RESUMEN
Dissatisfaction after shoulder arthroscopy may be influenced by the information that patients receive. Multimedia is an emerging modality of information delivery. The goal of this study was to evaluate whether providing patients with a personalized video of their arthroscopic shoulder surgery improved satisfaction through a multisurgeon randomized controlled study. Patients undergoing arthroscopic shoulder decompression, rotator cuff repair, or labral repair were randomized to either the intervention group, receiving a video recording of their surgery, or the control group, not receiving a video. Patients who had previous ipsilateral shoulder arthroscopy or who could not participate in follow-up were excluded. Patient satisfaction was assessed at 3 months with a visual analog scale (VAS), Likert scale, and Quick Disabilities of the Arm, Hand and Shoulder (QuickDASH) score. The intervention group included 50 participants, and the control group included 47 participants, with 18% loss to follow-up. Mean control group VAS score was 8.5±2.2 and intervention group VAS score was 9.0±1.5, a difference that was not significantly different (P=.27). No statistically significant differences were noted for Likert scale scores and QuickDASH scores. A subgroup analysis of age group, sex, surgeon, and surgical procedure showed no significant differences. Based on these findings, personalized patient videos do not appear to improve satisfaction with surgery. Surgeons should investigate other means to improve patient satisfaction in the small group of dissatisfied patients. [Orthopedics. 2021;44(3):e331-e336.].
Asunto(s)
Artroscopía/métodos , Satisfacción del Paciente , Manguito de los Rotadores/cirugía , Hombro/cirugía , Grabación en Video , Adulto , Anciano , Descompresión Quirúrgica/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Dimensión del Dolor , Lesiones del Manguito de los Rotadores/cirugía , Resultado del Tratamiento , Escala Visual AnalógicaRESUMEN
We report a case of borderline oxacillin-resistant S. pseudintermedius (BORSP) in a rheumatoid arthritis patient with severe osteoporosis. The organism is also resistant to erythromycin and clindamycin. We also present clear evidence on transmission from the family dog.
Asunto(s)
Enfermedades de los Perros/microbiología , Oxacilina/farmacología , Infecciones Estafilocócicas/complicaciones , Infecciones Estafilocócicas/microbiología , Staphylococcus/aislamiento & purificación , Animales , Artritis Reumatoide/complicaciones , Perros , Femenino , Humanos , Pruebas de Sensibilidad Microbiana , Persona de Mediana Edad , Osteoporosis/complicaciones , MascotasRESUMEN
Perilunate injuries are complex injuries of the bony and ligamentous structures of the wrist. They require operative management with careful restoration of carpal alignment and open reduction and internal fixation of associated fractures. Even with optimal treatment, mild to moderate dysfunction affects most patients.
RESUMEN
Isolated fractures of the ulnar shaft are common forearm injuries. Although seemingly benign, they may be complicated by nonunion, radioulnar synostosis, and loss of motion. Unstable fractures are those that are displaced more than 50 percent, angulated more than 10 degrees, or are located in the proximal third of the ulna. Stable fractures are managed well with forearm bracing. Unstable fractures are reliably treated with open reduction and internal fixation with compression plating.
Asunto(s)
Fracturas del Cúbito/terapia , Moldes Quirúrgicos , Fijación Interna de Fracturas , Humanos , Inmovilización , Membranas/anatomía & histología , Radio (Anatomía)/anatomía & histología , Cúbito/anatomía & histología , Fracturas del Cúbito/clasificación , Fracturas del Cúbito/complicaciones , Fracturas del Cúbito/diagnósticoRESUMEN
Perilunate injuries are complex injuries of the bony and ligamentous structures of the wrist. They require operative management with careful restoration of carpal alignment and open reduction and internal fixation of associated fractures. Even with optimal treatment, mild to moderate dysfunction affects most patients.
Asunto(s)
Hueso Semilunar/lesiones , Humanos , Hueso Semilunar/cirugía , Procedimientos Ortopédicos/métodos , Heridas y Lesiones/terapiaRESUMEN
Replacement arthroplasty of the ulnar head is indicated primarily for stiffness and pain as a consequence of rheumatoid, degenerative, and posttraumatic arthritis of the distal radioulnar joint. It is also successfully used in the setting of previous failed excisional arthroplasty of the distal ulna. A distal ulnar hemiarthroplasty, which anatomically recreates the native ulnar head by employing an eccentric design, is discussed. The surgical technique includes a dorsal approach and careful repair of the soft tissue stabilizers.