Service de Chirurgie Orthopédique, Hôpital Ambroise-Paré, Boulogne-Billancourt, France.
Clinique Drouot, Paris, France.
Am J Sports Med. 2018 Apr;46(5):1251-1257. doi: 10.1177/0363546517714449. Epub 2017 Jul 18.
One of the most frequent demands from patients after shoulder replacement surgery is to return to sport.
To determine the rate of return to sport after shoulder arthroplasty (total shoulder arthroplasty, reverse shoulder arthroplasty, hemiarthroplasty) in recreational athletes.
Meta-analysis and systematic review.
The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed to perform this systematic review and meta-analysis of the results in the literature as well as the presentation of results. A search of the literature was performed in the electronic databases MEDLINE, Scopus, Embase, and the Cochrane Library. The quality of the included studies was evaluated according to the MINORS (Methodological Index for Nonrandomized Studies) score. Inclusion criteria were studies in English evaluating return to sport after shoulder replacement surgery and on patients practicing a sport regularly, whatever the level, with all ages and sports included. The main criterion was the rate of patients who returned to a sport activity.
Nine studies were selected among the 35 identified, including a total of 613 patients (39% male and 61% female) with a mean age of 71.7 years (range, 22.6-92.6 years). All the included patients practiced sports before surgery. The most common reported sports were golf (n = 140), swimming (n = 128), and tennis (n = 54). The mean rate of return to sport was 80.7% (range, 57.1%-97.3%). All patients who returned to sport were practicing in the 3 months before surgery. No radiological data were reported in the literature. The subgroup analysis for resuming golf after shoulder arthroplasty revealed a rate of return to sport of 79.2% (95% CI, 62.9%-89.5%). In the swimming subgroup, the rate was 75.6% (95% CI, 61.3%-85.8%) and in the tennis subgroup was 63.5% (95% CI, 34.1%-85.5%). The subgroup analysis for reverse shoulder arthroplasty reported a lower rate of return to sport than for all types of shoulder arthroplasty combined: 76.5% (95% CI, 60%-87%) versus 80.7% (95% CI, 70.9%-87.8%), respectively.
Most patients returned to sport after surgery, and all who returned to sport were practicing their sport in the 3 months before surgery. No radiological data were reported in the literature.
肩部置换手术后患者最常提出的要求之一是恢复运动。
确定在娱乐运动员中进行肩关节置换（全肩关节置换、反肩关节置换、半肩关节置换）后重返运动的比率。
荟萃分析和系统回顾。
遵循 PRISMA（系统评价和荟萃分析的首选报告项目）指南，对文献中的结果以及结果的呈现进行了系统的文献回顾和荟萃分析。在电子数据库 MEDLINE、Scopus、Embase 和 Cochrane Library 中进行了文献检索。根据 MINORS（非随机研究方法学指数）评分评估纳入研究的质量。纳入标准为评估肩部置换手术后重返运动的英文研究，并评估定期进行运动的患者，无论运动水平如何，均纳入所有年龄和运动项目。主要标准是返回运动活动的患者比例。
在 35 项研究中选择了 9 项研究，共纳入 613 名患者（39%为男性，61%为女性），平均年龄为 71.7 岁（范围，22.6-92.6 岁）。所有纳入的患者在手术前都进行过运动。报告的最常见运动是高尔夫（n = 140）、游泳（n = 128）和网球（n = 54）。重返运动的平均比率为 80.7%（范围，57.1%-97.3%）。所有重返运动的患者均在手术前 3 个月内进行运动。文献中未报告影像学数据。肩部置换术后恢复高尔夫运动的亚组分析显示，运动恢复率为 79.2%（95%CI，62.9%-89.5%）。在游泳亚组中，比率为 75.6%（95%CI，61.3%-85.8%），在网球亚组中为 63.5%（95%CI，34.1%-85.5%）。反肩关节置换的亚组分析报告的运动恢复率低于所有类型的肩关节置换术的综合分析：76.5%（95%CI，60%-87%）与 80.7%（95%CI，70.9%-87.8%）。
大多数患者手术后恢复运动，所有恢复运动的患者均在手术前 3 个月内进行运动。文献中未报告影像学数据。
