[1]谢尚举,王 拓,胡华辉,等.反肩关节置换治疗终末期肩袖关节病的早期临床疗效[J].中国中医骨伤科杂志,2022,30(11):54-58.
　XIE Shangju,WANG Tuo,HU Huahui,et al.Early Clinical Efficacy of Reverse Shoulder Joint Replacement on the Treatment of End-Stage Rotator Cuff Arthropathy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(11):54-58.
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反肩关节置换治疗终末期肩袖关节病的早期临床疗效()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年11期
页码:
54-58
栏目:
临床报道
出版日期:
2022-11-15

文章信息/Info

Title:
Early Clinical Efficacy of Reverse Shoulder Joint Replacement on the Treatment of End-Stage Rotator Cuff Arthropathy
文章编号:
1005-0205(2022)11-0054-05
作者:
谢尚举1; 2; 王 拓2; 胡华辉2; 曹国平2△
1宁波市中医院骨伤科(浙江 宁波,315010) 2浙江中医药大学附属江南医院骨伤科
Author(s):
XIE Shangju1; 2; WANG Tuo2; HU Huahui2; CAO Guoping2△
1Department of Orthopedics, Ningbo Hospital of Traditional Chinese Medicine, Ningbo 315010, Zhejiang China; 2Department of Orthopedics, Jiangnan Hospital, Zhejiang Chinese Medical University, Hangzhou 311200, China.
关键词:
关节病;  关节置换术;  肩袖撕裂;  反肩关节置换
Keywords:
arthropathy;  joint replacement;  rotator cuff tear;  reverse shoulder joint replacement
分类号:
R687.4
文献标志码:
B
摘要:
目的:探讨反肩关节置换术治疗Hamada Ⅳ、Ⅴ级终末期肩袖关节病的早期临床疗效。方法:回顾性分析2016年1月至2021年4月接受反肩关节置换术的14例终末期肩袖关节病患者资料,评估其术前及术后1年的肩关节活动度,采用美国肩肘外科协会(ASES)评分,加州大学洛杉矶分校(UCLA)评分评价术前及术后1年的肩关节功能,记录并发症情况。研究数据采用配对t检验进行分析。结果:14例患者均获随访,平均随访时间为18个月(12～36个月)。患者术后1年肩关节主动前屈132°±13°较术前65°±19°好转(t=15.653,P<0.05),外展131°±14°较术前59°±15°好转(t=10.241,P<0.05),外旋较术前改善,但差异无统计学意义(t=1.087,P>0.05)。术后1年随访时,患者ASES评分(91.57±3.03)显著优于术前(59.6±6.83),差异有统计学意义(t=18.76,P<0.05); 术后1年UCLA评分(31.86±1.99)显著优于术前(13.00±1.75),差异有统计学意义(t=25.22,P<0.05)。随访过程中,1例患者因外伤致患肩关节脱位,予手法复位并制动2周后未再次脱位,其余无假体松动及感染等并发症发生。结论:反肩关节置换可显著改善终末期肩袖关节病患者早期肩关节功能。
Abstract:
Objective:To explore the short-term clinical efficacy of reverse shoulder arthroplasty on the treatment of Hamada Ⅳ or Ⅴ end-stage rotator cuff arthropathy.Methods:The data of 14 patients with end-stage rotator cuff arthropathy who underwent reverse shoulder arthroplasty in our hospital from January 2016 to April 2021 were retrospectively analyzed, and the shoulder joint range of motion was evaluated before and 1 year after operation.The American Society of Shoulder and Elbow Surgery(ASES)score and the University of California, Los Angeles(UCLA)score were used to evaluate the function of the shoulder joint before and after the 1-year follow-up, and the complications were recorded.The research data was analyzed by paired t test.Results:All 14 patients were followed up with an average follow-up time of 18 months(12 to 36 months).The patient's active shoulder flexion 132°±13° was better than that of preoperative 65°±19° at 1 year after operation(t=15.653, P<0.05), and abduction of 131°±14° was better than that of preoperative 59°±15°(t=10.241, P<0.05), external rotation was improved compared with preoperatively, but there was no statistically significant difference(t=1.087, P>0.05).The ASES score of patients 1 year after operation 91.57 ± 3.03 was significantly higher than that before operation 59.6 ± 6.83(t=18.76, P<0.05); the UCLA score of 1 year after operation 31.86 ± 1.99 was significantly higher than that before operation 13.00 ± 1.75(t=25.22, P<0.05).One patient suffered from shoulder joint dislocation due to trauma and did not dislocate again after manual reduction and immobilization for two weeks during the follow-up.The rest had no complications such as prosthesis loosening and infection.Conclusion:Reverse shoulder joint replacement can significantly improve shoulder joint function in patients with end-stage rotator cuff arthropathy.

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备注/Memo

备注/Memo:
基金项目:浙江省医药卫生项目(2020KY796)浙江省重大科技专项(2014C03031) △通信作者 E-mail:caoguoping008@126.com
更新日期/Last Update: 2022-11-10