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Tally Edward Lassiter

Assistant Professor of Orthopaedic Surgery
Orthopaedic Surgery
3320 Wake Forest Road, Raleigh, NC 27609
3320 Wake Forest Road, Suite 430, Raleigh, NC 27609

Selected Publications


Radiographic comparison of eccentric stemmed vs. concentric stemless prosthetic humeral head positioning after anatomic total shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · January 2024 INTRODUCTION: Maintaining premorbid proximal humeral positioning is an essential consideration of anatomic total shoulder arthroplasty (aTSA), as malposition of the prosthetic humeral head can result in poor clinical outcomes. Stemless aTSA prosthetic head ... Full text Link to item Cite

Glenohumeral Arthrodesis Outcomes and complications: A systematic review.

Journal Article J Shoulder Elbow Surg · December 15, 2023 BACKGROUND: The purpose of this study is to systematically review the evidence in the literature to determine the clinical outcomes following glenohumeral arthrodesis. METHODS: Two independent reviewers performed a literature search in the PubMed database ... Full text Link to item Cite

Subscapularis repair for reverse shoulder arthroplasty: a systematic review and meta-analysis.

Journal Article J Shoulder Elbow Surg · December 2023 BACKGROUND: The purpose of this study is to perform a systematic review of the literature evaluating the importance of subscapularis repair in patients who underwent reverse shoulder arthroplasty (RSA). METHODS: A systematic search of articles in PubMed, E ... Full text Link to item Cite

Association between radiographic soft-tissue thickness and increased length of stay, operative time, and infection rate after reverse shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · November 29, 2023 BACKGROUND: Reverse shoulder arthroplasty (RSA) is a widely performed surgical procedure to address various shoulder pathologies. Several studies have suggested that radiographic soft-tissue thickness may play a role in predicting complications after ortho ... Full text Link to item Cite

Distance and resources in vulnerable populations: understanding access barriers to outpatient shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · June 1, 2023 Background: Outpatient shoulder arthroplasty is advantageous in appropriately selected patients, and tools for performing selection are available. Whether vulnerable populations benefit from outpatient surgery despite being appropriate candidates clinicall ... Full text Cite

A validated preoperative risk prediction tool for extended inpatient length of stay following anatomic or reverse total shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · May 2023 BACKGROUND: Recent work has shown inpatient length of stay (LOS) following shoulder arthroplasty to hold the second strongest association with overall cost (after implant cost itself). In particular, a preoperative understanding for the patients at risk of ... Full text Link to item Cite

Outcomes after bilateral shoulder arthroplasty: a systematic review.

Journal Article J Shoulder Elbow Surg · April 2023 The purpose of this systematic review was to report outcomes after bilateral shoulder arthroplasty including bilateral total shoulder arthroplasty (TSA), bilateral reverse shoulder arthroplasty (RSA), and ipsilateral TSA with contralateral RSA (TSA/RSA). T ... Full text Link to item Cite

Two-stage revision for periprosthetic infection in shoulder arthroplasty: an institutional experience

Journal Article Seminars in Arthroplasty JSES · March 1, 2023 Background: Periprosthetic joint infection involving shoulder arthroplasty is often treated with a 2-stage approach, involving resection and placement of an antibiotic cement spacer followed by staged reimplantation after eradication of the infection. Whil ... Full text Cite

Lower deltoid tuberosity indices are associated with the use of a stemmed instead of a preoperatively planned stemless implant

Journal Article Seminars in Arthroplasty JSES · January 1, 2023 Background: Anatomic total shoulder arthroplasty (TSA) using a stemless prosthesis continues to increase in popularity as literature supporting their use grows. Intraoperative findings, however, may require switching from a planned stemless prosthesis to u ... Full text Cite

Simple preoperative radiographic and computed tomography measurements predict adequate bone quality for stemless total shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · December 2022 INTRODUCTION: Although there is increased utilization of stemless humeral implants in anatomic total shoulder arthroplasty (TSA), there are inadequate objective metrics to evaluate bone quality sufficient for fixation. Our goals are to: (1) compare patient ... Full text Link to item Cite

The effect of intravenous tranexamic acid use on blood loss after revision shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · December 1, 2022 Background: Revision total- and reverse shoulder arthroplasties have become more common as the incidence of primary shoulder arthroplasties rise and the older population grows. The use of tranexamic acid (TXA) to decrease perioperative blood loss has been ... Full text Cite

Perioperative pain control represents the primary concern for patients considering outpatient shoulder arthroplasty: a survey-based study.

Journal Article J Shoulder Elbow Surg · December 2022 BACKGROUND: Outpatient (OP) total shoulder arthroplasty (TSA) with same-day discharge can now be performed safely in appropriately selected patients. Patient knowledge and perspectives regarding OP TSA are yet unknown and such information may inform surgeo ... Full text Link to item Cite

Concordance of Preoperative 3D Templating in Stemless Anatomic Total Shoulder Arthroplasty.

Journal Article The Journal of the American Academy of Orthopaedic Surgeons · October 2022 IntroductionRecent advances in preoperative 3D templating software allow surgeons to plan implant size and position for stemless total shoulder arthroplasty (TSA). Whether these preoperative plans accurately reflect intraoperative decisions is yet ... Full text Cite

The deltoid tuberosity index predicts intraoperative fracture risk in shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · September 1, 2022 Background: When intraoperative fracture of the humerus during primary shoulder arthroplasty occurs, it can have significant clinical implications. To date, there are no described radiographic parameters to preoperatively assess risk of intraoperative frac ... Full text Cite

Outcomes of renal failure and dialysis patients undergoing anatomic and reverse shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · September 1, 2022 Background: As anatomic and reverse shoulder arthroplasty incidence increases and outcomes improve, those with severe pre-existing comorbidities may be indicated for surgery. Renal failure patients, including those on dialysis, may have systemic physiologi ... Full text Cite

The risks of radiation therapy and lymphedema in shoulder surgery

Journal Article Seminars in Arthroplasty JSES · September 1, 2022 Background: Radiation therapy has proven efficacy for cancer treatment but is not without short- and long-term side effects, including radiation-induced lymphedema. There has been limited evidence on the secondary effects of prior radiation therapy on shou ... Full text Cite

Early clinical and radiographic outcomes of anatomic total shoulder arthroplasty with a biconvex posterior augmented glenoid for patients with posterior glenoid erosion: minimum 2-year follow-up.

Journal Article J Shoulder Elbow Surg · August 2022 BACKGROUND: Glenoid bone loss in anatomic total shoulder arthroplasty (aTSA) remains a controversial and challenging clinical problem. Previous studies have shown high rates of glenoid loosening for aTSA in shoulders with retroversion, posterior bone loss, ... Full text Link to item Cite

Is Advanced Imaging to Assess Rotator Cuff Integrity Before Shoulder Arthroplasty Cost-effective? A Decision Modeling Study.

Journal Article Clin Orthop Relat Res · June 1, 2022 BACKGROUND: Shoulder arthroplasty is increasingly performed for patients with symptoms of glenohumeral arthritis. Advanced imaging may be used to assess the integrity of the rotator cuff preoperatively because a deficient rotator cuff may be an indication ... Full text Link to item Cite

Comparison of Simulated Low-Dose and Conventional-Dose CT for Preoperative Planning in Shoulder Arthroplasty.

Journal Article J Bone Joint Surg Am · June 1, 2022 BACKGROUND: Shoulder computed tomography (CT) is commonly utilized in preoperative planning for total shoulder arthroplasty. Conventional-dose shoulder CT may expose patients to more ionizing radiation than is necessary to provide high-quality images for t ... Full text Link to item Cite

A validated preoperative risk prediction tool for discharge to skilled nursing or rehabilitation facility following anatomic or reverse shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · April 2022 BACKGROUND: As bundled payment models continue to spread, understanding the primary drivers of cost excess helps providers avoid penalties and ensure equal health care access. Recent work has shown discharge to rehabilitation and skilled nursing facilities ... Full text Link to item Cite

Radiographic comparison of eccentric stemmed vs. concentric stemless prosthetic humeral head positioning after anatomic total shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · January 2024 INTRODUCTION: Maintaining premorbid proximal humeral positioning is an essential consideration of anatomic total shoulder arthroplasty (aTSA), as malposition of the prosthetic humeral head can result in poor clinical outcomes. Stemless aTSA prosthetic head ... Full text Link to item Cite

Glenohumeral Arthrodesis Outcomes and complications: A systematic review.

Journal Article J Shoulder Elbow Surg · December 15, 2023 BACKGROUND: The purpose of this study is to systematically review the evidence in the literature to determine the clinical outcomes following glenohumeral arthrodesis. METHODS: Two independent reviewers performed a literature search in the PubMed database ... Full text Link to item Cite

Subscapularis repair for reverse shoulder arthroplasty: a systematic review and meta-analysis.

Journal Article J Shoulder Elbow Surg · December 2023 BACKGROUND: The purpose of this study is to perform a systematic review of the literature evaluating the importance of subscapularis repair in patients who underwent reverse shoulder arthroplasty (RSA). METHODS: A systematic search of articles in PubMed, E ... Full text Link to item Cite

Association between radiographic soft-tissue thickness and increased length of stay, operative time, and infection rate after reverse shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · November 29, 2023 BACKGROUND: Reverse shoulder arthroplasty (RSA) is a widely performed surgical procedure to address various shoulder pathologies. Several studies have suggested that radiographic soft-tissue thickness may play a role in predicting complications after ortho ... Full text Link to item Cite

Distance and resources in vulnerable populations: understanding access barriers to outpatient shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · June 1, 2023 Background: Outpatient shoulder arthroplasty is advantageous in appropriately selected patients, and tools for performing selection are available. Whether vulnerable populations benefit from outpatient surgery despite being appropriate candidates clinicall ... Full text Cite

A validated preoperative risk prediction tool for extended inpatient length of stay following anatomic or reverse total shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · May 2023 BACKGROUND: Recent work has shown inpatient length of stay (LOS) following shoulder arthroplasty to hold the second strongest association with overall cost (after implant cost itself). In particular, a preoperative understanding for the patients at risk of ... Full text Link to item Cite

Outcomes after bilateral shoulder arthroplasty: a systematic review.

Journal Article J Shoulder Elbow Surg · April 2023 The purpose of this systematic review was to report outcomes after bilateral shoulder arthroplasty including bilateral total shoulder arthroplasty (TSA), bilateral reverse shoulder arthroplasty (RSA), and ipsilateral TSA with contralateral RSA (TSA/RSA). T ... Full text Link to item Cite

Two-stage revision for periprosthetic infection in shoulder arthroplasty: an institutional experience

Journal Article Seminars in Arthroplasty JSES · March 1, 2023 Background: Periprosthetic joint infection involving shoulder arthroplasty is often treated with a 2-stage approach, involving resection and placement of an antibiotic cement spacer followed by staged reimplantation after eradication of the infection. Whil ... Full text Cite

Lower deltoid tuberosity indices are associated with the use of a stemmed instead of a preoperatively planned stemless implant

Journal Article Seminars in Arthroplasty JSES · January 1, 2023 Background: Anatomic total shoulder arthroplasty (TSA) using a stemless prosthesis continues to increase in popularity as literature supporting their use grows. Intraoperative findings, however, may require switching from a planned stemless prosthesis to u ... Full text Cite

Simple preoperative radiographic and computed tomography measurements predict adequate bone quality for stemless total shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · December 2022 INTRODUCTION: Although there is increased utilization of stemless humeral implants in anatomic total shoulder arthroplasty (TSA), there are inadequate objective metrics to evaluate bone quality sufficient for fixation. Our goals are to: (1) compare patient ... Full text Link to item Cite

The effect of intravenous tranexamic acid use on blood loss after revision shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · December 1, 2022 Background: Revision total- and reverse shoulder arthroplasties have become more common as the incidence of primary shoulder arthroplasties rise and the older population grows. The use of tranexamic acid (TXA) to decrease perioperative blood loss has been ... Full text Cite

Perioperative pain control represents the primary concern for patients considering outpatient shoulder arthroplasty: a survey-based study.

Journal Article J Shoulder Elbow Surg · December 2022 BACKGROUND: Outpatient (OP) total shoulder arthroplasty (TSA) with same-day discharge can now be performed safely in appropriately selected patients. Patient knowledge and perspectives regarding OP TSA are yet unknown and such information may inform surgeo ... Full text Link to item Cite

Concordance of Preoperative 3D Templating in Stemless Anatomic Total Shoulder Arthroplasty.

Journal Article The Journal of the American Academy of Orthopaedic Surgeons · October 2022 IntroductionRecent advances in preoperative 3D templating software allow surgeons to plan implant size and position for stemless total shoulder arthroplasty (TSA). Whether these preoperative plans accurately reflect intraoperative decisions is yet ... Full text Cite

The deltoid tuberosity index predicts intraoperative fracture risk in shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · September 1, 2022 Background: When intraoperative fracture of the humerus during primary shoulder arthroplasty occurs, it can have significant clinical implications. To date, there are no described radiographic parameters to preoperatively assess risk of intraoperative frac ... Full text Cite

Outcomes of renal failure and dialysis patients undergoing anatomic and reverse shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · September 1, 2022 Background: As anatomic and reverse shoulder arthroplasty incidence increases and outcomes improve, those with severe pre-existing comorbidities may be indicated for surgery. Renal failure patients, including those on dialysis, may have systemic physiologi ... Full text Cite

The risks of radiation therapy and lymphedema in shoulder surgery

Journal Article Seminars in Arthroplasty JSES · September 1, 2022 Background: Radiation therapy has proven efficacy for cancer treatment but is not without short- and long-term side effects, including radiation-induced lymphedema. There has been limited evidence on the secondary effects of prior radiation therapy on shou ... Full text Cite

Early clinical and radiographic outcomes of anatomic total shoulder arthroplasty with a biconvex posterior augmented glenoid for patients with posterior glenoid erosion: minimum 2-year follow-up.

Journal Article J Shoulder Elbow Surg · August 2022 BACKGROUND: Glenoid bone loss in anatomic total shoulder arthroplasty (aTSA) remains a controversial and challenging clinical problem. Previous studies have shown high rates of glenoid loosening for aTSA in shoulders with retroversion, posterior bone loss, ... Full text Link to item Cite

Is Advanced Imaging to Assess Rotator Cuff Integrity Before Shoulder Arthroplasty Cost-effective? A Decision Modeling Study.

Journal Article Clin Orthop Relat Res · June 1, 2022 BACKGROUND: Shoulder arthroplasty is increasingly performed for patients with symptoms of glenohumeral arthritis. Advanced imaging may be used to assess the integrity of the rotator cuff preoperatively because a deficient rotator cuff may be an indication ... Full text Link to item Cite

Comparison of Simulated Low-Dose and Conventional-Dose CT for Preoperative Planning in Shoulder Arthroplasty.

Journal Article J Bone Joint Surg Am · June 1, 2022 BACKGROUND: Shoulder computed tomography (CT) is commonly utilized in preoperative planning for total shoulder arthroplasty. Conventional-dose shoulder CT may expose patients to more ionizing radiation than is necessary to provide high-quality images for t ... Full text Link to item Cite

A validated preoperative risk prediction tool for discharge to skilled nursing or rehabilitation facility following anatomic or reverse shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · April 2022 BACKGROUND: As bundled payment models continue to spread, understanding the primary drivers of cost excess helps providers avoid penalties and ensure equal health care access. Recent work has shown discharge to rehabilitation and skilled nursing facilities ... Full text Link to item Cite

Appropriate patient selection for outpatient shoulder arthroplasty: a risk prediction tool.

Journal Article J Shoulder Elbow Surg · February 2022 BACKGROUND: The transition from inpatient to outpatient shoulder arthroplasty critically depends on appropriate patient selection, both to ensure safety and to counsel patients preoperatively regarding individualized risk. Cost and patient demand for same- ... Full text Link to item Cite

Characteristics and risk factors for 90-day readmission following shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · February 2022 BACKGROUND: Anatomic total shoulder arthroplasty (TSA) and reverse TSA are the standard of care for end-stage shoulder arthritis. Advancements in implant design, perioperative management, and patient selection have allowed shorter inpatient admissions. Unp ... Full text Link to item Cite

Short stay after shoulder arthroplasty does not increase 90-day readmissions in Medicare patients compared with privately insured patients.

Journal Article J Shoulder Elbow Surg · January 2022 BACKGROUND: As of January 1, 2021, total shoulder arthroplasty was removed from the Medicare inpatient-only list, reflecting a growing belief in the potential merits of same-day discharge regardless of insurance type. It is yet unknown whether Medicare pop ... Full text Link to item Cite

The Efficacy of Peroxide Solutions in Decreasing Cutibacterium acnes Burden Around the Shoulder.

Journal Article J Am Acad Orthop Surg · January 1, 2022 BACKGROUND: Cutibacterium acnes is a common pathogen associated with surgical site infection after shoulder surgery; current standard of care products are largely ineffective at reducing C acnes bacterial burden before surgery. The purpose of this systemat ... Full text Link to item Cite

Malnutrition in elective shoulder arthroplasty: a multi-institutional retrospective study of preoperative albumin and adverse outcomes.

Journal Article J Shoulder Elbow Surg · November 2021 BACKGROUND: Malnutrition is associated with poor postoperative outcomes after knee, hip, and spine surgery. However, whether albumin labs should be part of the routine preoperative workup for shoulder arthroplasty remains understudied. This study investiga ... Full text Link to item Cite

Demographic and radiographic predictors of patient reported outcomes and revision surgery after stemless total shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · November 1, 2021 Background: Stemless total shoulder arthroplasty (TSA) is aimed at better re-creating native anatomy, facilitating revision, and preserving bone. The purpose of this study is to determine which pre-operative patient characteristics or radiographic paramete ... Full text Cite

Stemmed versus stemless total shoulder arthroplasty: a comparison of operative times

Journal Article Seminars in Arthroplasty JSES · November 1, 2021 Background: Total shoulder arthroplasty (TSA) is the gold standard treatment of end-stage glenohumeral osteoarthritis. TSA with stemless humeral implants have shown comparable rates of success to stemmed components. Prolonged operative time is associated w ... Full text Cite

Intraoperative fractures in shoulder arthroplasty: risk factors and outcomes.

Journal Article JSES Int · November 2021 BACKGROUND: The incidence of shoulder arthroplasty in the United States continues to increase, and while the risk of intraoperative complications such as fracture remains relatively low, there has been little investigation into whether certain patient-spec ... Full text Link to item Cite

Early aseptic reoperation after shoulder arthroplasty increases risk of subsequent prosthetic joint infection.

Journal Article JSES Int · November 2021 BACKGROUND: Despite the success of anatomic total shoulder arthroplasty (TSA) and reverse shoulder arthroplasty (RSA), the clinical course of some patients necessitates operative intervention in the acute postoperative period. In this study, we evaluate th ... Full text Link to item Cite

Malpractice trends in shoulder and elbow surgery.

Journal Article J Shoulder Elbow Surg · September 2021 BACKGROUND: Medical malpractice is a very common occurrence that many medical providers will have to face; approximately 17,000 medical malpractice cases are filed in the United States each year, and more than 99% of all surgeons are faced with at least 1 ... Full text Link to item Cite

Comparison of the accuracy of telehealth examination versus clinical examination in the detection of shoulder pathology.

Journal Article J Shoulder Elbow Surg · May 2021 HYPOTHESIS/BACKGROUND: In 2017, the American Orthopaedic Association advocated for the increased use of telehealth as an assessment and treatment platform, and demand has significantly increased during the coronavirus disease 2019 pandemic. Diagnostic effe ... Full text Link to item Cite

Risk of suprascapular nerve injury during glenoid baseplate fixation for reverse total shoulder arthroplasty: a cadaveric study.

Journal Article J Shoulder Elbow Surg · March 2021 BACKGROUND: Reverse total shoulder arthroplasty (rTSA) is an effective treatment for patients with advanced rotator cuff arthropathy. During implantation of the glenoid baseplate, screws are inserted through the glenoid face into the scapular body to achie ... Full text Link to item Cite

Distribution of Bone Contusion Patterns in Acute Noncontact Anterior Cruciate Ligament-Torn Knees.

Journal Article Am J Sports Med · February 2021 BACKGROUND: Bone contusions are commonly observed on magnetic resonance imaging (MRI) in individuals who have sustained a noncontact anterior cruciate ligament (ACL) injury. Time from injury to image acquisition affects the ability to visualize these bone ... Full text Link to item Cite

Rotator cuff to deltoid and pectoralis tendon to anatomic neck distances: methods for anatomic restoration of humeral height and tuberosity position in proximal humerus fractures for operative fixation and arthroplasty.

Journal Article JSES Int · December 2020 INTRODUCTION: Proper anatomic tuberosity reduction and restoration of humeral height during surgical treatment of proximal humerus fractures leads to fewer complications and better outcomes. In the presence of significant displacement and comminution in pr ... Full text Link to item Cite

Biceps tenotomy has earlier pain relief compared to biceps tenodesis: a randomized prospective study.

Journal Article Knee Surg Sports Traumatol Arthrosc · December 2019 PURPOSE: ┬áSurgical management for long head of the biceps (LHB) tendinopathy with either biceps tenotomy or tenodesis is a reliable, but debated treatment option. The aim of this prospective, randomized, single-blinded study is to evaluate differences in p ... Full text Link to item Cite

Correlation of Single Assessment Numerical Evaluation Score for Sport and Activities of Daily Living to Modified Harris Hip Score and Hip Outcome Score in Patients Undergoing Arthroscopic Hip Surgery.

Journal Article Am J Sports Med · September 2019 BACKGROUND: The Single Assessment Numerical Evaluation (SANE) is a single-question outcome score that has been shown to be a reliable measure of outcomes for shoulder and knee injuries but has not been compared with other validated outcome scores in hip pa ... Full text Link to item Cite

Clinical and Radiographic Outcomes of the Simpliciti Canal-Sparing Shoulder Arthroplasty System: A Prospective Two-Year Multicenter Study.

Journal Article J Bone Joint Surg Am · April 6, 2016 BACKGROUND: Stemmed humeral components have been used since the 1950s; canal-sparing (also known as stemless) humeral components became commercially available in Europe in 2004. The Simpliciti total shoulder system (Wright Medical, formerly Tornier) is a p ... Full text Link to item Cite

Cost-effectiveness analysis of the diagnosis of meniscus tears.

Journal Article Am J Sports Med · January 2015 BACKGROUND: Diagnostic imaging represents the fastest growing segment of costs in the US health system. This study investigated the cost-effectiveness of alternative diagnostic approaches to meniscus tears of the knee, a highly prevalent disease that tradi ... Full text Open Access Link to item Cite

Aberrant origin of the long head of the biceps.

Journal Article J Shoulder Elbow Surg · November 2012 Full text Link to item Cite

Aberrant origin of the long head of the biceps: a case series.

Journal Article J Shoulder Elbow Surg · March 2012 BACKGROUND: Variants of the origin of the long head of the biceps have been described intraoperatively. It is unclear whether these variants contribute to shoulder pathology. Our purpose was to describe an anatomic variation of the origin of the long head ... Full text Link to item Cite

Injury to the lateral ligaments of the ankle.

Journal Article Orthop Clin North Am · October 1989 Ankle sprains are common and often are treated inadequately. Unstable lateral ankle ligaments cause abnormal ankle motion and can lead to degenerative changes. Arthrography is the superior radiographic study in acutely injured ankles. Stress tests are usef ... Link to item Cite