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逆肩关节整形术后的并发症 靠近肩膀非联合
Lauren E Tagliero1, Ronda Esper1, John W Sperling1
1Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Journal of shoulder and elbow surgery
|August 15, 2024
概括
靠近肩膀非结合的逆向全肩关节整形术 (RTSA) 显示出高的并发症和重复手术率. 年轻的年龄和糖尿病严重增加了重新手术的风险,需要优化植入物固定.
科学领域:
- 整形外科手术 整形外科手术
- 肌肉骨研究 研究
背景情况:
- 靠近腰部的不合并 presents一个显著的手术挑战.
- 开放降低内部固定 (ORIF) 和逆向全肩关节整形手术 (RTSA) 是主要的外科选择.
- 之前的研究表明,在非工会案件中,RTSA的并发症和修订率很高.
研究的目的:
- 评估在一个机构中对近腰椎不结合的RTSA的并发症和再手术率.
- 确定与并发症和重复手术风险增加相关的特定患者或手术变量.
主要方法:
- 对50名接受RTSA治疗的患者进行了回顾性评估,以检测近腰部非结合 (2005-2021年).
- 无结合被定义为没有放射性结合>90天后骨折.
- 排除<1年随访的患者;收集的人口统计,手术因素,并发症和重复手术的数据.
主要成果:
- 整体并发症率为34% (17/50),其中20% (10/50) 需要重新手术.
- 观察到高发位率 (12%) 和部松 (10%).
- 在RTSA和糖尿病中较年轻的年龄是重新手术的显著预测因素 (P=.013,P=.037).
- 没有重新手术的两年生存率为73%.
结论:
- RTSA可以改善疼痛和功能在选定的近腰椎非联合患者.
- 与其他迹象相比,非联合的RTSA的并发症和重复手术率特别高.
- 优化植入物稳定性和固定是RTSA在近腰椎非联合病例中至关重要的.
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