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Christopher Scott Klifto

Associate Professor of Orthopaedic Surgery
Orthopaedic Surgery

Selected Publications


The impact of political partisanship, certificate of need, Medicaid expansion, and area deprivation index on total shoulder arthroplasty prices in the United States.

Journal Article J Shoulder Elbow Surg · January 2025 BACKGROUND: Recent mandates from the Center for Medicare and Medicaid Services require United States hospitals to disclose health care service pricing. Yet, there's a gap in understanding how state-level factors affect hospital service pricing, like total ... Full text Link to item Cite

Health care policy and arthroscopic rotator cuff repair prices in the United States.

Journal Article J Shoulder Elbow Surg · January 2025 BACKGROUND: Arthroscopic rotator cuff repair (ARCR) is one of the most common orthopedic procedures in the general population. Despite its prevalence, the price of ARCR varies significantly across regions, hospital models, and settings. The purpose of this ... Full text Link to item Cite

The Role of Sleep Apnea in Postoperative Neurocognitive Disorders Among Older Noncardiac Surgery Patients: A Prospective Cohort Study.

Journal Article Anesth Analg · January 1, 2025 BACKGROUND: Obstructive sleep apnea is associated with increased dementia risk, yet its role in postoperative neurocognitive disorders is unclear. Here, we studied whether the severity of untreated obstructive sleep apnea is associated with the severity of ... Full text Link to item Cite

One-Year Follow-Up Is Sufficient Time for Patient-Reported Outcomes Following Rotator Cuff Repair: A Systematic Review and Meta-analysis.

Journal Article Arthroscopy · December 14, 2024 PURPOSE: To perform a systematic review to determine whether there were clinically significant differences in patient-reported outcome measures from 1- to 2-year follow-up following rotator cuff repair (RCR). METHODS: A literature search of 3 databases was ... Full text Link to item Cite

Tranexamic Acid for Rotator Cuff Repair: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Journal Article Am J Sports Med · December 2024 BACKGROUND: Several randomized controlled trials (RCTs) have been conducted to assess the use of tranexamic acid (TXA) in the setting of arthroscopic rotator cuff repair (ARCR). However, these studies have shown mixed results, with some showing improved in ... Full text Link to item Cite

Comparing comorbidity burden between patients undergoing ambulatory rotator cuff repair vs. inpatient anatomic total shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · December 1, 2024 Background: Rotator cuff repair (RCR) patients routinely undergo same-day discharge in an ambulatory setting, while anatomic total shoulder arthroplasty (TSA) cases have historically been performed in an inpatient hospital setting. For healthier patients, ... Full text Cite

Risk factors for recurrence after Latarjet procedure: a systematic review and meta-analysis.

Journal Article J Shoulder Elbow Surg · November 9, 2024 BACKGROUND: The risk factors associated with recurrent instability following Latarjet procedure remain poorly understood. The purpose of this study was to conduct a systematic review to elucidate risk factors contributing to therapeutic failure after the L ... Full text Link to item Cite

Bone block options for treating glenoid bone loss and glenohumeral instability: A systematic review.

Journal Article Shoulder Elbow · November 3, 2024 BACKGROUND: To systematically review the literature assessing glenoid bone loss restoration by different bone block options and compare their dimensions. METHODS: Systematic examination of articles in PubMed and EMBASE databases was performed per the Prefe ... Full text Link to item Cite

Risk factors for recurrence following arthroscopic Bankart repair: a systematic review.

Journal Article J Shoulder Elbow Surg · November 2024 BACKGROUND: Recurrent instability remains a major source of morbidity following arthroscopic Bankart repair. Many risk factors and predictive tools have been described, but there remains a lack of consensus surrounding individual risk factors and their con ... Full text Link to item Cite

Outcomes of arthroscopic stabilization for posterior shoulder instability: a systematic review.

Journal Article J Shoulder Elbow Surg · November 2024 BACKGROUND: Posterior shoulder instability makes up approximately 10% of all shoulder instability cases and its diagnosis and treatment is less well understood. Recently, however, there has been increased recognition of posterior instability and posterior ... Full text Link to item Cite

Concomitant Arthroscopic Superior Labral and Rotator Cuff Repair: A Systematic Review.

Journal Article JBJS Rev · November 1, 2024 BACKGROUND: The aim of this study was to systematically review the literature on concomitant repair of superior labral and rotator cuff tears, in light of the paucity of published clinical evidence. METHODS: A Preferred Reporting Items for Systematic Revie ... Full text Link to item Cite

Preoperative planning for shoulder arthroplasty is feasible with computed tomography at lower-than-conventional radiation doses.

Journal Article J Shoulder Elbow Surg · October 21, 2024 BACKGROUND: Computed tomography (CT) offers a detailed assessment of the shoulder for preoperative shoulder arthroplasty planning; however, this technique exposes the patient to ionizing radiation. The purpose of this study was to prospectively evaluate th ... Full text Link to item Cite

Do constrained liners (in a 145° onlay implant) provide any benefit? A matched retrospective study.

Journal Article J Shoulder Elbow Surg · October 19, 2024 BACKGROUND: The purpose of this study was to compare the outcomes of primary reverse total shoulder arthroplasty (rTSA) using constrained liners (in a 145° onlay implant, Equinoxe [Exactech]) with primary rTSA using standard liners with a minimum 1-year fo ... Full text Link to item Cite

Reverse shoulder arthroplasty following failed rotator cuff repair: A systematic review and meta-analysis.

Journal Article Shoulder Elbow · October 2024 BACKGROUND: Reverse shoulder arthroplasty (RSA) is an established operative treatment for failed rotator cuff repair (RCR) that may not be amenable to revision repair. The purpose of this meta-analysis is to evaluate the clinical outcomes for patients unde ... Full text Link to item Cite

Bone Marrow Stimulation for Arthroscopic Rotator Cuff Repair: A Meta-analysis of Randomized Controlled Trials.

Journal Article Am J Sports Med · October 2024 BACKGROUND: Bone marrow stimulation (BMS) has been proposed to augment healing at the time of arthroscopic rotator cuff repair (ARCR) by creating several bone marrow vents in the footprint of the rotator cuff, allowing mesenchymal stem cells, platelets, an ... Full text Link to item Cite

Utility of superior augments in reverse shoulder arthroplasty (Exactech, Equinoxe GPS) without significant glenoid deformity.

Journal Article J Shoulder Elbow Surg · October 2024 BACKGROUND: Superior augment use may help avoid superior tilt while minimizing removal of inferior glenoid bone. Therefore, our goal was to compare superior augments vs. no-augment baseplates in reverse shoulder arthroplasty (RSA) for patients with rotator ... Full text Link to item Cite

Outcomes and complications of revision reverse shoulder arthroplasty after failed primary anatomic shoulder arthroplasty or hemiarthroplasty: a systematic review.

Journal Article J Shoulder Elbow Surg · October 2024 BACKGROUND: The purpose of this study is to systematically review the evidence in the literature to ascertain the functional outcomes, range of motion (ROM), and complication and reoperation rates after revision reverse shoulder arthroplasty (RSA) for a fa ... Full text Link to item Cite

Most Systematic Reviews and Meta-analyses Reporting Clinical Outcomes of the Remplissage Procedure Have at Least 1 Form of Spin.

Journal Article Arthrosc Sports Med Rehabil · October 2024 PURPOSE: To determine the prevalence of spin in systematic reviews (SRs) and meta-analyses of clinical studies of the remplissage procedure. METHODS: Two reviewers independently performed a literature search of the PubMed, Scopus, and Embase databases usin ... Full text Link to item Cite

Defining pseudoparalysis and pseudoparesis: a consensus study.

Journal Article J Shoulder Elbow Surg · October 2024 BACKGROUND: The purpose of this study was to establish consensus statements via a modified Delphi process on the definition of shoulder pseudoparalysis and pseudoparesis. METHODS: A consensus process on the definition of a diagnosis of pseudoparalysis util ... Full text Link to item Cite

Clinical outcomes in prospective versus retrospective studies on arthroscopic Bankart repair: a systematic review.

Journal Article J Shoulder Elbow Surg · October 2024 BACKGROUND: The majority of the current literature on arthroscopic Bankart repair is retrospective, and discrepancies exist regarding clinical outcomes including recurrent instability and return to play among studies of different levels of evidence. PURPOS ... Full text Link to item Cite