受到约束的内 (在145°内置植入物中) 有没有任何好处? 一个匹配的回顾性研究
Samuel Lorentz1, Caroline N Park1, Christopher P Roche2
1Department of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Journal of shoulder and elbow surgery
|October 20, 2024
概括
在逆向全肩关节整形术 (rTSA) 中,受约束的带与标准带相比,没有显著改善疼痛或运动范围. 然而,受约束的内与更高的不良事件发生率有关,包括肩膀刺.
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
- 肌肉骨研究的研究.
背景情况:
- 反向全肩关节整形手术 (rTSA) 是肩关节功能障碍的一种常见手术.
- 约束是RTSA中使用的一种修改,但它们的临床益处仍在争论中.
- 了解与受约束线相关的结果对于手术决策至关重要.
研究的目的:
- 为了比较使用受约束和标准的初级RTSA的临床结果.
- 为了评估疼痛,运动范围,患者报告的结果和并发症的差异,在至少1年的随访中.
主要方法:
- 一项对836名初级RTSA患者的回顾性分析.
- 209名受约束线患者与1:3的627名标准线患者进行了交叉匹配.
- 记录和分析了包括疼痛,运动范围 (ROM),患者报告的结果 (PRO),并发症和修订在内的结果.
主要成果:
- 在两组之间疼痛,绑架,向前升高,内部/外部旋转,ASES分数或SAS分数的改善方面没有发现统计学上显著的差异.
- 受到约束的线性队列表现出明显更高的不良事件率 (6.2%对2.7%),特别是肩膀 (15.6%对8.8%).
结论:
- 在1年的随访中,带有受约束的初级RTSA在缓解疼痛或改善功能方面与标准相比没有显著的优势.
- 狭窄的内与更高的不良事件发生率有关,特别是头上的痕.
- 需要进行进一步的长期研究,以确定在RTSA中受约束的整体疗效和耐用性.
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