肩关节置换术影像学：新进展
Shoulder Arthroplasty Imaging: What's New.
作者信息
Gregory T M, Gregory J, Nicolas E, Pierrart J, Masmejean E
机构信息
Upper Limb Surgery Unit, European Hospital Georges Pompidou, Assistance Publique-Hôpitaux de Paris, University Paris Descartes, Paris, France.
Department of Mechanical Engineering, Imperial College, London, UK.
出版信息
Open Orthop J. 2017 Sep 30;11:1126-1132. doi: 10.2174/1874325001711011126. eCollection 2017.
BACKGROUND
Shoulder arthroplasty, in its different forms (hemiarthroplasty, total shoulder arthroplasty and reverse total shoulder arthroplasty) has transformed the clinical outcomes of shoulder disorders. Improvement of general clinical outcome is the result of stronger adequacy of the treatment to the diagnosis, enhanced surgical techniques, specific implanted materials, and more accurate follow up. Imaging is an important tool in each step of these processes.
METHOD
This article is a review article declining recent imaging processes for shoulder arthroplasty.
RESULTS
Shoulder imaging is important for shoulder arthroplasty pre-operative planning but also for post-operative monitoring of the prosthesis and this article has a focus on the validity of plain radiographs for detecting radiolucent line and on new Computed Tomography scan method established to eliminate the prosthesis metallic artefacts that obscure the component fixation visualisation.
CONCLUSION
Number of shoulder arthroplasties implanted have grown up rapidly for the past decade, leading to an increase in the number of complications. In parallel, new imaging system have been established to monitor these complications, especially component loosening.
背景
肩关节置换术，以其不同形式（半关节置换术、全肩关节置换术和反式全肩关节置换术）改变了肩部疾病的临床治疗效果。总体临床治疗效果的改善得益于治疗与诊断的匹配度提高、手术技术的提升、特定植入材料的应用以及更精确的随访。影像学在这些过程的每一步中都是重要工具。
方法
本文是一篇综述文章，阐述了近期肩关节置换术的影像学进展。
结果
肩部影像学对于肩关节置换术前规划以及假体术后监测均很重要，本文重点关注X线平片检测透光线的有效性以及为消除影响假体固定可视化的金属伪影而建立的新型计算机断层扫描方法。
结论
在过去十年中，植入的肩关节置换术数量迅速增长，导致并发症数量增加。与此同时，已建立新的成像系统来监测这些并发症，尤其是假体松动。
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