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逆肩关节整形术后与内部旋转相关的因素:叙述性审查
Maxwell D Gruber1, Kunal M Kirloskar2, Brian C Werner3
1Elson S. Floyd College of Medicine, Spokane, WA, USA.
JSES reviews, reports, and techniques
|August 17, 2023
概括
反向肩关节整形术 (RSA) 可以改善疼痛和功能,但恢复内部旋转 (IR) 是一个挑战. 诸如假肢设计和外科手术技术等可修改因素可以在RSA后增强术后的IR.
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
背景情况:
- 反向肩关节整形术 (RSA) 可以显著改善肩部疾病的疼痛和功能.
- 虽然往前曲和外部旋转通常会恢复,但在RSA后实现令人满意的内部旋转 (IR) 仍然是一个挑战.
研究的目的:
- 在逆肩关节整形术 (RSA) 后,审查影响术后内部旋转 (IR) 的可修改因素.
- 确定可优化红外恢复的假肢设计和手术考虑因素.
主要方法:
- 关于逆肩关节整形术现有文献的叙述性综述.
- 对检查假肢设计参数 (部轴角,侧面化,球直径,部逆转) 和外科手术技术 (头骨下部修复) 的研究进行分析.
主要成果:
- 部下部部部轴角和状腺侧面化与术后IR的改善有关.
- 将部回转率降低到20°或更低,可以增强内射线,但可能会减少外部旋转.
- 增加球直径显示了改善红外线的潜力,尽管结果各不相同.
- 骨下部修复似乎对手术后的IR产生积极影响,尽管证据不那么有说服力.
结论:
- 优化假肢设计,特别是下轴角度和状腺侧面化,可以改善RSA后的内部旋转.
- 仔细考虑部回转和球大小对于最大限度地提高IR至关重要.
- 骨下部的修复可能有助于提高内部旋转结果.
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