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Updated: Jun 21, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
同一天整体关节置换的安全性:基于人口的队列研究
Seper Ekhtiari1, Daniel Pincus, Johnathan R Lex
1From the Division of Orthopaedic Surgery, Departmeny of Surgery, McMaster University, Hamilton, Ontario, Canada (Ekhtiari), the Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada (Ekhtiari, Pincus, Lex, Tomescu, and Ravi), the Division of Orthopaedic Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (Pincus, Tomescu, and Ravi), the ICES, Toronto, Ontario, Canada (Pincus, Paterson, and Ravi), and the Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Paterson).
同一天的全关节整形术 (TJA) 正在增加,近90%的计划手术成功完成. 女性患者面临更高的风险失败的同一天TJA,以及脆弱和并发性疾病.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 总关节整形术 (TJA) 的当天手术 (SDS) 迅速增加,由COVID-19大流行加速.
- 以前的研究通常依赖于单中心数据,限制了概括性.
- 人口层面的分析对于理解SDS TJA趋势和结果至关重要.
研究的目的:
- 用加拿大安大略省的人口水平数据分析同一天TJA的成功率.
- 在选择性部和膝关节关节整形手术中确定当天出院成功的预测因素.
- 评估SDS TJA程序的安全性和可访问性.
主要方法:
- 追溯队列数据库研究,利用安大略省相关的行政医疗保健数据.
- 包括所有从2016年4月到2022年3月接受计划门诊选择性关节整形手术 (THA) 或全膝关节整形手术 (TKA) 的患者.
- 计算同一天成功的TJA率,并比较患者组之间成功出院的预测因素.
主要成果:
- 选择SDS TJA的患者比例从2016年的0.6%增加到2021年的23.8%.
- 总体而言,计划中的SDS病例中有11.3% (TKA) 和11.6% (THA) 没有在同一天获得出院.
- 女性患者出现SDS TJA失败的可能性明显高 (HR:1.14). 虚弱,并发性疾病 (TKA) 和严重肥胖 (THA) 也预测了不成功的出院.
结论:
- 计划接受SDS TJA的患者中,近90%的患者在同一天成功出院.
- 女性性别,脆弱性和并发症是SDS TJA失败的重要危险因素.
- SDS TJA 项目需要仔细评估,以确保安全性和可访问性,特别是对于女性患者.
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