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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Return to Recreational Sporting Activities Following Total Shoulder Arthroplasty
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Return to Recreational Sporting Activities Following Total Shoulder Arthroplasty

机译：全肩关节置换术后重返娱乐性体育活动

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Background: Patients are staying active longer and expect to return to sports or continue participating in recreational activities after total shoulder arthroplasty (TSA) for primary glenohumeral osteoarthritis. Purpose/Hypothesis: The purpose of this study was to assess the ability of patients to return to recreational sports following TSA. We hypothesized that TSA would allow a high rate of return to recreational sports. Study Design: Case series; Level of evidence, 4. Methods: All patients who underwent primary TSA by a single surgeon and were at least 2 years out from surgery were included and were studied for their ability to return to recreational activity following surgery between December 2005 and January 2015. Patient-reported outcomes were obtained, including the 12-Item Short Form Health Survey–Physical Component Summary (SF-12 PCS); Single Assessment Numeric Evaluation (SANE); Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire; American Shoulder and Elbow Surgeons (ASES) score; and satisfaction scores (10-point scale), preoperatively and at a minimum of 2 years postoperatively. Return-to-sport rates were assessed using a standardized patient-reported outcome questionnaire. Results: A total of 165 patients (186 shoulders) that received TSA met the inclusion criteria for the study. Preoperatively, 139 patients (157 shoulders) were involved in recreational sports; 16 (8.6%) shoulders required additional surgical intervention after the index TSA procedure. A significant postoperative increase was noted in the mean ASES (from 48.3 to 87.0; P < .001), QuickDASH (from 41.0 to 15.8; P < .001), SANE (from 49.1 to 81.2; P < .001), and SF-12 PCS scores (from 38.6 to 48.9; P = .004). Of the 157 shoulders in the recreational sports cohort, responses to the survey examining recreational sporting activities after surgery were available for 112 shoulders. The overall rate of return to sport or recreational activity following TSA was 93.7% (105/112 shoulders). The rate of return to recreational sporting activity equal to or better than the preinjury level was 69.7% (78/112 shoulders), while 6.3% (7/112 shoulders) of our cohort reported that they were unable to compete in recreational sports following TSA. Of the patients who participated in predominantly upper extremity sporting activities after TSA, 49% had to modify their postoperative recreational sporting activity because of lifestyle change, pain, weakness, or decreased range of motion. Conclusion: Patients undergoing TSA showed excellent postoperative improvement in their outcome scores, satisfaction, and return to athletic activities. Despite the expected decrease in activity levels with the slow progression of osteoarthritis over time until TSA was performed, almost 94% of patients successfully returned to various recreational sporting activities postoperatively. This study showed that return to recreational sports can be achieved at participation levels that are comparable with preoperative levels, but athletes in some sports such as tennis or swimming, which require more intense levels of exercise, are less likely to return to the same participation levels.
机译：背景：患者原发性肱骨肱骨关节炎的全肩关节置换术（TSA）后，可以保持更长的活动时间，并希望恢复运动或继续参加娱乐活动。目的/假设：本研究的目的是评估患者在TSA后重返休闲运动的能力。我们假设，TSA可以使休闲运动的回报率很高。研究设计：案例系列;证据等级，4。方法：纳入所有由一名外科医生接受一次原发性TSA且手术后至少2年的患者，并研究其在2005年12月至2015年1月手术后恢复娱乐活动的能力。获得了报告的结果，包括12项简短健康调查-物理成分摘要（SF-12 PCS）;单一评估数值评估（SANE）;手臂，肩膀和手的快速残疾问卷（QuickDASH）;美国肩肘外科医师（ASES）得分;术前和术后至少2年的满意度得分（10分制）。使用标准的患者报告结局问卷评估了运动返回率。结果：共有165名患者（186肩）接受了TSA符合研究的纳入标准。术前有139例患者（157肩）参与了休闲运动。 TSA指数手术后，有16个（8.6％）的肩膀需要额外的手术干预。术后平均ASES（从48.3至87.0; P <.001），QuickDASH（从41.0至15.8; P <.001），SANE（从49.1至81.2; P <.001）和SF显着增加-12 PCS分数（从38.6到48.9; P = .004）。在休闲运动队列的157个肩部中，有112个肩部接受了对手术后休闲运动活动调查的调查答复。 TSA后运动或娱乐活动的总体回报率为93.7％（105/112肩）。等于或高于伤前水平的休闲运动回报率为69.7％（78/112肩），而我们队列的6.3％（7/112肩）报告说他们在TSA后无法参加休闲运动。在TSA后主要参加上肢运动活动的患者中，有49％的患者由于生活方式改变，疼痛，虚弱或运动范围减少而不得不修改术后的娱乐活动。结论：接受TSA的患者术后结局评分，满意度和恢复运动能力均具有出色的术后改善。尽管直到进行TSA之前，随着关节炎的发展，活动水平预计会降低，但几乎有94％的患者在术后成功恢复了各种休闲运动。这项研究表明，可以在与术前水平相当的参与水平上实现休闲运动的恢复，但是某些运动（如网球或游泳）中需要更激烈运动的运动员，恢复到相同参与水平的可能性较小。

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