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首页> 外文期刊>Open Journal of Urology >Functional Outcome Following Reverse Total Shoulder Replacement in the Setting of Trauma with Minimum 1 Year Follow-Up
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Functional Outcome Following Reverse Total Shoulder Replacement in the Setting of Trauma with Minimum 1 Year Follow-Up

机译：在创伤至少1年的随访中进行反向全肩置换后的功能结果

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Aims: To evaluate the short term functional outcomes following a reverse total shoulder replacement for complex neck of humerus fractures. Methods: A single centre retrospective case series evaluating all patients who underwent reverse shoulder arthroplasty following a complex neck of humerus fracture. Functional shoulder movements were assessed by two orthopaedic trainees at 1 year follow-up and compared to the opposite shoulder. Subjective assessment was measured using the Disabilities of the Arm, Shoulder and Hand (DASH) score and the Oxford Shoulder Score (OSS). Documentation of any complications was also noted. Findings: The reverse total shoulder replacement showed favourable outcomes both subjectively and objectively. Subjectively patients in this study scored a mean of 27.5 +/- 24.4 (range 0 - 57.8) in the DASH and 37.9 +/- 9.2 (range 26 - 48) in the OSS. There was a high negative linear correlation between the 2 scoring systems (r = -0.95, p < 0.05) indicating moderate to good shoulder function in most cases. The objective data also showed good functional outcomes with all patients having clinically similar function between the injured and uninjured limb. Conclusion: A reverse total shoulder replacement shows favourable subjective and objective outcomes for complex neck of humerus fractures in the trauma setting.
机译：目标：评估肩关节置换治疗肱骨复杂颈骨折后的短期功能预后。 方法：单中心回顾性病例系列评估所有在复杂的肱骨骨折后接受了反向肩关节置换术的患者。在两年的随访中，由两名骨科医师评估了肩膀的功能性运动，并将其与对侧的肩膀进行了比较。主观评估使用手臂，肩膀和手部残疾（DASH）评分和牛津肩膀评分（OSS）进行测量。还记录了任何并发症。 发现：反向全肩置换在主观和客观上均显示出良好的效果。该研究的主观患者在DASH中的平均得分为27.5 +/- 24.4（范围0-57.8），在OSS中的平均得分为37.9 +/- 9.2（范围26-48）。在两个评分系统之间存在很高的负线性相关性（r = -0.95，p <0.05），表明在大多数情况下中度至良好的肩部功能。客观数据还显示出良好的功能预后，所有患者的受伤和未受伤肢体在临床上具有相似的功能。 结论：在创伤情况下，反向全肩关节置换术显示肱骨复杂颈骨折的主观和客观结果均令人满意。

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