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心理障碍在逆向全肩关节整形术后导致功能表现不佳
Ariel Porter1,2, R Michael Greiwe2,3,4
1Northern Kentucky University, Highland Heights, KY, USA.
JSES reviews, reports, and techniques
|August 17, 2023
概括
心理障碍和药物滥用会对逆向全肩关节整形手术 (RTSA) 后的结果产生负面影响. 患有这些疾病的患者在RTSA手术后经历了更差的功能,更低的得分和更多的并发症.
科学领域:
- 整形外科手术 整形外科手术
- 患者结局研究研究结果.
背景情况:
- 反向全肩关节整形手术 (RTSA) 是各种肩部疾病的常见手术.
- 手术前的患者因素可能会影响RTSA的结果.
研究的目的:
- 检查心理障碍,药物滥用和RTSA后的结果之间的关系.
- 确定影响术后并发症和功能结果的危险因素.
主要方法:
- 对接受RTSA治疗的128名患者 (2010-2017年) 的回顾性审查.
- 收集的数据:美国肩膀和肘部外科医生 (ASES) 评分,简单的肩膀测试 (SST),运动范围 (ROM),并发症,X光学结果和患者满意度.
- 随访时间至少2年 (平均3.68年),并对风险因素进行统计分析.
主要成果:
- 心理诊断与较低的ASES和SST分数和较差的外部旋转有关.
- 患有心理障碍的患者患上并发症的患病率更高,包括重大并发症.
- 药物滥用史与减少外部旋转相关.
结论:
- 手术前的心理诊断和药物滥用史与RTSA后的客观和功能性结果较差有关.
- 这些因素代表了影响患者康复和满意度的重大风险因素.
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