肩关节翻修术后并发症的处理。
Management of complications after revision shoulder arthroplasty.
机构信息
Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.
New England Baptist Hospital, Boston, MA, USA.
出版信息
Curr Rev Musculoskelet Med. 2015 Mar;8(1):98-106. doi: 10.1007/s12178-014-9249-4.
Abstract
Complications after revision shoulder arthroplasty are similar to those in the primary setting which include instability, fracture, bone loss, infection, nerve injury, and loosening. Unlike in the primary setting, however, the rate of complications for revisions is significantly greater and the management is more complex because of overlapping complications and limited treatment options. Furthermore, there is a paucity of evidence-based literature to direct the management options in these patients. The purposes of this review are to broadly outline the major complications that are seen in revision shoulder arthroplasty and to provide general principles on how to recognize and approach these complex cases.
摘要
翻修肩关节炎手术后的并发症与初次手术类似，包括不稳定、骨折、骨量丢失、感染、神经损伤和松动。然而，与初次手术不同，翻修手术的并发症发生率明显更高，且由于并发症重叠和治疗选择有限，其管理更加复杂。此外，针对这些患者的管理选择，缺乏循证医学文献。本文综述的目的是广泛概述翻修肩关节炎中常见的主要并发症，并提供有关如何识别和处理这些复杂病例的一般原则。
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