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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Return to Sports After Primary Reverse Shoulder Arthroplasty: Outcomes at Mean 4-Year Follow-up
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Return to Sports After Primary Reverse Shoulder Arthroplasty: Outcomes at Mean 4-Year Follow-up

机译：在初级反向肩部张开术后返回运动：平均4年后续随访的结果

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Background: With the expanding use of reverse shoulder arthroplasty (RSA) to treat various shoulder conditions, there has been a rise in the number of RSAs performed, especially in physically active patients. Limited information regarding sports after RSA is available to properly counsel patients on postoperative expectations. Purpose: To assess the rate of return to sports as well as the ability to return to the same level of preoperative intensity, frequency, and duration of sport after primary RSA. Study Design: Case series; Level of evidence, 4. Methods: This was a retrospective review of patients who underwent primary RSA at our institution between 2014 and 2016. Shoulder motion, Subjective Shoulder Value score, American Shoulder and Elbow Surgeons score, pre- and postoperative sports activities, and barriers to return to sport were assessed in 109 patients after RSA (93 patients with unilateral RSA and 16 patients with bilateral RSA). The mean age at the time of surgery was 70 years (range, 34-86 years), with a mean follow-up of 3.9 years (range, 2-12 years). Results: The mean rate of return to sports was 70.1% (range, 0%-100%). There was no difference in return to sports between those with uni- and bilateral RSA ( P = .64). Fishing, swimming, elliptical/treadmill, and hunting were the most common sports after RSA with return rates of 91%, 73%, 86%, and 82% respectively. A majority of patients returned to the same level of preoperative intensity, frequency, and duration for all sports except for climbing and swimming. There was a lower mean rate of return for high-demand sports (62.9%) compared with low- and medium-demand sports (76.7%) ( P = .005). The most common reasons for inability to return to sports included limited motion, fear of injury, and weakness. Conclusion: Patients who had undergone primary uni- or bilateral RSA reported a 70.1% rate of return to sports with maintenance of the same level of intensity, duration, and frequency of preoperative sport participation. Rates of return to high-demand sports were lower than low- and medium-demand sports. Patients also had difficulty returning to overhead sports.
机译：背景：随着逆转肩关节置换术（RSA）的扩大使用来治疗各种肩部条件，对RSAS的数量升高，特别是在物理活跃的患者中。 RSA后有限的有关体育的信息可在术后预期的患者提供律师们。目的：评估体育返回率以及初级RSA后返回相同水平的术前强度，频率和运动持续时间。研究设计：案例系列;证据水平，4.方法：这是对2014年至2016年之间的机构接受初级RSA的患者的回顾性审查。肩部运动，主观肩部价值得分，美国肩部和肘部外科医生得分，预先和术后体育活动，和RSA后109例患者评估了返回运动的障碍（93例单侧RSA和16例双侧RSA患者）。手术时的平均年龄为70年（范围，34-86岁），平均随访3.9岁（范围，2-12岁）。结果：均衡运动率为70.1％（范围，0％-100％）。与单侧和双边RSA之间的运动之间没有差异（P = .64）。钓鱼，游泳，椭圆/跑步机和狩猎是RSA最常见的运动，回报率分别为91％，73％，86％和82％。除攀爬和游泳外，大多数患者返回了所有运动的术前强度，频率和持续时间水平。与低价运动（62.9％）相比，较低的返回率较低，与中低行体育（76.7％）（P = .005）相比。无法返回运动的最常见原因包括有限的动作，害怕受伤和弱点。结论：经过初级单或双侧RSA的患者报告了70.1％的返回率，以维持相同的强度，持续时间和术前运动参与的频率。返回高需求运动的率低于低价运动。患者也难以返回占地运动。

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