_title：Orthopedics
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1988-04-01 00:00:00
abstract：:Nerve wrapping materials have been manufactured to inhibit nerve tissue adhesions and diminish inflammatory and immunologic reactions in nerve surgery. Collagen nerve wrap is a biodegradable type I collagen material that acts as an interface between the nerve and the surrounding tissues. Its main advantage is that it ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20150204-04
更新日期：2015-02-01 00:00:00
abstract：:Osteotaxis has been proven to offer a means for limb stabilization even in the most severe cases of upper extremity injuries, especially in cases where extensive soft tissue injuries contraindícate internal fixation or plaster cast treatment. Our policy has been to use the osteotaxis treatment only in these severe cas...
journal_title：Orthopedics
pub_type： 社论
doi：10.3928/0147-7447-19840401-16
更新日期：1984-04-01 00:00:00
abstract：:A case of synovial sarcoma in a six year old boy is reported. A brief discussion of the tumor is also included. ...
journal_title：Orthopedics
pub_type： 社论
doi：10.3928/0147-7447-19790901-06
更新日期：1979-09-01 00:00:00
abstract：:Crowdfunding for medical expenses is growing in popularity. Through several websites, patients create public campaign profiles to which donors can contribute. Research on medical crowdfunding is limited, and there have been no studies of crowdfunding in orthopedics. Active medical crowdfunding campaigns for orthopedic...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20171114-04
更新日期：2018-01-01 00:00:00
abstract：:Distal femur fractures routinely heal by secondary bone healing, which relies on interfragmentary motion. Periarticular locking plates are commonly used for fixation in distal femur fractures but are associated with a high nonunion rate, likely due to the stiffness of the constructs. Far cortical locking (FCL) screws ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20150305-50
更新日期：2015-03-01 00:00:00
abstract：:This study compares the results of the locking compression plate (LCP) and the dynamic compression plate (DCP) in the treatment of diaphyseal forearm fractures in adults and defines the indications for the use of the LCP. Forty-two patients with diaphyseal forearm fractures were retrospectively analyzed. Of those, 22 ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20130624-23
更新日期：2013-07-01 00:00:00
abstract：:The objective of this study was to determine the effectiveness of 2% glutaraldehyde as a sterilant for arthroscopes that had been used in septic joints. The first part of the experiment determined the minimum inhibitory concentration and the minimum lethal concentration of the disinfectant for five organisms frequentl...
journal_title：Orthopedics
pub_type： 社论
doi：10.3928/0147-7447-19840201-09
更新日期：1984-02-01 00:00:00
abstract：:An 83-year-old man presented with severe back pain and worsening neurodeficit. Lateral radiographs showed the presence of compression fractures of the L1 to L2 vertebral bodies. Computed tomography (CT) scan showed an intravertebral vacuum sign suggestive of ischemic fracture. Magnetic resonance imaging showed a large...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20101021-26
更新日期：2010-12-01 00:00:00
abstract：:Necrotizing fasciitis is an aggressive, invasive soft tissue infection. Because it can rapidly progress to patient instability, prompt diagnosis followed by urgent debridement is critical to decreasing mortality. Despite the importance of early diagnosis, necrotizing fasciitis remains a clinical diagnosis, with little...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20130426-34
更新日期：2013-05-01 00:00:00
abstract：:It is uncommon for femoral neck fractures to occur after proximal femoral hardware removal because age, osteoporosis, and technical error are often noted as the causes for this type of fracture. However, excessive alcohol consumption and failure to comply with protected weight bearing for 6 weeks increases the risk of...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20111122-34
更新日期：2012-01-16 00:00:00
abstract：:High-pressure paint gun injuries have been well described in the literature, and the use of antibiotics is recommended as part of their management. However, there is no scientific evidence to support the use of antibiotics. In addition, the type of paint injected (water- versus oil-based) has never been investigated t...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：2001-06-01 00:00:00
abstract：:Twenty-nine children underwent 36 Ilizarov procedures for a variety of limb deformities. We present the results in 11 patients, six with leg length discrepancies and five with achondroplasia, who underwent lengthening procedures using the Ilizarov method. Lengthening was accomplished in 15 of the 16 procedures (93%). ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1991-09-01 00:00:00
abstract：:Fifty-five patients underwent operative treatment of slipped capital femoral epiphyses at Children's Hospital Medical Center in Cincinnati, Ohio, between January 1975 and April 1980. Charts and x-rays were available for review in 45 of these patients with 68 affected hips; the incidence of bilaterality was 51%. Sixty-...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1985-01-01 00:00:00
abstract：:The goal of this study was to review the authors' initial experience with arthroscopic transosseous rotator cuff repair. Thirty-one patients with full-thickness rotator cuff tears underwent arthroscopic transosseous rotator cuff repair over a 15-month period. Preoperatively, demographics and subjective scores were rec...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20150504-50
更新日期：2015-05-01 00:00:00
abstract：:The standard Hoffmann fixator is ideal for electrical stimulation, using the pins as electrodes and the frame for fixation of the fracture and the stimulator. The main problem in this method of stimulation is the corrosion of the pins, which are made of stainless steel. Through 12 years of clinical research on human f...
journal_title：Orthopedics
pub_type： 社论
doi：10.3928/0147-7447-19840301-09
更新日期：1984-03-01 00:00:00
abstract：:Free vascularized fibular grafting (FVFG) is an effective method to treat corticosteroid-induced osteonecrosis of the femoral head (ONFH). Some patients continued to receive maintenance doses of corticosteroids to treat the primary disease postoperatively. This study was performed to evaluate outcomes of FVFG for cort...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20140401-56
更新日期：2014-04-01 00:00:00
abstract：:This study examined the forces during motion across human meniscal tears. Longitudinal cuts were created in 6 human cadaveric knees at the red-white junction of the medial and lateral menisci into which a pressure transducer was placed. Pressure data were gathered with the knees at neutral, internal rotation, and exte...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20080401-32
更新日期：2008-04-01 00:00:00
abstract：:A considerable proportion of bone fractures show signs of delayed or impaired healing. A novel device that applies interfragmentary compressive forces to the fracture site was developed and evaluated for its effect on fracture healing. The midshafts of the right tibias of 16 rabbits were osteotomized, leaving a 2-mm g...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：2009-03-01 00:00:00
abstract：:Animal models are commonly used for translational research despite evidence that the methodology of these studies is often inconsistent and substandard. This study describes the characteristics and impact of published research using animal models in the American Journal of Sports Medicine (AJSM). Peer-reviewed article...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20120822-30
更新日期：2012-09-01 00:00:00
abstract：:Total hip arthroplasty (THA) can be performed through multiple surgical approaches, including anterior, anterolateral, lateral, transtrochanteric, posterolateral, posterior, and the 2-incision technique. The overwhelming majority of THAs today are performed through a posterolateral approach, which has many advantages:...
journal_title：Orthopedics
pub_type： 评论,杂志文章
doi：10.3928/01477447-20110714-29
更新日期：2011-09-09 00:00:00
abstract：:The performance of TKA through less than traditional visualization presents a new set of problem areas. ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：2005-11-01 00:00:00
abstract：:The authors prospectively assessed long-term anticoagulation outcomes (≥3 years) for 9 patients meeting 4 inclusion criteria: pretreatment Ficat stage I or II primary hip osteonecrosis (ON), factor V Leiden or prothrombin G20210A heterozygosity, no contraindication to anticoagulation, and 90-day participation in an in...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20200404-06
更新日期：2020-07-01 00:00:00
abstract：:This case presented a 17-year-old patient with persistent complaints localized to the right patellofemoral joint. Clinical examination demonstrated increased medial translation of the patella on manual stress. In contrast to previous published reports on medial patellar subluxation, this patient had not undergone prio...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：:Fourteen of 80 interpreters (18%) for deaf students at a national center on deafness sought medical care for painful conditions of the upper extremity; 11 others (14%) had less severe or transient symptoms. The conditions were brought on by repetitive use and were relieved by rest. All represented overuse syndromes. T...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1990-02-01 00:00:00
abstract：:Femoral deformity in primary total hip arthroplasty can make restoration of joint biomechanics difficult. The S-ROM (DePuy Orthopaedics Inc., Warsaw, Ind) prosthesis' modular design allows for independent matching of diaphyseal and metaphyseal anatomy. Corrective osteotomy may also be performed because the stem achiev...
journal_title：Orthopedics
pub_type： 杂志文章,多中心研究
doi：
更新日期：2005-09-01 00:00:00
