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在近腹骨骨折的逆全面肩膀关节整形术后的并发症:系统审查
Easton J Bents1, Javier Ardebol2, Mathew Noble2
1ATSU-SOMA, Mesa, AZ, USA.
JSES reviews, reports, and techniques
|January 28, 2025
概括
靠近肩骨骨折的逆向全肩关节整形术 (rTSA) 显示,整体并发症率为7.0%,其中假肢不稳定性和感染是最常见的. 修订率为3.3%,但研究之间存在显著的变化.
科学领域:
- 整形外科手术 整形外科手术
- 关节质整术是指关节质整术.
- 创伤外科 手术 创伤外科
背景情况:
- 反向全肩关节整形术 (rTSA) 越来越多地用于治疗近腰骨折 (PHF).
- 对PHFs进行rtsa后的术后并发症和修订率的描述对于理解结果至关重要.
- 现有的文献缺乏关于这种程序相关并发症的频率和频谱的全面数据.
研究的目的:
- 系统地审查和评估与逆肩部全关节整形术 (rTSA) 相关的并发症和修订率,以管理近腰骨折 (PHFs).
- 为了确定最常见的手术后并发症后rTSA为PHFs.
- 量化该患者群体在文献中报告的整体修订率.
主要方法:
- 根据PRISMA指南进行了系统审查,搜索了PubMed,Scopus和Cochrane图书馆的数据库.
- 在选了3800个查询结果后,包括了1010个研究,包括PHFs的10797个初级RTSA病例的数据.
- 数据提取包括患者人口统计学,随访持续时间,特定并发症和修订率,其率计算为总病例的百分比.
主要成果:
- 该研究分析了PHF的10,797例初级RTSA病例,患者平均年龄为75.6岁,82.6%是女性参与者.
- 整体并发症率为7.0% (754/10,797),其中最常见的是假肢不稳定/脱位 (2.3%) 和感染 (1.2%).
- 整体修订率为3.3% (355/10,797),尽管个别研究的修订率差异很大 (并发症为0-46.9%,修订为0-28%).
结论:
- 靠近肩骨骨折的逆向全肩关节整形术与7.0%的整体并发症率和3.3%的修复率有关.
- 假肢不稳定/脱位和感染是对PHFs的RTSA后最常见的并发症.
- 虽然平均并发症和修复率相对较低,但存在显著的变化,强调需要仔细选择患者和手术技术.
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