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首页> 外文期刊>Orthopedics >Effect of Humeral Component Version on Outcomes in Reverse Shoulder Arthroplasty
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Effect of Humeral Component Version on Outcomes in Reverse Shoulder Arthroplasty

机译:肱骨部件版本对反向肩关节置换术成果的影响

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Although reverse shoulder arthroplasty provides excellent clinical results in appropriately selected patients, loss of external and internal rotation may occur. Component selection, design, and placement affect postoperative results. Recent studies considered the effect of humeral component version on functional results. The current study investigated whether humeral stem retroversion affects the outcomes of reverse shoulder arthroplasty with a retrospective review of a multisurgeon, industry-sponsored, prospectively gathered database of a single reverse shoulder arthroplasty implant. All patients had at least 2-year follow-up. Clinical outcomes, including American Shoulder and Elbow Surgeons score, visual analog scale pain score, Short Form-12 Mental and Physical Component scores, range of motion, and internal rotation function, were compared between patients with humeral retroversion of 10 degrees or less (group A) and those with humeral retroversion of 20 degrees or greater (group B). Radiographic outcomes were compared. The analysis included 64 patients (group A, 29 patients; group B, 35 patients). No clinical or statistically significant difference was found in American Shoulder and Elbow Surgeons scores. Both groups showed statistical and clinical improvement vs preoperative scores, with group A averaging 77.8 and group B averaging 79.2 at final follow-up. No differences were found between groups in range of motion or ability to perform tasks that require shoulder internal rotation. Patients can expect good clinical improvement after reverse shoulder arthroplasty. No difference was found in clinical or radiologic outcomes based on humeral component retroversion. Despite the theoretical increase in external rotation when the humeral component is placed closer to native retroversion, the results did not show this effect.
机译:Although reverse shoulder arthroplasty provides excellent clinical results in appropriately selected patients, loss of external and internal rotation may occur.组件选择,设计和放置会影响术后结果。最近的研究被认为是肱骨部件版本对功能结果的影响。目前的研究调查了肱骨茎升降率是否影响了逆向肩部表现术的结果,并回顾性审查了一个多国内外,行业赞助的,前瞻性地收集了单一反向肩关节置换术植入物的数据库。所有患者均有至少2年的随访。临床结果,包括美国肩部和肘部外科医生评分,视觉模拟疼痛评分,短的形式 - 12心理和物理成分,运动范围和内部旋转功能,在肱骨重新升迁10度或更少的患者之间进行比较(组a)和具有20度或更高的肱骨反射率的那些(b组)。比较了射线照相结果。分析包括64名患者(A组,29名患者; B组,35名患者)。美国肩部和肘部外科医生得分没有临床或统计学意义。两组两组均显示统计和临床改善,术前评分,A组平均值77.8和B组平均在最终随访时平均79.2。在运动范围内没有发现差异或执行需要肩部内部旋转的任务的能力之间的差异。患者在逆转肩关节成形术后可以期待良好的临床改善。在基于肱骨组分重新涂料的临床或放射学结果中没有差异。尽管当肱骨部件更接近天然反射率时,尽管外部旋转的理论增加,但结果并未显示出这种效果。

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