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逆向全肩关节整形手术的最佳时间对于近腰骨骨折的近腰骨折

Jake Goguen¹, Jessica Forbes¹, Garrett R Jackson²

¹Charles E. Schmidt College of Medicine at Florida Atlantic University, Boca Raton, FL, USA.

Journal of shoulder and elbow surgery

|March 15, 2025

概括

反向全肩关节整形术 (rTSA) 在急性和慢性近腰骨折 (PHFxs) 中提供了类似的结果. 老年人PHFxs的RTSA的时间不会牺牲功能改善或患者报告的结果.

科学领域:

整形外科手术整形外科手术
老年创伤患者的创伤
关节整形术的结果

背景情况:

反向全肩关节整形术 (rTSA) 在老年患者中越来越多地用于复杂的近腰骨折 (PHFxs).
关于PHFx病例中延迟rTSA的结果的数据有限.
这项研究比较了PHFxs的急性与慢性rTSA的结果.

研究的目的:

为了比较急性和慢性rTSA之间的术后临床结果和并发症,用于近腰骨折 (PHFxs).

主要方法:

对于PHFx (2010-2022) 进行初级rTSA的患者的回顾性审查.
根据受伤到手术的时间,患者被分为急性 (<6周) 和慢性 (≥6周) 组.
评估运动范围,各种肩部结果得分和并发症.

主要成果:

分析了61名患者 (43名急性,18名慢性);人口统计数据是可比的.
急性和慢性组之间在运动范围,功能评分或并发症方面没有显著差异.
整体并发症率为2% (急性组中发生一次脱位),两组之间没有显著差异.

结论:

rTSA在老年人急性和慢性近腰骨折 (PHFxs) 中产生了可比的临床和功能结果.
无论治疗时间如何,都观察到最小的并发症.
患者和外科医生可以共同确定在PHFxs中rTSA的最佳时间,而不会影响功能收益.

关键词:

靠近腰骨骨折靠近腰骨骨折功能性结果的结果.马尔联合会马尔联合会患者报告的结果.反向全肩关节整形手术外科手术时间表创伤的创伤创伤的创伤.

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