Blog

Failed shoulder replacement surgeries. Why do they fail?

Marc Darrow, MD, JD. People have very successful shoulder surgeries. Most go very well. But what about the few that do not?  We do a lot of research in our clinic, one topic we research often is shoulder osteoarthritis. Most research articles deal with the surgical aspect and the various types of surgical techniques that can be offered the patient. There are also many new studies on the problems of shoulder replacement and fixing a failed replacement. I wrote an extensive article in 2017 on the problems of shoulder replacement complications. That article has been built on here with new

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Rotator cuff surgery complications

A June 2023 study (1) found that unplanned readmission to the hospital within 30 days of a rotator cuff surgery is considered an infrequent event. The risk factors for it would be men more so than women If the patient had: COPD, hypertension, ASA Class III and IV (a worsening classification of general, overall health,) and total (longer) operative time to be independent risk factors for readmission following outpatient rotator cuff repair. More risk factors included: age, BMI (see below on obesity), Hispanic ethnicity, bleeding disorder, diabetes, hypertension, steroid use, current smoker, and procedure type. Do non-steroidal anti-inflammatory drugs (NSAIDs)

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Systemic effects of cortisone injections including cartilage damage

Marc Darrow, M.D.,J.D. There is a concern amongst doctors and patients as to the long-term use of corticosteroids in managing chronic back, neck, and joint pain. Cortisone injections can help many people, they can also provide potential harm to others. The debate over the detrimental effects of corticosteroids intensified during the COVID-19 surge as corticosteroids were prescribed to suppress immune response in COVID patients. Why are steroids used so much in orthopedic medicine? A September 2021 paper (1) found: “There are growing concerns with the widely used glucocorticoids during the Coronavirus disease-19 (COVID-19) pandemic due to the associated immunosuppressive effects,

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New research August 2024

Current research we are reading: August 2024 Tandem Spinal Stenosis What is Tandem Stenosis? As the name implies, tandem stenosis is a spinal stenosis occurring in different segments of the spine at the same time. Typically this occurs simultaneously in the lumbar and cervical spines, however doctors are now looking into the greater prevalence of cervical and thoracic spine tandem stenosis. An August 2024 study suggests that tandem stenosis of the cervical and thoracic spine may be missed by clinicians and potentially lead to missed and delayed diagnosis. In their review of 23 published studies, the authors here found “a

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Christo Garcia PRP knees

Video by Christo Garcia It’s my first day back after my second PRP on my knees. I’m going to try and swing easy today, but I’m very excited to play some golf and I’m not feeling any pain in my knees so that’s a big big deal. Hey guys I’m Christo Garcia and I wanted to tell you about a recent experience I had because I’ve been having worse and worse knee trouble. I had a very high impact life when I was growing up doing martial arts, ballet, and all these other jumping things that I did that just

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Information on Greater trochanteric pain syndrome

Marc Darrow, MD, JD Over the years we have seen many patients with hip pain. Many of them having a “hip bursitis,” or more commonly a trochanteric bursitis or iliopsoas bursitis. Sometimes both. The iliopsoas bursitis is felt in the groin area on the inside of the hip. The trochanteric bursitis is felt on the outer part of the hip. However, most of the patients we see may or may not have a bursitis even though they have a diagnosis of one and they are on anti-inflammatory medications. Bursitis is an inflammation of the protective, fluid filled sacs that prevent

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