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Reverse total shoulder arthroplasty in the younger patient (≤65 years): a systematic review.

年轻患者 (≤ 65 岁) 的反向全肩关节置换术: 系统综述。

  • 影响因子:3.05
  • DOI:10.1016/j.jse.2019.06.018
  • 作者列表:"Vancolen SY","Elsawi R","Horner NS","Leroux T","Alolabi B","Khan M
  • 发表时间:2020-01-01
Abstract

:The purpose of this study was to evaluate outcomes of reverse total shoulder arthroplasty (RTSA) in patients aged ≤65 years. MEDLINE, Embase, and PubMed were searched for relevant studies from database inception to September 18, 2018. All studies that evaluated RTSA in patients aged ≤65 years were included. Two independent reviewers screened all studies and performed a quality assessment. In the total of 6 studies reviewed, 245 participants underwent RTSA, with the most common indications being failed rotator cuff repair and rotator cuff tear arthropathy. Postoperative functional outcomes indicated a significant level of improvement across all reported outcomes at a mean follow-up of 49 months (range, 19-140 months) (P < .05). The pooled mean complication rate was 18% (n = 44/245), and this higher rate may be due to 36% of patients undergoing an RTSA for a failed arthroplasty procedure and the inclusion of older studies that lacked modern implants and techniques. Although there is a significant improvement in functional outcomes at midterm follow-up for RTSA in the patients aged ≤65 years, the pooled complication rates are high. However, the results of this systematic review are limited because of the heterogenous patient population undergoing surgery for various indications, including revision arthroplasty. Long-term studies and registry data are required using current modern techniques and implants to provide an accurate assessment of outcomes following RTSA in a young patient population.

摘要

: 本研究的目的是评估年龄 ≤ 65 岁患者反向全肩关节置换术 (RTSA) 的疗效。检索MEDLINE、Embase和PubMed从数据库开始至 2018 年 9 月 18 日的相关研究。纳入所有在年龄 ≤ 65 岁患者中评价RTSA的研究。由两名独立审稿人筛选所有研究并进行质量评估。在总共 6 项研究中,245 名参与者接受了RTSA,最常见的适应症是肩袖修复失败和肩袖撕裂关节病。术后功能结局表明,在平均随访 49 个月 (范围,19-140 个月) 时,所有报告的结局均有显著改善 (P <.05)。合并平均并发症发生率为 18% (n = 44/245),这种较高的比率可能是由于 36% 的患者因关节成形术失败而接受RTSA,并纳入了缺乏现代植入物和技术的旧研究。虽然在年龄 ≤ 65 岁的患者中,RTSA的中期随访功能结局有显著改善,但合并并发症发生率较高。然而,由于接受各种适应症手术 (包括翻修关节成形术) 的异质性患者人群,本系统综述的结果有限。需要使用当前的现代技术和植入物进行长期研究和注册数据,以便在年轻患者人群中提供RTSA后结局的准确评估。

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发表时间:2020-01-01
DOI:10.1002/acr.23824
作者列表:["Chen SK","Liao KP","Liu J","Kim SC"]

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影响因子:4.13
发表时间:2020-01-01
DOI:10.1002/acr.23827
作者列表:["Lee RR","Rashid A","Thomson W","Cordingley L"]

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