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在逆肩关节整形手术中,背脊部和关节主要转移:系统性审查
Ashton Kai Shun Tan1, Isaac De Wei Chung2, Wen Qiang Lee1
1Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, Singapore.
JSES reviews, reports, and techniques
|August 19, 2024
概括
在逆肩关节整形术 (RSA) 中,同时进行大背和大 (LD/TM) 肌移植显示出良好的结果. 然而,目前的证据不足以确定这种联合转移是否优于孤立的RSA.
科学领域:
- 整形外科手术 整形外科手术
- 重建性手术是一种重建性手术.
- 生物医学工程 生物医学工程
背景情况:
- 逆肩关节整形术 (RSA) 是复杂的肩部疾病的常见手术.
- 大背和大 (LD/TM) 肌转移有时与RSA同时进行.
- 在RSA中同时进行LD/TM转移的临床益处仍在研究中.
研究的目的:
- 系统地审查关于RSA同时进行LD/TM移动的临床结果的文献.
- 为了比较RSA与LD/TM转移的结果与孤立的RSA.
主要方法:
- 在PubMed,科学网,Embase和CINAHL的系统文献搜索.
- 包括队列研究,病例控制研究,RCT和病例系列.
- 系统审查常量-穆雷分数 (CMS) 和运动范围 (ROM) 的结果.
主要成果:
- 分析了8项涉及265名患者的研究,平均随访时间为42.5个月.
- 在手术后观察到CMS,外部旋转 (ER) 和向前曲ROM的显著改善.
- 三项研究发现,在RSA与没有LD/TM转移之间,术后ER没有显著差异.
结论:
- 在RSA中同时进行LD/TM转移显示出积极的术后临床结果.
- 缺乏足够的比较数据来确定与孤立的RSA.相比的优势或劣势.
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