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Artikel ; Online: UniCAP as an alternative for unicompartmental arthritis.

Miniaci, Anthony

2014 Band 33, Heft 1, Seite(n) 57–65

Abstract: Medial tibiofemoral arthrosis is a disabling disease, particularly for active middle-aged patients who have failed conservative and biological precursor treatments. The UniCAP Bipolar Knee Resurfacing System (Arthrosurface, Incorporated, Franklin, ... ...

Abstract	Medial tibiofemoral arthrosis is a disabling disease, particularly for active middle-aged patients who have failed conservative and biological precursor treatments. The UniCAP Bipolar Knee Resurfacing System (Arthrosurface, Incorporated, Franklin, Massachusetts) was introduced in 2008 to add a new layer to reconstructive joint surgery, allowing for a delay in traditional joint replacement procedures. It utilizes intraoperative, 3-dimensional joint surface mapping to fit and implant defect-sized components that are matched to the individual joint surface.
Mesh-Begriff(e)	Arthroplasty, Replacement, Knee/instrumentation ; Arthroplasty, Replacement, Knee/methods ; Arthroplasty, Replacement, Knee/rehabilitation ; Hemiarthroplasty/instrumentation ; Hemiarthroplasty/methods ; Hemiarthroplasty/rehabilitation ; Humans ; Knee Prosthesis ; Osteoarthritis, Knee/rehabilitation ; Osteoarthritis, Knee/surgery ; Patient Selection ; Postoperative Care ; Prosthesis Design ; Treatment Outcome
Sprache	Englisch
Erscheinungsdatum	2014-01
Erscheinungsland	United States
Dokumenttyp	Journal Article ; Review
ZDB-ID	779944-5
ISSN	1556-228X ; 0278-5919
ISSN (online)	1556-228X
ISSN	0278-5919
DOI	10.1016/j.csm.2013.06.002
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Total Shoulder Arthroplasty Using OVO®/OVO® Motion with Inlay Glenoid Shoulder Arthroplasty System.

Yalcin, Sercan / Scarcella, Michael / Miniaci, Anthony

Surgical technology international

2021 Band 38, Seite(n) 428–432

Abstract: The incidence of patients undergoing total shoulder arthroplasty (TSA) for glenohumeral osteoarthritis has been steadily increasing in the United States. TSA with humeral head resurfacing with an inlay glenoid using OVO®/OVO® Motion (Arthrosurface, Inc., ...

Abstract	The incidence of patients undergoing total shoulder arthroplasty (TSA) for glenohumeral osteoarthritis has been steadily increasing in the United States. TSA with humeral head resurfacing with an inlay glenoid using OVO®/OVO® Motion (Arthrosurface, Inc., Franklin, Massachusetts) is an anatomic implant solution to shoulder arthritis. Anatomic resurfacing has demonstrated promising clinical- and patient-reported outcomes in the literature in both active and low-demand patients. Furthermore, patients are capable of returning to high-demand activities, such as weightlifting, which are restricted with conventional total shoulder replacement designs. Resurfacing designs offer a simple solution to a complex problem.
Mesh-Begriff(e)	Arthroplasty, Replacement, Shoulder ; Humans ; Humeral Head ; Range of Motion, Articular ; Scapula/surgery ; Shoulder Joint/surgery
Sprache	Englisch
Erscheinungsdatum	2021-03-30
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	1225512-9
ISSN	1090-3941
ISSN	1090-3941
DOI	10.52198/21.STI.38.OS1406
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Pre-shaped Allograft for Glenoid Reconstruction in Anterior Shoulder Instability.

Smucny, Mia / Miniaci, Anthony

Arthroscopy techniques

2018 Band 7, Heft 4, Seite(n) e343–e348

Abstract: Anteroinferior glenoid bone loss plays a significant role in recurrent glenohumeral instability. Current surgical strategies to reconstruct the glenoid include coracoid transfer (Bristow-Latarjet procedure), iliac crest autograft, and allograft ( ... ...

Abstract	Anteroinferior glenoid bone loss plays a significant role in recurrent glenohumeral instability. Current surgical strategies to reconstruct the glenoid include coracoid transfer (Bristow-Latarjet procedure), iliac crest autograft, and allograft (osteochondral and iliac crest). These may carry drawbacks of technical difficulty, increased surgical time, neurovascular injury, and nonanatomic reconstruction. We report a technique to manage glenoid bone loss using a pre-shaped, predrilled allograft (Glenojet; Arthrosurface) that matches the native contour of the glenoid. The surgical technique and outcomes are described with an accompanying video and figures.
Sprache	Englisch
Erscheinungsdatum	2018-03-12
Erscheinungsland	Netherlands
Dokumenttyp	Journal Article
ISSN	2212-6287
ISSN	2212-6287
DOI	10.1016/j.eats.2017.10.007
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Clinical and Radiographic Outcomes of Total Shoulder Arthroplasty With a Nonspherical Humeral Head and Inlay Glenoid in Elite Weight Lifters: A Prospective Case Series.

Yalcin, Sercan / Scarcella, Michael / Everhart, Joshua / Samuel, Linsen / Miniaci, Anthony

Orthopaedic journal of sports medicine

2021 Band 9, Heft 7, Seite(n) 23259671211021055

Abstract: Background: Weight lifting after total shoulder arthroplasty (TSA) can place significant stresses on implants that could lead to instability, loosening, and increased wear. A TSA system with nonspherical humeral head resurfacing and inlay glenoid-which ... ...

Abstract	Background: Weight lifting after total shoulder arthroplasty (TSA) can place significant stresses on implants that could lead to instability, loosening, and increased wear. A TSA system with nonspherical humeral head resurfacing and inlay glenoid-which improves the biomechanics and thus reduces instability, wear, and potential loosening-may be able to tolerate repetitive loads from weight lifting. Purpose: To determine clinical and radiographic outcomes after TSA in weight lifters. Study design: Case series; Level of evidence, 4. Methods: We prospectively enrolled 16 weight lifters (mean ± SD age, 57.2 ± 7.8 years; 15 male) undergoing primary anatomic TSA (n = 17 shoulders, 1 staged bilateral) with nonspherical humeral head resurfacing and inlay glenoid replacement for glenohumeral osteoarthritis between February 2015 and February 2019. Exclusion criteria were rotator cuff deficiency, revision TSA, post-traumatic arthritis, and inflammatory arthritis. Outcome measures included the rate of return to weight lifting, results of patient-reported outcome measures (Penn Shoulder Score, Kerlan-Jobe Orthopaedic Clinic, and 12-Item Veterans RAND Health Survey), radiographic outcomes, and complication rate. Results: Follow-up was obtained on all patients at a mean of 38 months (range, 14-63 months). All patients returned to competitive weight lifting at 15.6 ± 6.9 weeks. Compared to the preoperative weight lifting level, at last follow-up patients reported performance at the following level: lighter weight, 1 (6%); same weight, 8 (50%); heavier weight, 7 (44%). Preoperative eccentric posterior glenoid wear was common (71% Walch B2 classification; 12/17), but posterior humeral subluxation improved at follow-up according to the Walch index (mean, 55.5% preoperative vs 48.5% postoperative; Conclusion: There were substantial improvements in shoulder function and a high rate of return to weight lifting after TSA with a nonspherical humeral head resurfacing and inlay glenoid component. Radiographically, the humeral head centralized on the glenoid after surgery, and there was no evidence of component loosening at a mean 38-month follow-up.
Sprache	Englisch
Erscheinungsdatum	2021-07-28
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	2706251-X
ISSN	2325-9671
ISSN	2325-9671
DOI	10.1177/23259671211021055
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Treatment options for complex shoulder osteoarthritis with posterior humeral head subluxation and glenoid bone loss (Walch B): A systematic review.

Scarcella, Michael J / Yalcin, Sercan / Ginesin, Eyal / Patel, Ronak / Miniaci, Anthony

JSES reviews, reports, and techniques

2022 Band 2, Heft 3, Seite(n) 285–296

Abstract: Background: Shoulder osteoarthritis (OA) with eccentric (B) glenoids has generally been associated with poor patient-reported outcomes and increased complications. The purpose of this study was to outline all the described treatment options and their ... ...

Abstract	Background: Shoulder osteoarthritis (OA) with eccentric (B) glenoids has generally been associated with poor patient-reported outcomes and increased complications. The purpose of this study was to outline all the described treatment options and their outcomes and complications in order to better guide treatment. Methods: This systematic review was performed according to the Preferred Reporting Items for Systematic review and Meta-analysis guidelines. Searches were performed up to December 19, 2019, using Medline, EMBASE, Scopus, and Cochrane databases. Inclusion criteria included studies for glenohumeral OA reporting posterior humeral head subluxation and/or posterior glenoid erosion. Studies were excluded if they were review papers, abstracts, or conference papers; had heterogeneity of included Walch types; or were not written in English. Results: Twenty-one studies met inclusion criteria. The mean follow-up duration was 47.5 months (range, 14-300), and the mean patient age 62 years (38-88). Six different discernible techniques were identified: asymmetric reaming with onlay glenoid (AROG) in 267 shoulders, posterior glenoid bone grafting (PGBG) with onlay glenoid in 79 shoulders, augmented glenoid (AG) in 160 shoulders, reverse shoulder arthroplasty (RSA) with or without bone grafting in 118 shoulders, hemiarthroplasty with concentric reaming (HACR) in 57 shoulders, and humeral head arthroplasty with inlay glenoid (HAIG) in 36 shoulders. All techniques reported improved patient outcomes and range of motion. Short-term (<5 years) studies reported glenoid loosening leading to revisions in 3% of AROG, 2.7% PGBG, 0.8% AG, 1.4% RSA, and 0% HAIG shoulders. HACR had a high revision rate (12.3%) due to persistent pain and stiffness. Midterm (>5 years) studies demonstrated increased rates of glenoid loosening with AROG (14.5%), PGBG (21% loose, 23.8% "at risk"), and AG (18.9% "at risk"), as well as increased rates of subluxation or revision due to instability. HAIG did not demonstrate loosening, subluxation, or revision at 55.2 months. Conclusion: Various techniques exist to manage complex primary glenohumeral OA with posterior subluxation and posterior glenoid erosion. Glenoid component survival is a concern with ASOG, PGBG, and AG. HACR has the highest early revision rate. RSA offers promising short-term and midterm results likely due to the advantage of more secure fixation as well as a constrained design to prevent posterior subluxation. HAIG has the lowest complication and revision rates although further long-term studies are needed.
Sprache	Englisch
Erscheinungsdatum	2022-05-19
Erscheinungsland	Netherlands
Dokumenttyp	Journal Article ; Review
ISSN	2666-6391
ISSN (online)	2666-6391
DOI	10.1016/j.xrrt.2022.04.007
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: A New Option for Glenoid Reconstruction in Recurrent Anterior Shoulder Instability.

Smucny, Mia / Miniaci, Anthony

American journal of orthopedics (Belle Mead, N.J.)

2017 Band 46, Heft 4, Seite(n) 199–202

Abstract: Anteroinferior glenoid bone loss plays a significant role in recurrent glenohumeral instability. Surgical strategies for reconstructing the glenoid in these cases include coracoid transfer, iliac crest autograft, and allograft (osteochondral and iliac ... ...

Abstract	Anteroinferior glenoid bone loss plays a significant role in recurrent glenohumeral instability. Surgical strategies for reconstructing the glenoid in these cases include coracoid transfer, iliac crest autograft, and allograft (osteochondral and iliac crest). In this article, we report on a new technique for managing glenoid bone loss, preshaped allograft, and describe surgical technique and outcomes. So far we have implanted this allograft in 15 patients, and at short-term follow-up there are no known cases of recurrent instability or graft resorption.
Sprache	Englisch
Erscheinungsdatum	2017-07
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	2365753-4
ISSN	1934-3418 ; 1078-4519
ISSN (online)	1934-3418
ISSN	1078-4519
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Editorial Commentary: Distal Tibia Allograft as an Option for Glenoid Reconstruction in Recurrent Shoulder Instability-It's All About the Bone?

Patel, Ronak M / Miniaci, Anthony

Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association

2017 Band 33, Heft 5, Seite(n) 898–901

Abstract: Bony defects in recurrent shoulder instability can lead to the failure of soft tissue reconstruction. Many techniques have been developed to address glenoid defects in an attempt to prevent recurrent instability. However, the high complication rates with ...

Abstract	Bony defects in recurrent shoulder instability can lead to the failure of soft tissue reconstruction. Many techniques have been developed to address glenoid defects in an attempt to prevent recurrent instability. However, the high complication rates with the Latarjet procedure have led surgeons to identify other sources of bone graft, including the distal tibia allograft (DTA). The DTA appears to be a suitable option for anterior glenoid reconstruction, highlighting the importance of reconstructing all bony defects and the versatility and efficacy of allograft bone blocks.
Mesh-Begriff(e)	Allografts ; Humans ; Joint Instability ; Scapula ; Shoulder ; Shoulder Joint ; Tibia
Sprache	Englisch
Erscheinungsdatum	2017-05-03
Erscheinungsland	United States
Dokumenttyp	Editorial ; Comment
ZDB-ID	632528-2
ISSN	1526-3231 ; 0749-8063
ISSN (online)	1526-3231
ISSN	0749-8063
DOI	10.1016/j.arthro.2017.01.018
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Limited Arthroplasty for Osteoarthritis of the Knee: A Critical Analysis Review.

Griesser, Michael J / Miniaci, Anthony

JBJS reviews

2016 Band 1, Heft 2

Sprache	Englisch
Erscheinungsdatum	2016-05-03
Erscheinungsland	United States
Dokumenttyp	Journal Article
ISSN	2329-9185
ISSN	2329-9185
DOI	10.2106/JBJS.RVW.M.00038
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Imaging of Patients Suspected of SLAP Tear: A Cost-Effectiveness Study.

Gyftopoulos, Soterios / Conroy, Jordan / Koo, James / Jones, Morgan / Miniaci, Anthony / Subhas, Naveen

AJR. American journal of roentgenology

2021 Band 218, Heft 2, Seite(n) 227–233

Abstract: ... ...

Abstract	BACKGROUND
Mesh-Begriff(e)	Adult ; Arthrography/economics ; Arthrography/methods ; Cost-Benefit Analysis/economics ; Cost-Benefit Analysis/methods ; Cost-Benefit Analysis/statistics & numerical data ; Female ; Humans ; Magnetic Resonance Imaging/economics ; Magnetic Resonance Imaging/methods ; Male ; Sensitivity and Specificity ; Shoulder Injuries/diagnostic imaging ; Shoulder Injuries/economics ; Shoulder Joint/diagnostic imaging
Sprache	Englisch
Erscheinungsdatum	2021-08-18
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	82076-3
ISSN	1546-3141 ; 0361-803X ; 0092-5381
ISSN (online)	1546-3141
ISSN	0361-803X ; 0092-5381
DOI	10.2214/AJR.21.26420
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Total shoulder arthroplasty with nonspherical humeral head and inlay glenoid replacement: clinical results comparing concentric and nonconcentric glenoid stages in primary shoulder arthritis.

Egger, Anthony C / Peterson, Jennifer / Jones, Morgan H / Miniaci, Anthony

JSES open access

2019 Band 3, Heft 3, Seite(n) 145–153

Abstract: Background: Glenoid morphology can influence the outcomes of total shoulder arthroplasty. This study examines the results of a new technique according to preoperative glenoid staging. We hypothesized that there would be no statistically significant ... ...

Abstract	Background: Glenoid morphology can influence the outcomes of total shoulder arthroplasty. This study examines the results of a new technique according to preoperative glenoid staging. We hypothesized that there would be no statistically significant difference in outcomes between Levine concentric (Walch A) and Levine nonconcentric (Walch B) glenoids treated for primary glenohumeral arthritis using nonspherical humeral head and inlay glenoid replacement. Methods: This retrospective case series included 31 shoulders in 29 patients (25 male, 4 female), with an average age of 58.5 years. Outcomes included the Penn Shoulder Score (PSS), visual analog scale for pain (VAS-Pain), range of motion, radiographic analysis, and complications. Inclusion criteria were primary glenohumeral arthritis, intact rotator cuff, and no prior open shoulder surgeries. Results: Mean follow-up was 42.6 months (range, 24-74 months). The study included 7 concentric and 24 nonconcentric glenoids. Outcomes comparison showed no statistically significant differences in PSS domains including Pain ( Conclusion: Nonspherical shoulder arthroplasty with inlay glenoid replacement demonstrated excellent clinical benefits for both concentric and nonconcentric glenoids. The technique appears to be a promising option for glenohumeral arthritis even in the presence of posterior glenoid erosion.
Sprache	Englisch
Erscheinungsdatum	2019-09-13
Erscheinungsland	Netherlands
Dokumenttyp	Journal Article
ISSN	2468-6026
ISSN (online)	2468-6026
DOI	10.1016/j.jses.2019.07.009
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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