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在逆肩关节整形术后影响外部旋转的因素:对501个肩膀进行了回顾性多中心研究

Louis Ducharne¹, Arnaud Godenèche^2,3, Cécile Nérot^3,4

¹Université Claude Bernard Lyon 1, 43 Bd du 11 Novembre 1918, 69100, Villeurbanne, France.

Archives of orthopaedic and trauma surgery

|June 15, 2023

概括

逆肩关节整形术 (RSA) 在两年后将外部旋转 (ER1) 提高16.1°. 诸如年龄,手术方法和旋转手臂肌肉状态等因素显著影响RSA患者的ER1结果.

科学领域:

整形外科手术整形外科手术
生物医学工程生物医学工程
肌肉骨研究研究

背景情况:

逆肩关节整形术 (RSA) 是复杂的肩关节问题的常见手术.
评估功能结果,特别是外部旋转 (ER1),对于患者的康复至关重要.
识别影响ER1后RSA的因素可以优化手术规划和患者选择.

研究的目的:

在逆肩关节整形术 (RSA) 后,在一个大队伍中评估外部旋转 (ER1).
确定影响术后ER1和净改善的患者,手术和植入相关因素.
在至少两年后续对ER1结果建立基准.

主要方法:

由16名外科医生进行的743例RSA病例的回顾性审查.
对501个RSA进行分析,随访时间至少为2.0-5.5年.
回归分析以将患者的人口统计,手术参数,旋转形状和放射角度与ER1.1相关联.

主要成果:

术后ER1随着年龄的增长而下降,但随着较大的横向化肩膀角度 (LSA) 和前上部 (AS) 方法而改善.
肩膀与正常/过度缩的Teres小肌肉显示出更好的ER1.
净ER1改善与LSA,内置茎和BIO RSA有关,但受到旋转手臂缺陷的负面影响.

结论:

在两年内,RSA在ER1中平均得到了16.1°的显著改善.
最佳ER1结果与特定的外科手术方法 (AS),植入物类型 (内置茎,BIO RSA) 和保存的旋转手腕完整性有关.
患者年龄和旋转肌肉状态是影响RSA后ER1的关键因素.

关键词:

骨的增加抵消了RSA的偏移.脂肪透的透方式在 RSA RSA 中使用.反向肩膀关节整形手术

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