BACKGROUND Rising health care costs and emphasis on value have placed the onus of reducing healthcare costs on the surgeon. METHODS Financial data from 3,973 hip, knee, and shoulder arthroplasties performed at a physician owned orthopedic hospital was retrospectively reviewed over a two-year period. A wasted implant financial report was posted starting the second year of the study. Each surge...

The Comprehensive® Shoulder Solutions’ Modular Hybrid Glenoid from Biomet is a revolutionary design for replacement of the glenoid in total shoulder arthroplasty. It provides three outer pegs and three central peg options for surgical implantation. In vitro testing of the Modular Hybrid Glenoid resulted in mean axial pull-out peak loads ranging from 209 to 303 lbf, mean inferior/superior shear ...

Subscapularis tenotomy for total shoulder arthroplasty has been the standard approach for shoulder surgeons that utilize the deltopectoral approach. The risk of subscapularis insufficiency after this approach has been well documented. In order to avoid subscapularis complications, Lafosse reported a technique for total shoulder arthroplasty that utilizes a trans-deltoid approach through the rot...

The authors report the 2-year results of an uncemented resurfacing shoulder prosthesis in 47 patients with primary glenohumeral osteoarthritis who underwent a cementless humeral resurfacing arthroplasty between 2007 and 2009. Constant scores (corrected for sex and age), shoulder function, visual analog pain scales, Dutch Simple Shoulder Tests, and physical SF-12 scores improved significantly (P...

This information is current as of October 19, 2006 Supplementary material http://www.ejbjs.org/cgi/content/full/88/10/2279/DC1 at translated abstracts are available for this article. This information can be accessed Commentary and Perspective, data tables, additional images, video clips and/or Reprints and Permissions Permissions] link. and click on the [Reprints and jbjs.org article, or locate...

SUMMARY The universally accepted method of measuring glenoid version to determine proper alignment of the glenoid component during total shoulder arthroplasty does not account for the complex and variable relationship of the glenoid vault with the scapular body. Existing evidence indicates that the glenoid and the scapular body development are controlled by independent genetic and biomechanical...

[This corrects the article on p. 213 in vol. 9, PMID: 28567225.].