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逆肩关节整形术的甲骨架下修复:一个系统的审查和元分析
Mikhail A Bethell1, Eoghan T Hurley1, Jessica Welch1
1Duke University Hospital, Durham, NC, USA.
Journal of shoulder and elbow surgery
|July 20, 2023
概括
逆肩关节整形术 (RSA) 中的下骨架修复减少了植入物不稳定性,但在修复或并发症率上没有显著差异. 像ASES和Constant等功能性结局得到改善,尽管并不总是具有临床意义.
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
- 重建性手术是一种重建性手术.
背景情况:
- 评估 subscapularis 修复在逆肩关节整形术 (RSA) 中的重要性.
- 评估 subscapularis 修复对植入物稳定性和功能结果的影响.
- 对RSA与 subscapularis修复的现有文献进行系统审查.
结论:
- 带有 subscapularis 修复的 RSA 减少了 medialized 植入物的植入物不稳定性.
- 在侧面植入物时,修改率,并发症或不稳定性没有显著改善.
- 在ASES,恒定分数和运动范围的统计学上显著的改善,但并不总是临床上显著.
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