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反向全肩关节整形手术的术后并发症:在日本进行的一项多中心研究
Kenta Inagaki1, Nobuyasu Ochiai1, Eiko Hashimoto1
1Department of Orthopaedic Surgery, Chiba University Hospital, Chuou-ku, Chiba-city, Chiba, Japan.
JSES international
|July 10, 2023
概括
在一项大型研究中,评估了日本逆向全肩关节整形术 (RSA) 的并发症. 整体并发症率与国际数据相似,手术后运动范围有所改善.
科学领域:
- 整形外科手术 整形外科手术
- 关节质整术是指关节质整术.
- 生物医学工程 生物医学工程
背景情况:
- 自2014年以来,日本已经提供逆向全肩关节整形手术 (RSA).
- 报告了短期到中期的结果,但由于最近的引入,大规模的并发症数据有限.
- 这项研究解决了对日本RSA患者综合并发症分析的需求.
研究的目的:
- 评估日本医院中RSA后的并发症的发生率和类型.
- 将并发症率与国际数据进行比较.
- 评估RSA在日本队列中的功能性结果和生存率.
主要方法:
- 一个多中心的回顾性研究包括615个肩膀,至少24个月的随访.
- 活动范围的运动被测量在手术前和手术后.
- 分析了并发症,成像检测结果 (肩膀,松,骨化) 和5年重复手术生存率.
主要成果:
- 在RSA后观察到活跃运动范围的显著改善 (P < .001).
- 整体并发症率为42.0%,重复手术发生率为7.3%,骨折发生率为3.9%.
- 骨 (23.6%) 和异型骨化 (13.0%) 是常见的成像发现.
结论:
- 这是日本对RSA并发症的首次大规模调查.
- 在这个日本队列中,RSA后并发症的发生频率与国际发现相美.
- RSA 显示显著的功能改善,在重新手术后,5 年生存率为 93.4%.
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