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肩关节整形术后目标肩部强度的最小改善:系统性审查

Natalia A Pluta¹, Kaitlynn Littleford², Travis Kotzur³

¹Department of Orthopaedic Surgery, Brooke Army Medical Center, Fort Sam Houston, TX, USA.

Journal of shoulder and elbow surgery

|August 8, 2025

概括

肩关节整形术 (aTSA和rTSA) 改善了肩膀的强度,但收益很小,患者可能无法感知到. 术后强度仍然低于正常水平.

科学领域:

整形外科手术整形外科手术
重建性手术是一种重建性手术.

背景情况:

接受肩关节整形术的患者往往会出现手术前的虚弱.
肩关节整形手术对术后强度的影响尚未得到充分证实.

研究的目的:

系统地审查解剖 (aTSA) 和逆转全肩关节整形术 (rTSA) 后的客观强度变化.

主要方法:

进行了PubMed,科学网,OVID和EMBASE的系统审查.
包括的研究报告了手术前和手术后的强度测量 (以公斤或N-m) 在平均两年后续.
排除了关于骨折,修订,神经损伤和较低证据水平的研究.

主要成果:

11项研究符合纳入标准 (4个aTSA,5个rTSA,2个).
rTSA显示绑架强度增加 (0.4-4.9公斤) 和改善外部旋转 (ER) (1.0-1.8公斤).
aTSA在ER和内部旋转 (IR) (1.4-2.5公斤) 和前方升高强度方面取得了改进.

结论:

肩部关节整形术在运动平面上提供了适度的力量改善.
术后强度虽然有所改善,但仍低于规范值.
增益可能有助于积极的运动范围,但可能不会在临床上被感知到.

关键词:

关节炎是一种关节炎.目标目标目标结果的结果.肩部关节整形手术肩部关节整形手术力量就是力量.

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