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在逆肩关节整形手术中,我们是否可以单独测量状腺与部侧面化和脱稳?

Philipp Schippers¹, Juan-David Lacouture², Marius Junker³

¹Department of Orthopedics and Traumatology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.

Journal of shoulder and elbow surgery

|October 27, 2023

概括

新的角度精确地测量了在逆肩关节整形术 (RSA) 中使用前后背放射图的侧面化和偏离的关节和关节贡献. 这提高了对组件定位的理解,以改善临床研究.

科学领域:

整形外科手术整形外科手术
放射学分析放射学分析
生物机械工程生物机械工程

背景情况:

逆肩关节整形术 (RSA) 的现有角度测量全球横向化和脱稳.
目前的方法并不能区分为这些位置变化的状腺与状腺的贡献.
需要精确测量RSA中的单个组件定位.

研究的目的:

开发和验证新的放射角度,以单独量化RSA中的侧面化和脱的腺和部贡献.
为了测试新角度可以准确地区分组件特定定位的假设.
为临床研究中更细致的分析提供一个工具.

主要方法:

从一次性RSA中对100张手术后的前后 (AP) 放射图进行了回顾性分析.
引入了四个新的角度:状腺侧面化角度 (GLA),状腺侧面化角度 (HLA),状腺脱稳角度 (GDA) 和状腺脱稳角度 (HDA).
采用了状骨枢纽点 (GPP) 和标准骨地标;三名外科医生使用在线软件进行测量,通过ICC评估了观察者间和观察者内部的可靠性.

主要成果:

已确立的关系:LSA = GLA + HLA 和mDSA = GDA + HDA.
所有新定义的角度都显示出非常好的观察者间和观察者内部可靠性 (ICC = 0.92-0.97).
低标准偏差表示每个角度测量的高精度 (约2°).

结论:

状腺枢纽点 (GPP) 能够单独测量状腺和部侧面化和脱稳.
这四个新的角度 (HLA,GLA,GDA,HDA) 适用于RSA后的标准AP射线图.
这些验证的角度可以应用于各种反向假肢类型,帮助未来的临床研究.

关键词:

DSA DSA DSA DSA DSA DSA DSA DSA DSA DSA DSA DSA DSA DSA DSA DSA DSA DSA DSA DSA 在 LSA 和 LSA 之间.反向肩膀关节整形手术是什么意思状腺失稳定状腺失稳定状腺的侧面化部脱稳定性部脱稳定性部侧面化部侧面化

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