相关实验视频

Updated: Jun 12, 2025

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

患者的姿势影响临床结果和运动范围后逆向全肩关节整形手术:一项临床研究

Philipp Kriechling¹, Georgios Neopoulos¹, Alexander Berger¹

¹Balgrist University Hospital, Orthopaedic Department, University of Zurich, Zurich, Switzerland.

JSES international

|April 4, 2025

概括

患者的姿势显著影响逆向全肩关节整形术 (rTSA) 的结果. 垂直 (类型A) 和中间 (类型B) 姿势与较好的运动范围和临床分数相对应,而不是形 (类型C) 姿势.

科学领域:

整形外科手术整形外科手术
生物机械分析生物机械分析
放射性成像成像放射性成像成像

背景情况:

反向全肩关节整形术 (rTSA) 可能导致术后运动限制.
植入物设计和定位是已知的因素,但患者姿势的影响正在调查中.
通过CT测量的骨方向与功能结果有关,但术前姿势的临床相关性不太清楚.

研究的目的:

为了将手术前照片记录的患者姿势与CT测量的肩膀方向相关联.
分析不同姿势类型对rTSA后功能结果的影响.
评估照片文档与CT对姿势评估的可靠性.

主要方法:

360名rTSA患者的回顾性审查和至少2年的随访.
根据标准化的照片/视频文件,将术前姿势分为A型 (直立),B型 (中等) 和C型 (阴影) 的分类.
使用CT扫描测量骨内部旋转,并比较各种姿势类型的运动范围 (ROM) 和Constant-Murley分数.

主要成果:

姿势类型A (n=59) 和B (n=253) 患者的绝对Constant-Murley分数明显优于C型 (n=48).
与C型相比,在A型和B型中观察到改善的曲和绑架ROM.
类型A表现出优越的内部旋转,以及比类型C更好的外部旋转;然而,基于照片的姿势分类显示CT测量可靠性差 (r=0.35).

结论:

临床姿势类型A和B与类型C相比,在rTSA后的运动范围和临床结果更好.
手术前患者的姿势是在RTSA规划中考虑的关键因素,因为它对功能结果的影响.
骨内部旋转的CT测量不是照片记录患者姿势的可靠相关.

关键词:

临床结果临床结果姿势姿势姿势运动范围的范围.反向肩膀关节整形手术是什么意思头胸前方向的定向肩膀骨关节炎肩膀骨关节炎

更多相关视频

Evaluation of Patients' Posture and Gait Profile After Lumbar Fusion Surgery by Video Rasterstereography and Treadmill Gait Analysis

Published on: March 23, 2019

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

相关概念视频

Anatomical Positions

Anatomical Positions

In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...

Peripheral Artery Disease V: Postoperative Nursing Management

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...