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主要的逆肩置换与一个短的茎: 一个系统的文献审查
Anna K Tross1,2, Thomas E Woolson1, Philip C Nolte1,3
1Steadman Philippon Research Institute, Vail, CO, USA.
JSES reviews, reports, and techniques
|August 17, 2023
概括
短茎逆肩关节整形术 (RSA) 显示出与长茎设计相比的有希望的临床结果,改善了运动范围和功能评分. 虽然骨适应是常见的,但在短期内,无菌松动不是一个问题.
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
- 放射学 放射学是一门学科.
背景情况:
- 全肩关节整形术 (TSA) 植入物正在发展,其短茎部部件旨在保护骨库并帮助修复.
- 短茎TSA显示出希望,但放射性骨适应是频繁的,关于短茎逆肩关节整形术 (RSA) 的数据是有限的.
研究的目的:
- 系统地审查非水泥短茎RSA的功能和放射性结果.
- 确定当前文献中未充分报道的临床重要性领域.
主要方法:
- 按照PRISMA指南进行系统的文献审查.
- 包括关于短干RSA结果的研究 (I-IV级证据).
- 对人口统计,临床和放射性结果,并发症和修订数据的分析.
主要成果:
- 包含了10项研究 (555个肩膀,平均随访32个月).
- 观察到运动范围和恒定分数 (CS) 的显著改善.
- 骨 (18%) 是常见的,但没有临床影响;没有茎松动.
- 并发症发生在12.9%的患者中 (骨头骨折最常见),其中4.9%需要修复.
结论:
- 短茎RSA表现出良好的短期临床结果,与长茎设计相美.
- 膀骨适应很常见,但无菌松动不是短期关注的问题.
- 填充比率和短茎RSA的茎对齐之间的关系需要进一步调查.
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