Dr. Jon JP Warner
- Jan 29, 2020
How Hospitals Confront New Technology
Dear CSS Members and Colleagues: As the next annual meeting of the CSS will consider Disruptive Technologies for Shoulder Arthroplasty, I thought it appropriate to share an article with you about how hospitals must deal with the dilemma of technology adoption and return on investment. We can consider many recent technologies which have benefited patients, such as cross-linked Poly for joint replacement. Initially hospitals had to consider the added cost over conventional poly
Dr. Jon JP Warner
- Jan 28, 2020
Immersive Virtual Reality
Dear CSS Members and Colleagues: As our next Annual Meeting this June will consider the disruptive impact of Digital technology, I’d like to share with you recent work by Danny Goel which shows the Immersive Virtual Reality (VR) offers the potential to greatly impact value of shoulder arthroplasty as well as other shoulder procedures. It has been well documented that learning curves affect value due to errors in surgeons make early in their experience. Immersive VR may improv
Dr. Jon JP Warner
- Jan 21, 2020
Discussion: [J.P. Warner] "L’episcopo or Latissimus Dorsi (Double Incision) Transfer?" on
Dear CSS Members and Colleagues: The discussion below reflects some controversy as to the need for tendon transfer along with Reverse prosthesis in patients with profound ER weakness. Enclosed is a video (https://www.vumedi.com/video/failed-reverse-lag-sign/) and an article from Hartzler, Frankle and colleagues which deals with this. Perhaps you can decide for yourselves about the need for tendon transfer. Eric Wagner has suggested a multicenter study and this is a great ques
Dr. Jon JP Warner
- Jan 17, 2020
The Jupiter Effect
Dear CSS Members and Colleagues: It is my great pleasure and privilege to post on the life and accomplishments of a truly exceptional individual who is certainly on the short list of innovators in Upper Extremity Surgery in the past Century. Usually such postings honor a life after the fact, but we are fortunate that is not the case with this post, and more so, excellence of such magnitude deserves recognition now. This individual is Dr. Jesse Jupiter, who is the current Hans
Dr. Jon JP Warner
- Jan 16, 2020
[Pierre Henri Flurin] "Reverse Total Shoulder Arthroplasty Using Navigation" on VuMedi
Dear CSS Members: As our meeting this year will deal with the impact of digital technology on shoulder surgery I share with you a video on Vumedi which deals with Navigation for Reverse Total Shoulder Replacement. You may have missed this and it is important to understand different approaches which are aimed at reducing errors and improving outcomes. Keep in mind the Value Proposition of this technology as we’ll discuss this at our annual meeting in June just after the San Di
Dr. Jon JP Warner
- Jan 10, 2020
On Bankart to Remplissage - A Conversation
Dear CSS Members: The enclosed link is to a recent conversation Jon Ticker had with Eugene Wolf, the originator of Remplissage for management of instability. This is from the AANA Newsletter. I thought it would be of interest to our group for those who had not yet seen it. Kind Regards, JP Warner, MD Founder, CSS
Dr. Jon JP Warner
- Jan 9, 2020
A Recovery Squandered
Dear Colleagues: Enclosed is a document created by Michael Porter and Colleagues. As physicians we often fail to recognize we provide services and work in the context of an overall economic and political environment. As we are in the midst of a socioeconomic transformation in healthcare this is essential background reading to understand where we are going in the USA and what impact this may have on the number one cost to the American taxpayer, namely healthcare. Michael Port
Dr. Jon JP Warner
- Jan 7, 2020
[Christian Gerber] "Anatomy and Treatment of the Rotator Cuff" on VuMedi
Dear CSS Members and Colleagues: In case you have not seen it this is a unique and thoughtful consideration of Rotator Cuff Anatomy and relevance to treatment of cuff failure. You won’t find such a consideration anywhere else as Professor Gerber has been a pioneer and leader of his generation in establishing “bench to bedside” understanding of rotator cuff disease treatment. All he presents is predicated on the principles of Codman which include the best available clinical ev
Dr. Jon JP Warner
- Jan 6, 2020
[J.P. Warner] "L’episcopo or Latissimus Dorsi (Double Incision) Transfer?" on VuMedi
Dear CSS Members and Colleagues: Enclosed is a video on our experience with Latissimus dorsi transfer for cases with complete absence of the posterior cuff and undergoing Reverse prosthesis. Both Gerber and Boileau have published on their method and my presentation highlights each. Not surprisingly, both obtain excellent outcomes with their chosen technique. Our paper on this experience is enclosed and this accounts for about 14% of all the reverse prosthesis I do. It is esse
Dr. Jon JP Warner
- Jan 2, 2020
[Jost Bernhard] "Pectoralis Major Tendon Transfer for Irreparable Subscapularis Tears" on
Dear CSS Members and Colleagues: Enclosed is a very nice presentation of the outcome of Pectoralis Major tendon transfer for Irreparable Rotator cuff tears. Prof. Bernhard Jost presents outcome of this technique with long term results similar to what we have observed. In the attached paper written by Bassem ELHassan, we observed good outcomes only in the setting of isolated subscapularis tendon tears. More recently Bassem ELHassan has shown the biomechanical advantage of Lati