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Mychaela Lauria1, Mikaela Hastings1, Matthew J DiPaola2
1University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY, USA.
JSES reviews, reports, and techniques
|August 17, 2023
概括
反向肩关节整形术 (RSA) 可以通过内部旋转 (IR) 来限制. 这次审查发现,部部件的逆转和部轴角显著影响IR,而状部件的横向化可能会改善它.
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
- 康复医学 康复医学 康复医学
背景情况:
- 逆肩关节整形术 (RSA) 解决了旋转缺陷关节病.
- 内部旋转 (IR) 仍然是一个挑战后RSA,影响日常活动.
- 植入物设计,定位和软组织状况影响术后IR.
研究的目的:
- 在逆肩关节整形术 (RSA) 后,系统地审查影响内部旋转 (IR) 的因素.
- 为了确定影响IR结果的假肢和软组织变量.
主要方法:
- 在四个主要数据库中按照PRISMA指南进行系统的文献搜索.
- 包括比较RSA植入和设计修改的临床试验.
- 对评估影响内部旋转 (IR) 的因素的研究进行评估.
主要成果:
- 部部件的逆转对IR产生负面影响;角度<155°改善IR.
- 气球层的横向化显示出改善红外线的前景;尺寸和倾斜效应是混合的.
- 骨下部的修复通常不会影响IR;其他较小的不足显示出不同的影响.
结论:
- 在RSA后影响IR的假肢变量尚未得到广泛研究.
- 关于影响IR因素的现有证据往往是相互矛盾的.
- 需要进一步的研究来优化RSA设计和手术技术,以改善IR.
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