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Dr Lederman, Dr Harmsen and colleagues review strategies to prevent infection in shoulder replacement. *

Title: Preventing infection in shoulder arthroplasty: Navigating the minefields

Abstract

Periprosthetic infection after shoulder arthroplasty represents a devastating complication that often requires extensive revision surgery with substantial economic and patient burden, and ultimately leads to reduced patient function.

Seminars in Arthroplasty

Volume 28, Issue 3, September 2017, Pages 145-149

https://doi.org/10.1053/j.sart.2017.12.006

*This is based on a lecture by Dr Lederman at the 2017 Current Concepts in Shoulder Arthroplasty conference in Las Vegas, NV.

Dr. Lederman and colleagues discuss the outcome and safety of a short stem shoulder replacement

Title: Short-term clinical outcome of an anatomic short-stem humeral component in total shoulder arthroplasty

Anthony A. Romeo MD, Robert J Thorness MD, Shelby A Sumner MPH, Reuben Gobezie MD, Evan S Lederman MD, Patrick J Denard MD

Background

Short-stem press-fit humeral components have recently been developed in an effort to preserve bone in total shoulder arthroplasty (TSA), but few studies have reported outcomes of these devices. The purpose of this study was to evaluate the short-term clinical outcomes of an anatomic short-stem humeral component in TSA. We hypothesized that the implant would lead to significant functional improvement with low rates of radiographic loosening.

Full Article: https://doi.org/10.1016/j.jse.2017.05.026

The Journal of Shoulder and Elbow Surgery

Volume 27, Issue 1, January 2018, Pages 70-74

Dr. Lederman and Dr. Harmsen compare different techniques for shoulder replacement*

Title: Glenohumeral osteoarthritis in young patients: Stemless total shoulder arthroplasty trumps resurfacing arthroplasty—Opposes

Samuel Harmsen MD and Evan S Lederman MD

Abstract

When considering shoulder arthroplasty in a younger patient the surgeon can choose between stemmed, stemless or resurfacing implants for humeral reconstruction. Resurfacing arthroplasty can reproduce humeral anatomy independent of the humeral shaft, minimize bone resection and offer potential easier revision surgery. The resurfacing implant has been in use for over 30 years and has favorable long-term outcome.

Seminars in Arthroplasty

Volume 28, Issue 3, September 2017, Pages 121-123
*This is based on a lecture/Debate by Dr. Lederman with Dr. Sumant Krishnan at the 2017 Current Concepts in Shoulder Arthroplasty Conference in Las Vegas, NV.

Dr. Lederman and Dr. Harmsen discuss the challenges and techniques for revision shoulder replacement.*

Title: Humeral cemented revision: Techniques for safe extraction

Samuel Harmsen MD, Evan S. Lederman MD

Abstract

Removing a well-fixed humeral component in revision shoulder arthroplasty can present a difficult challenge. Intraoperative complications including iatrogenic fracture, humeral perforation, segmental bone loss, nerve and soft tissue injury can occur. These complications can occur with both cemented and press-fitted stems and can lead to increased morbidity and decreased functional outcomes. Complete removal of the cement mantle and cement restrictor, when necessary, can present even further challenges. Several extraction techniques have been described that can help minimize complications and enable safe, complete component extraction.

Seminars in Arthroplasty

Volume 28, Issue 3, September 2017, Pages 175-179
*This is based on a lecture by Dr. Lederman at the 2017 Current Concepts in Shoulder Arthroplasty Conference in Las Vegas, NV.

Dr. Lederman and colleagues review how bone reacts to shoulder replacements and document the potential benefit and safety of short stem shoulder implants

Title: Radiographic changes differ between two different short press-fit humeral stem designs in total shoulder arthroplasty

Patrick J. Denard MD, Matthew P Noyes MD, J B Walker MD, Youself Shishani MD, Reuben Gobezie MD, Anthony A Romeo MD, Evan S. Lederman MD

Background

The purpose of this study was to compare the radiographic changes of the humerus in the short term after total shoulder arthroplasty with two different short-stem humeral components. The hypothesis was that there would be no difference in radiographic changes or functional outcome based on component type.

Full article available: https://doi.org/10.1016/j.jse.2017.08.010

The Journal of Shoulder and Elbow Surgery

Volume 27, Issue 2, February 2018, Pages 217-223

 

Dr. Lederman and colleagues review how bone can react differently to shoulder replacements and document the potential benefit and safety of short stem shoulder implants

Title: Proximal Stress is Decreased with a Short Stem Compared to a Traditional Length Stem In Total Shoulder Arthroplasty

Patrick J. Denard MD, Matthew P Noyes MD, J B Walker, MD, Yousef Shishani, MD, Reuben Gobezie MD, Anthony A Romeo, MD, Evan S. Lederman, MD

Background

This study compared the outcome and radiographic humeral adaptations after placement of a traditional-length (TL) or short-stem (SS) humeral component during total shoulder arthroplasty (TSA). The hypothesis was there would be no difference in outcome or radiographic adaptations.

Full article: https://doi.org/10.1016/j.jse.2017.06.042

The Journal of Shoulder and Elbow Surgery

Volume 27, Issue 1, January 2018, Pages 53-58

Dr Lederman, Dr Hosack and colleagues from the University of Arizona College of Medicine Phoenix discuss the potential for Vancomycin Powder to prevent infection in shoulder replacement.

Title: In vitro susceptibility of Propionibacterium acnes to simulated intrawound vancomycin concentrations

Luke Hosack MD MS, Derek Overstreet PhD, Evan S Lederman, MD

Background

There is convincing evidence supporting the prophylactic use of intrawound vancomycin powder in spinal fusion surgery and mounting evidence in the arthroplasty literature suggesting that it can reduce surgical site infections. As a result, a number of shoulder arthroplasty surgeons have adopted this practice, despite a paucity of evidence and the presence of a pathogen that is, for the most part, unique to this area of the body—Propionibacterium acnes. The purpose of this study was to evaluate the efficacy of vancomycin against planktonic P. acnes in vitro, using time-dependent concentrations one would expect in vivo after intra-articular application.

Full article available: https://doi.org/10.1016/j.jses.2017.08.001

The Journal of Shoulder and Elbow Surgery

Volume 1, Issue 3, October 2017, Pages 125-128
open access

 

Dr. Padley has a long tradition of providing care for sports teams.

Dr. Padley returned to the Dominican Republic in April with the Cincinnati Reds for the annual opening of their Dominican complex. The trip included evaluations of 40+ Dominican athletes hoping to advance their way up the Cincinnati Reds baseball system. This marks the beginning of the baseball season for the Dominican teams. Most major league baseball teams have affiliates in the Dominican in search of that next great player! Dr. Padley is an orthopedic consultant and provider to the Cincinnati Reds for major league baseball spring training and throughout the year for their minor league and rookie league teams. In additional to this health care relationship, he is also a consultant to Japanese professional baseball for the Saitama Seibu Lions. With his expertise in hip disorders and injuries, Ballet Arizona benefits from his service as a consultant. He was a team physician for the WNBA’s Phoenix Mercury for four years including the 2014 championship season. Dr. Padley proudly serves as the team physician for Benedictine University in Mesa as well as Millennium and Verrado High Schools in Goodyear.

For more information on Dr. Padley, Click HERE

 

The Orthopedic Clinic Association names John Kinna Chief Executive Officer

The Orthopedic Clinic Association

FOR IMMEDIATE RELEASE

October 6, 2017
Media Contact: Lisa Paulson, Director of Marketing
lpaulson@tocamd.com; Office: 602.512.8525; Cell: 602.501.7583

The Orthopedic Clinic Association names John Kinna Chief Executive Officer

TOCA – The Orthopedic Clinic Association, a leading Orthopedic Clinic in Arizona, led by nationally recognized Orthopedic Physicians, has appointed John Kinna as Chief Executive Officer, effective October 2, 2017.

“John Kinna has a distinguished record of accomplishment and dedication to the critically important role of Orthopedics. “As we plan for the future, Kinna’s commitment to combining the highest levels of quality with outstanding patient experience will help achieve TOCA’s inspiring vision for the future,” said Joseph Haber, M.D., President of The Orthopedic Clinic Association. “John will build on the many strengths of the past and we are confident he will ably lead the association into the future.”

“TOCA is a trusted and admired, one stop resource for Orthopedics in Arizona. It is a tremendous opportunity for me to join an organization as distinguished as they are. I’m eager to work with TOCA’s skilled and respected physicians’ and staff, and together provide the best possible patient experience and outcomes.

Kinna has worked in healthcare for the past 29 years in leadership and management roles in both not for profit and for profit systems in Montana, Washington and now Arizona, including private practices, and large integrated groups as well as two large Catholic healthcare systems running employed Physician Divisions. He has served as the CEO at Barrow Brain and Spine and most recently at OrthoArizona.

About TOCA – The Orthopedic Clinic Association

TOCA (The Orthopedic Clinic Association) is the best one stop resource for orthopedics in Arizona, led by nationally recognized orthopedic physicians. We are passionate about consistent quality, the most advanced treatment options and personalized patient care for superior lifetime outcomes.

TOCA has built a reputation for excellence in Arizona for more than 65 years as the first and foremost orthopedic group. Our Nationally and Internationally recognized orthopedic physicians and surgeons utilize the most advanced proven technologies for the best recovery possible to return you to your active lifestyle.

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To learn more about TOCA’s physicians read more Here. For more information on TOCA’s history read more Here. To contact TOCA find more information by clicking Here

#Recovery #Results #Relief #MyOrthoDoc #TOCA #TOCAMD #JohnKinna #NewCEO

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Backpack Safety!

[vc_row][vc_column][vc_column_text]When you move your child’s backpack after he or she drops it at the door, does it feel like it contains 40 pounds of rocks? Maybe you’ve noticed your child struggling to put it on, bending forward while carrying it, or complaining of tingling or numbness. If you’ve been concerned about the effects that extra weight might have on your child’s still-growing body, your instincts are correct. Backpacks that are too heavy can cause a lot of problems for kids, like back and shoulder pain, and poor posture. Did you know that according to the Consumer Product Safety Commission, injuries from heavy backpacks result in more than 7,000 emergency room visits per year. Sprains, strains, and “overuse” injuries were among the top complaints.

When selecting a backpack, look for:

  • An ergonomic design
  • The correct size: never wider or longer than your child’s torso and never hanging more than 4 inches below the waist
  • Padded back and shoulder straps
  • Hip and chest belts to help transfer some of the weight to the hips and torso
  • Multiple compartments to better distribute the weight
  • Compression straps on the sides or bottom to stabilize the contents
  • Reflective material

Backpack Safety Tips:

  • Your backpack should weigh only 15% – 20% of your total weight
  • Use both shoulder straps to keep the weight of the backpack better distributed
  • Tighten the straps to keep the load closer to the back
  • Organize items and pack heavier things low and towards the center
  • Remove items if the backpack is too heavy and only carry items necessary for the day
  • Lift properly by bending at the knees when picking up a backpack

Remember: A roomy backpack may seem like a good idea, but the more space there is to fill, the more likely your child will fill it. Make sure your child uses both straps when carrying the backpack. Using one strap shifts the weight to one side and causes muscle pain and posture problems.

Help your child determine what is absolutely necessary to carry. If it’s not essential, leave it at home.[/vc_column_text][/vc_column][/vc_row]

 

If you or your child is experiencing neck or back pain the expert Physicians at TOCA and the dedicated staff are here to help! Call 602-277-6211 to schedule your appointment today!

 

#Recovery #Results #Relief #BackpackSaftey #MyOrthoDoc #BacktoSchool