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反肩置换术——手术的最小年龄、术后康复及长期限制。一项德尔菲共识研究。

Reverse shoulder arthroplasty--minimum age for surgery, postoperative rehabilitation and long term restrictions. A delphi consensus study.

作者信息

Kwaees Tariq A, Charalambous Charalambos P

机构信息

Institute of inflammation and repair, University of Manchester, Manchester, United Kingdom and Department of Trauma and Orthopaedics, Blackpool Victoria Hospital, Blackpool, United Kingdom.

出版信息

Ortop Traumatol Rehabil. 2014 Jul-Aug;16(4):435-9. doi: 10.5604/15093492.1119621.

DOI:10.5604/15093492.1119621
PMID:25404633
Abstract

BACKGROUND

The aim of this study was to determine if agreement could be obtained on guidelines regarding the ideal minimum age for a reverse shoulder replacement, as well as on post-operative rehabilitation and restrictions imposed on patients having undergone this procedure.

MATERIAL AND METHODS

A two-round Web-based Delphi consensus study was undertaken. An international group of experts in the field of reverse shoulder replacement were asked to complete the questionnaire. Consensus was considered as agreement of 60% or higher.

RESULTS

There was substantial disagreement in most parameters examined amongst the 10 participants of the first round. Agreement was achieved for most parameters examined amongst three of the four respondents of the second round.

CONCLUSIONS

  1. Amongst respondents of the second round a minimum age of 65 years for reverse shoulder arthroplasty was considered acceptable for most areas examined. 2. Controversial management areas in reverse shoulder arthroplasty have been highlighted and require exploration by further clinical studies.
摘要

背景

本研究的目的是确定能否就关于反肩关节置换术的理想最低年龄的指南，以及关于接受该手术患者的术后康复和限制达成一致意见。

材料与方法

开展了一项两轮基于网络的德尔菲共识研究。邀请了国际反肩关节置换领域的专家小组填写问卷。共识被视为60%或更高的一致意见。

结果

第一轮的10名参与者对所检查的大多数参数存在很大分歧。第二轮的四名受访者中有三名对所检查的大多数参数达成了一致意见。

结论

  1. 在第二轮受访者中，对于所检查的大多数领域，反肩关节置换术的最低年龄为65岁被认为是可以接受的。2. 反肩关节置换术中存在争议的管理领域已被突出，需要通过进一步的临床研究进行探索。

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