Antoni M, Barthoulot M, Kempf J F, Clavert P
Hôpitaux Universitaires de Strasbourg, Centre de Chirurgie Orthopédique de la Main, Service de Chirurgie Orthopédique et de Traumatologie, 10, avenue Achille-Baumann, 67400 Illkirch-Graffenstaden, France.
Hôpitaux Universitaires de Strasbourg, Laboratoire de Biostatistiques, Service de Santé Publique, 67000 Strasbourg, France.
Orthop Traumatol Surg Res. 2016 May;102(3):297-303. doi: 10.1016/j.otsr.2016.01.009. Epub 2016 Mar 8.
The number of primary total shoulder arthroplasties has increased exponentially in recent years, with a corresponding increase in the number of revision procedures.
To assess clinical results and complications in a series of shoulder implant replacement, of whatever etiology.
Thirty-seven patients, with a mean age of 68.3±11.8 years at time of implant replacement, were included in a retrospective study. Mean interval between primary arthroplasty and revision was 78.4±59.7 months (range, 1-200 months). The main assessment criterion was changed in Constant score between preoperative value and follow-up. Secondary criteria were: onset of intra- and postoperative complications, and reoperation related to a complication.
Mean follow-up was 41.5±32.0 months (range, 12-105 months). Absolute Constant score increased by a mean 17.5±15.1 points (P<0.001) and weighted Constant score by 26.3±23.6 points (P<0.001). Intraoperative complications occurred in 24.3% of patients (9/37) and postoperative complications in 29.7% (11/37). Among the patients, 21.6% (8/37) required reoperation for postoperative complications. Overall, 54% of patients (20/37) suffered from intra- or postoperative complications.
Shoulder implant replacement improved function in the present series, but with a high rate of complications and reoperations.
IV, retrospective case-control study without control group.
近年来，初次全肩关节置换术的数量呈指数级增长，翻修手术的数量也相应增加。
评估一系列无论病因如何的肩关节植入物置换的临床结果和并发症。
一项回顾性研究纳入了37例患者，植入物置换时的平均年龄为68.3±11.8岁。初次置换术与翻修术之间的平均间隔时间为78.4±59.7个月（范围1 - 200个月）。主要评估标准是术前与随访时Constant评分的变化。次要标准包括：术中和术后并发症的发生情况，以及与并发症相关的再次手术。
平均随访时间为41.5±32.0个月（范围12 - 105个月）。绝对Constant评分平均增加17.5±15.1分（P<0.001），加权Constant评分增加26.3±23.6分（P<0.001）。24.3%的患者（9/37）发生术中并发症，29.7%（11/37）发生术后并发症。在这些患者中，21.6%（8/37）因术后并发症需要再次手术。总体而言，54%的患者（20/37）遭受了术中和术后并发症。
在本系列研究中，肩关节植入物置换改善了功能，但并发症和再次手术发生率较高。
IV级，无对照组的回顾性病例对照研究。
