Reverse total shoulder arthroplasty after failed rotator cuff surgery
Reverse total shoulder arthroplasty after failed rotator cuff surgery
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DOI：
10.1016/j.jse.2009.03.011
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发表时间：
2009-07-01
影响因子：
3
通讯作者：
Walch, Gilles
中科院分区：
文献类型：
--
作者：
Boileau, Pascal;Gonzalez, Jean-Francois;Walch, Gilles
背景资料：目的是报告的结果反向肩关节成形术（RSA）后，以前失败的肩袖Surgery.Materials和方法：回顾性多中心研究42 RSA在40例患者（平均年龄，71岁），平均随访50个月。结果：术后并发症5例（12%），再次手术2例（5%）。在假性麻痹的肩部，AAE从56度增加到123度，7%的人感到失望或不满意。在疼痛的肩膀，AAE从146度下降到122度，27%的人感到失望或dissatisfied.Discussion：RSA可以改善功能的肩袖不足的患者肩袖失败后，以前的袖口手术。然而，结果不如初级RSA。当患者术前AAE保持大于90度时，RSA有丧失AAE和降低患者满意度的风险。(C)2009年《肩肘外科杂志》董事会。
Background: The purpose is to report the results of reverse shoulder arthroplasty (RSA) after previous failed rotator cuff Surgery.Materials and methods: A retrospective multicenter study of 42 RSA in 40 patients (mean age, 71 years) with a mean follow-up of 50 months. Thirty shoulders presented with a pseudoparalytic shoulder and 12 with a painful shoulder with maintained active anterior elevation (AAE >= 90 degrees).Results: Five complications (12%) occurred and 2 patients (5%) underwent re-operation. In pseudoparalytic shoulders, AAE increased from 56 degrees to 123 degrees and 7% were disappointed or dissatisfied. In painful shoulders, AAE decreased from 146 degrees to 122 degrees and 27% were disappointed or dissatisfied.Discussion: RSA can improve function in patients with cuff deficient shoulders after failure of previous cuff surgery. However, results are inferior to primary RSA. RSA when the patient maintains greater than 90 degrees of preoperative AAE risks loss of AAE and lower patient satisfaction. (C) 2009 Journal of Shoulder and Elbow Surgery Board of Trustees.