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身体质量指数在逆向全肩关节整形术后不会增加并发症的风险
Salvatore Capotosto1, Christopher White1, Jennifer Yu1
1Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Journal of orthopaedics
|August 8, 2025
概括
肥胖不会影响逆向全肩关节整形术 (rTSA) 后的长期结果. 与BMI较低的患者相比,体重指数 (BMI) 高的患者在疼痛,运动范围和生活质量方面取得了类似的改善.
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
背景情况:
- 肥胖率的上升需要了解它们对手术结果的影响.
- 有限的数据存在于肥胖患者的逆全面肩关节整形术 (rTSA) 的长期功能结果.
研究的目的:
- 评估身体质量指数 (BMI) 对rTSA后结果的长期影响.
- 为了比较BMI<30和BMI≥30的患者之间的功能结果和植入物存活率.
主要方法:
- 对50例初级rTSA病例进行回顾性研究,平均随访时间为6.7年.
- 患者分为BMI<30 (n=37) 和BMI≥30 (n=13) 的两组.
- 使用统计分析对人口统计,运动范围 (ROM),患者报告的结果指标 (PROM) 和植入物存活率进行比较.
主要成果:
- 两个BMI组都在术后显示了ROM和PROM的显著改善.
- 在最终的ROM,ASES,SST或VAS分数中,BMI组之间没有观察到统计学上显著的差异.
- 植入物存活率相似,BMI和长期功能结果之间没有发现显著的相关性.
结论:
- 身体质量指数 (BMI) 没有显著影响rTSA后的长期临床或功能结果.
- 肥胖患者在RTSA后在疼痛,ROM和生活质量方面取得了相似的改善.
- 在适当的术后护理下,RTSA在BMI类别中有效.
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