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反肩关节置换术后的活动水平。

Activity levels after reverse shoulder arthroplasty.

作者信息

Bülhoff Matthias, Sowa Boris, Bruckner Thomas, Zeifang Felix, Raiss Patric

机构信息

Clinic for Orthopaedic and Trauma Surgery, University of Heidelberg, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany.

Instiute of Medical Biometry and Informatics, University of Heidelberg, Im Neuenheimer Feld 305, 69120, Heidelberg, Germany.

出版信息

Arch Orthop Trauma Surg. 2016 Sep;136(9):1189-1193. doi: 10.1007/s00402-016-2494-9. Epub 2016 Jul 7.

Abstract

BACKGROUND

Aim of this study was to analyze whether patients undergoing reverse shoulder arthroplasty (RSA) surgery are able to successfully return to sports and afterwards.

METHODS

Thirty-eight patients treated with RSA for Cuff Tear Arthropathy (CTA) were included. Two sub-groups were built: Patients who have participated in sports activities within the last 5 years prior surgery [Group A: n = 21 (55 %)] and patients who have never participated in sports [Group B: n = 17 (45 %)]. Evaluation was based on a questionnaire asking types of sports, frequency, and time to return to sports.

RESULTS

Mean age in Group A at the time of surgery was 76.2 (65-85) years and 78.4 (68-92) years in Group B. Most patients were women [n = 35 (92 %)]. Mean follow-up was 4.8 years (2.4-9.4) years. Fifteen (71 %) patients in Group A participated in sports at the time prior to surgery. Fourteen (67 %) patients returned to sports after surgery. The returning rate was 93 %. Six (29 %) patients of Group A stated that one reason they underwent shoulder replacement surgery was to continue to participate in sports. All active patients performed swimming at final follow up.

CONCLUSIONS

Most patients being active prior to reverse shoulder arthroplasty surgery are successfully able to return to their activity afterwards.

摘要

背景

本研究的目的是分析接受反肩关节置换术(RSA)的患者术后是否能够成功恢复运动。

方法

纳入38例因肩袖撕裂性关节病(CTA)接受RSA治疗的患者。分为两个亚组:术前5年内参加过体育活动的患者[组A:n = 21(55%)]和从未参加过体育活动的患者[组B:n = 17(45%)]。评估基于一份问卷,询问运动类型、频率和恢复运动的时间。

结果

组A手术时的平均年龄为76.2(65 - 85)岁,组B为78.4(68 - 92)岁。大多数患者为女性[n = 35(92%)]。平均随访时间为4.8(2.4 - 9.4)年。组A中有15名(71%)患者在术前参加体育活动。14名(67%)患者术后恢复运动。恢复率为93%。组A中有6名(29%)患者表示他们接受肩关节置换手术的一个原因是继续参加体育活动。所有活跃患者在末次随访时均进行游泳运动。

结论

大多数在反肩关节置换术前活跃的患者术后能够成功恢复其活动。

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