Gregory T M, Boukebous B, Gregory J, Pierrart J, Masemjean E
Upper Limb and orthopaedic surgery department, Avicenne Teaching Hospital, Assistance Publique-Hôpitaux de Paris, University Paris 13, Paris, France.
Department of Mechanical Engineering, Imperial College, London, UK.
Open Orthop J. 2017 Sep 30;11:1133-1141. doi: 10.2174/1874325001711011133. eCollection 2017.
Total shoulder arthroplasty (TSA) is an effective approach for the treatment of a variety of clinical conditions affecting the shoulder, including osteoarthritis, inflammatory arthritis and osteonecrosis, and the number of TSA implanted has grown exponentially over the past decade. This review gives an update of the major complications, mainly infections, instability and loosening, encountered after TSA, based on a corpus of recent publications and a dynamic approach: The review focuses on the causes of glenoid loosening, which account for 80% of the complication, and underlines the importance of glenoid positioning in the recovery of early shouder function and in the long term survival rate of TSA.
全肩关节置换术(TSA)是治疗多种影响肩部的临床病症的有效方法,包括骨关节炎、炎性关节炎和骨坏死,在过去十年中,TSA植入数量呈指数级增长。基于最近的一系列出版物和动态方法,本综述对TSA术后出现的主要并发症(主要是感染、不稳定和松动)进行了更新:该综述重点关注占并发症80%的肩胛盂松动的原因,并强调肩胛盂定位在早期肩部功能恢复和TSA长期生存率中的重要性。