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相关概念视频

Changes in the Appendicular Skeleton with Age01:09

Changes in the Appendicular Skeleton with Age

The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...

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患者的肩部假肢是否比他们的肩部假肢更长?

Tarek Haj Shehadeh1, Adam Elsayed1, Gary Updegrove1

  • 1Department of Orthopedics and Rehabilitation, Milton S. Hershey Medical Center, Hershey, PA, USA.

Journal of orthopaedics
|January 15, 2026
PubMed
概括

接受全肩关节整形手术 (TSA) 的年轻患者 (65岁以下) 面临更高的修复手术风险,但死亡风险较低. 老年患者 (≥65岁) 的修复率较低,但死亡率增加,这表明特定年龄的植入物寿命和患者咨询需求.

科学领域:

  • 整形外科手术 整形外科手术
  • 生物统计学 生物统计学
  • 老年医学 老年医学

背景情况:

  • 全肩关节整形手术 (TSA) 是一种常见的手术,需求日益增加.
  • 修复手术率是TSA成功和植入物寿命的关键指标.
  • 了解与年龄相关的结果对于患者咨询和手术决策至关重要.

研究的目的:

  • 为了比较TSA后的修复手术和死亡率,年龄在65岁以下的患者与65岁以上的患者之间的比较.
  • 评估年龄对整个肩膀关节整形术的长期结果的影响.
  • 根据特定年龄的风险概况,为患者咨询和手术规划提供信息.

主要方法:

  • 对TrinetX数据库的回顾性分析.
  • 包括接受TSA的患者,分为两个年龄队列:<65岁和≥65.5岁.
  • 随访10年以比较群体之间的累积死亡和修复手术发生率.

主要成果:

  • 年龄≥65岁的队列 (106,777名患者) 的死亡率为22.9%,复查率为6.1%.
  • 年龄在65岁以下的队列 (28,244名患者) 的死亡率为7.0%,复查率为9.4%.
  • 较年轻的患者 (<65岁) 与老年患者 (≥65岁) 相比,对修订的几率显著更高 (3.5%与3.2%) 但死亡率较低 (1.9%与7.2%).
关键词:
年龄年龄年龄年龄年龄年龄死亡死亡死亡死亡死亡死亡死亡死亡修复手术是重整的手术.风险 风险 风险 风险 风险肩膀置换手术 肩膀置换手术

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结论:

  • 接受TSA的65岁以下患者更有可能接受修复手术.
  • 老年患者 (≥65) 更容易死亡,但在10年随访期间不太可能需要修订.
  • 不同的基于年龄的风险概况需要个性化的患者咨询和TSA的手术规划.