Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, USA.
Healthcare Research Institute, Hospital for Special Surgery, New York, NY, USA.
Knee Surg Sports Traumatol Arthrosc. 2018 Jan;26(1):100-112. doi: 10.1007/s00167-017-4547-1. Epub 2017 Apr 13.
With increasing incidence and indications for shoulder arthroplasty, there is an increasing emphasis on the ability to return to sports. The main goal of this study was to determine the rate of return to sport after shoulder arthroplasty.
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed to perform this systematic review and meta-analysis. A search was performed on MEDLINE, Scopus, EMBASE, and the Cochrane Library. The quality of the included studies was evaluated according to the Methodological Index for Nonrandomized Studies checklist. The main judgement outcome was the rate of return to sports activity after shoulder arthroplasty and the level of play upon return (identical or higher/lower level).
Thirteen studies were reviewed, including 944 patients (506 athletes), treated with shoulder arthroplasty at an average follow-up of 5.1 years (range, 0.5-12.6 years). The most common sports were swimming (n = 169), golf (n = 144), fitness sports (n = 71), and tennis (n = 63). The overall rate of return to sport was 85.1% (95% CI, 76.5-92.3%), including 72.3% (95% CI, 60.6-82.8%) returning to an equivalent or improved level of play, after 1-36 months. Patients undergoing anatomic total shoulder arthroplasty returned at a significantly higher rate (92.6%) compared to hemiarthroplasty (71.1%, p = 0.02) or reverse total shoulder arthroplasty (74.9%, p = 0.003).
Most patients are able to return to one or more sports following shoulder arthroplasty, with anatomic total shoulder arthroplasty having the highest rate of return.
IV.
随着肩关节置换术发病率和适应证的增加，人们越来越重视恢复运动的能力。本研究的主要目的是确定肩关节置换术后重返运动的比例。
本系统评价和荟萃分析遵循首选报告项目系统评价和荟萃分析指南进行。在 MEDLINE、Scopus、EMBASE 和 Cochrane 图书馆进行了搜索。根据非随机研究方法学指数检查表评估纳入研究的质量。主要判断结果是肩关节置换术后重返运动活动的比例以及返回时的运动水平（相同或更高/更低水平）。
共审查了 13 项研究，包括 944 例患者（506 例运动员），接受肩关节置换术治疗，平均随访 5.1 年（0.5-12.6 年）。最常见的运动是游泳（n=169）、高尔夫（n=144）、健身运动（n=71）和网球（n=63）。整体重返运动的比例为 85.1%（95%CI，76.5-92.3%），1-36 个月后，72.3%（95%CI，60.6-82.8%）的患者恢复到同等或更高的运动水平。行解剖型全肩关节置换术的患者的恢复比例明显高于半肩关节置换术（71.1%，p=0.02）或反式全肩关节置换术（74.9%，p=0.003）。
大多数患者在肩关节置换术后能够恢复一项或多项运动，其中解剖型全肩关节置换术的恢复比例最高。
IV。
