反式肩关节置换术后并发症的处理。
Management of complications after reverse shoulder arthroplasty.
机构信息
Department of Orthopaedic Surgery, University of Massachusetts Medical Center, Worcester, MA, USA.
Department of Orthopaedic Surgery, Boston University School of Medicine, Boston, MA, USA.
出版信息
Curr Rev Musculoskelet Med. 2015 Mar;8(1):92-97. doi: 10.1007/s12178-014-9252-9.
Reverse total shoulder arthroplasty (RTSA) has become the treatment of choice for patients with rotator cuff arthropathy. Complication rate after RTSA has been reported to be three to five times that of conventional total shoulder arthroplasty. Intraoperative and postoperative complications include neurological injury, infection, dislocation or instability, acromial or scapular spine fracture, hematoma, and scapular notching. Knowledge of optimal component placement along with preoperative planning and recognition of risk factors are essential in optimizing patient outcome. The purpose of this review article is to identify the most common and serious complications associated with the RTSA and discuss the current methods of management. Complications after RTSA pose a significant challenge for healthcare providers and economic burden to society. Therefore, it is essential to make the proper diagnosis and develop and implement early management plans to improve patient outcome and satisfaction.
反式全肩关节置换术（RTSA）已成为肩袖关节病患者的首选治疗方法。据报道，RTSA 的并发症发生率是传统全肩关节置换术的三到五倍。术中及术后并发症包括神经损伤、感染、脱位或不稳定、肩峰或肩胛脊柱骨折、血肿和肩胛切迹。了解最佳的组件放置位置，以及术前规划和识别风险因素，对于优化患者的治疗效果至关重要。本文综述的目的是确定与 RTSA 相关的最常见和最严重的并发症，并讨论当前的处理方法。RTSA 后的并发症对医疗保健提供者构成了重大挑战，也给社会带来了经济负担。因此，正确诊断并制定和实施早期管理计划对于改善患者的治疗效果和满意度至关重要。
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