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首页> 外文期刊>Journal of shoulder and elbow surgery >Revision total shoulder arthroplasty for painful humeral head replacement with glenoid arthrosis.
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Revision total shoulder arthroplasty for painful humeral head replacement with glenoid arthrosis.

机译：修订全肩关节置换术，以关节盂置换术治疗痛苦的肱骨头置换。

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HYPOTHESIS: After humeral head replacement, revision total shoulder arthroplasty may become necessary for painful glenoid arthrosis. The hypothesis of this study was revision surgery would significantly relieve the patients' pain. MATERIALS AND METHODS: This report retrospectively reviewed the results of revision total shoulder arthroplasty in seventeen patients with a painful humeral head replacement and glenoid arthrosis. The mean time interval to revision was 36.4 months (6-144) and the patients were followed for an average of 56.1 months (24-119). Outcomes were graded with the Neer classification. RESULTS: There were 7 (41.2%) excellent, 5 (29.4%) satisfactory, and 5 (29.4%) unsatisfactory results. The visual analogue pain score decreased from 8.8 to 2.4, flexion improved from 73 degrees to 124, abduction from 63 to 115.6, and external rotation from 12.1 to 46.8. In 13 shoulders with sufficient data, the ASES score was 76.8 and the SST 9.5. It was necessary to revise the humeral stem in 12 of the 17 procedures, typically for poor stem position or improved exposure. CONCLUSION: Conversion of humeral head replacement to total shoulder arthroplasty can be accomplished with excellent results, but the surgery is complex and unsatisfactory results are frequent. LEVEL OF EVIDENCE: Level 4; Retrospective case series, no control group.
机译：假设：肱骨头置换后，可能需要进行翻修全肩关节置换术来治疗关节盂疼痛。该研究的假设是翻修手术将显着减轻患者的痛苦。材料与方法：本报告回顾性回顾了17例肱骨头置换和关节盂疼痛患者的全肩关节置换术的翻修结果。平均翻修时间为36.4个月（6-144），患者平均随访56.1个月（24-119）。结果按Neer分类分级。结果：有7份（41.2％）优秀，5份（29.4％）满意和5份（29.4％）不满意的结果。视觉模拟疼痛评分从8.8降低到2.4，弯曲度从73度提高到124，外展度从63降低到115.6，外旋从12.1降低到46.8。在13个有足够数据的肩膀上，ASES评分为76.8，SST评分为9.5。有必要在17例手术中的12例中对肱骨干进行修改，这通常是为了降低茎干位置或改善暴露程度。结论：肱骨头置换术可完成全肩关节置换术，效果极佳，但手术复杂且效果不理想。证据级别：4级;回顾性病例系列，无对照组。

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