Ferreira Neto Arnaldo Amado, Malavolta Eduardo Angeli, Assunção Jorge Henrique, Trindade Evelinda Marramon, Gracitelli Mauro Emilio Conforto
Universidade de São Paulo, Faculdade de Medicina, Instituto de Ortopedia e Traumatologia, São Paulo, SP, Brazil.
Secretaria da Saúde do Estado de São Paulo, Rede Paulista de Avaliação em Tecnologia de Saúde, São Paulo, SP, Brazil.
Rev Bras Ortop. 2017 May 4;52(3):298-302. doi: 10.1016/j.rboe.2017.04.007. eCollection 2017 May-Jun.
To evaluate the clinical and radiological results and the impact on quality of life of the reverse shoulder arthroplasty.
Retrospective case series evaluating 13 patients undergoing reverse shoulder arthroplasty with at least two years of clinical follow-up. Clinical evaluation was performed before and after surgery with the ASES and VAS scales and hand-mouth, hand-neck, and hand-head functional tests. Quality of life was measured with the SF-12 questionnaire. The rate of complications and radiographic postoperative findings were recorded.
The patients improved from 23.1 ± 15 to 82.7 ± 15 according to ASES scale ( < 0.001). The physical component of the SF-12 increased from 31.7 ± 6.9 to 47.1 ± 8.6 ( < 0.001), while the emotional increased from 48 ± 12.3 to 55.5 ± 7.5 ( = 0.061). The pain reduced from 7.9 to 1 according to the VAS ( = 0.002). The performance on the hand-mouth, hand-neck, and hand-head functional tests showed significant improvement ( = 0.039, < 0.001 and < 0.001, respectively). Complications occurred in 15% of patients and notching, in 31%.
Reverse shoulder arthroplasty led to a significant clinical improvement according to the ASES and VAS scales. The quality of life has improved according to the physical aspect of the SF-12, and showed a trend of improvement in the emotional aspect. The complication rate was 15%, and notching occurred in 31%.
评估反式肩关节置换术的临床和影像学结果以及对生活质量的影响。
回顾性病例系列研究，评估13例行反式肩关节置换术且临床随访至少两年的患者。术前和术后采用ASES和VAS量表以及手到口、手到颈和手到头部功能测试进行临床评估。使用SF-12问卷测量生活质量。记录并发症发生率和术后影像学表现。
根据ASES量表，患者评分从23.1±15提高到82.7±15（<0.001）。SF-12的身体成分从31.7±6.9增加到47.1±8.6（<0.001），而情感成分从48±12.3增加到55.5±7.5（=0.061）。根据VAS，疼痛从7.9降至1（=0.002）。手到口、手到颈和手到头部功能测试的表现有显著改善（分别为=0.039、<0.001和<0.001）。15%的患者发生并发症，31%出现骨槽征。
根据ASES和VAS量表，反式肩关节置换术带来了显著的临床改善。根据SF-12的身体方面，生活质量有所提高，情感方面呈现改善趋势。并发症发生率为15%，骨槽征发生率为31%。
