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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Sports Participation Is an Appropriate Expectation for Recreational Athletes Undergoing Shoulder Arthroplasty
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Sports Participation Is an Appropriate Expectation for Recreational Athletes Undergoing Shoulder Arthroplasty

机译：运动参与是对进行肩关节置换术的休闲运动员的适当期望

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Background: Several studies have investigated sports participation in patients who undergo total shoulder arthroplasty (TSA). However, there are limited data in the setting of hemiarthroplasty (HA) and reverse total shoulder arthroplasty (rTSA), particularly regarding the frequency of participation in common sports. Hypothesis: The majority of patients who undergo TSA or HA will be able to maintain active lifestyles with high levels of sports participation after their procedure, while patients who undergo rTSA will have lower levels of sports participation. Study Design: Case series; Level of evidence, 4. Methods: We identified patients who underwent TSA, rTSA, stemmed HA, or humeral head resurfacing (the latter 2 were defined collectively as the HA group) by surgeons within our department since January 2004. We excluded patients who (1) underwent revision arthroplasty, (2) had a history of chronic pain syndrome, (3) experienced septic arthritis of the involved shoulder, and/or (4) were deceased at the time of follow-up. The minimum follow-up from the time of surgery was 2 years. Qualified patients were sent a questionnaire that asked about sports participation and the frequency of participation at the time of follow-up. Frequency was rated as 0, 1 to 3, or 4 to 7 times a week. Sports were defined as lower extremity sport, volleyball, tennis, skiing, bowling, swimming, weight lifting, golf, and other sport. Results: Overall, 95% of the TSA group, 40% of the rTSA group, and 76% of the HA group who had participated in at least 1 sport before surgery indicated that they were doing so at the time of follow-up. Among active patients in the TSA and HA groups, the most common sports at the time of follow-up were weight lifting (52%), swimming (36%), and golf (25%). For the 2 active patients in the rTSA group, 1 participated in swimming and hunting and fishing, while the other participated in weight lifting. For the active patients in the TSA and HA groups who were participating in at least 1 of the 3 most common sports, most patients indicated that they were doing so 1 to 3 times a week at the time of completing the questionnaire. Conclusion: Patients undergoing shoulder arthroplasty can maintain an active lifestyle with moderate to high frequencies of participation after surgery, particularly regarding weight lifting, swimming, and golf.
机译：背景：几项研究调查了接受全肩关节置换术（TSA）的患者的运动参与情况。但是，关于半髋关节置换术（HA）和反向全肩关节置换术（rTSA）的数据非常有限，特别是关于参加普通运动的频率。假设：接受过TSA或HA的大多数患者在手术后将能够保持积极的生活方式并进行高水平的运动参与，而接受过rTSA的患者的运动参与度较低。研究设计：案例系列;证据级别，第4级。方法：我们确定自2004年1月以来由我们部门的外科医生进行了TSA，rTSA，干HA或肱骨头表面重塑的患者（后2个患者统称为HA组）。 1）进行翻修置换术，（2）有慢性疼痛综合征的病史，（3）患上受累肩膀的化脓性关节炎，和/或（4）在随访时死亡。从手术时间开始的最小随访时间为2年。合格的患者将收到一份问卷，询问运动参与情况以及随访时的参与频率。频率被评为每周0、1、3或4至7次。运动被定义为下肢运动，排球，网球，滑雪，保龄球，游泳，举重，高尔夫和其他运动。结果：总体而言，在手术前至少参加过一项运动的TSA组中的95％，rTSA组中的40％和HA组中的76％表示他们在随访时就参加了这项运动。在TSA和HA组的活跃患者中，随访时最常见的运动是举重（52％），游泳（36％）和高尔夫（25％）。对于rTSA组中的2名活跃患者，其中1名参加了游泳，狩猎和钓鱼，而另一名参加了举重。对于参加至少3种最常见运动的TSA和HA组中的活跃患者，大多数患者表示，他们在填写问卷时每周进行1至3次。结论：接受肩关节置换术的患者可以保持积极的生活方式，并在手术后以中到高频率参与，特别是在举重，游泳和打高尔夫球方面。

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