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肱骨头表面置换术后重返运动

Getting back in the game after humeral head resurfacing.

作者信息

Bülhoff Matthias, Sowa Boris, Bruckner Thomas, Raiss Patric, Zeifang Felix

机构信息

Clinic for Orthopedic and Trauma Surgery, University of Heidelberg, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany.

Institute of Medical Biometry and Informatics, University of Heidelberg, Im Neuenheimer Feld 305, 69120 Heidelberg, Germany.

出版信息

J Orthop. 2018 Jan 31;15(1):264-274. doi: 10.1016/j.jor.2018.01.055. eCollection 2018 Mar.

Abstract

BACKGROUND

Aim of this investigation was to analyze whether patients undergoing humeral head resurfacing (HHR) surgery are able to successfully return to their sports and occupation afterwards.

MATERIALS AND METHODS

Fifty patients treated with CUP (HHR) arthroplasty were included. Two groups were built: Patients who have participated in sports less than 5 years prior surgery (Group 1: n = 42 (84%)) and patients who have never participated in sports (Group 2: n = 8 (16%)). Evaluation was based on a questionnaire asking for types of sports, frequency, time to return to sports and work as well as limitations in work life.

RESULTS

Mean age at the time of surgery was 58.6 (36-84) years in Group 1 and 65 (56-75) years in Group 2. Mean time follow-up was 5.5 years (2.5-12) years. Twenty-seven (64%) patients in Group 1 participated in sports right before surgery. Twenty-one patients (50%) returned to sports after surgery. The returning rate was 78%. Seven (17%) patients in Group 1 stated that the reason they underwent shoulder replacement surgery was to continue to participate in sports. Swimming and skiing were two of the most favorable sports. Two (4%) patients had to change their profession due to surgery. Most of the patients were retired at follow-up.

CONCLUSION

Most of the active patients undergoing HHR surgery are successfully able to return to their sports activities after surgery. Patients employed were able to return to their occupation after surgery. Many patients were already retired at the time of follow up.

摘要

背景

本研究的目的是分析接受肱骨头表面置换(HHR)手术的患者术后是否能够成功恢复运动和工作。

材料与方法

纳入50例行CUP(HHR)关节成形术治疗的患者。分为两组:术前运动时间少于5年的患者(第1组:n = 42(84%))和从未参加过运动的患者(第2组:n = 8(16%))。评估基于一份问卷,询问运动类型、频率、恢复运动和工作的时间以及工作生活中的限制。

结果

第1组手术时的平均年龄为58.6(36 - 84)岁,第2组为65(56 - 75)岁。平均随访时间为5.5年(2.5 - 12年)。第1组中27例(64%)患者在手术前参加运动。21例(50%)患者术后恢复运动。恢复率为78%。第1组中有7例(17%)患者表示接受肩关节置换手术的原因是为了继续参加运动。游泳和滑雪是最受欢迎的两项运动。2例(4%)患者因手术不得不更换职业。随访时大多数患者已退休。

结论

大多数接受HHR手术的活跃患者术后能够成功恢复运动。在职患者术后能够恢复工作。随访时许多患者已经退休。

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Getting back in the game after humeral head resurfacing.肱骨头表面置换术后重返运动
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本文引用的文献

1
Activity levels after reverse shoulder arthroplasty.反肩关节置换术后的活动水平。
Arch Orthop Trauma Surg. 2016 Sep;136(9):1189-1193. doi: 10.1007/s00402-016-2494-9. Epub 2016 Jul 7.
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Sports- and Work-Related Outcomes After Shoulder Hemiarthroplasty.肩关节半关节置换术后与运动和工作相关的结果
Am J Sports Med. 2016 Feb;44(2):490-6. doi: 10.1177/0363546515613077. Epub 2015 Dec 9.
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Ceramic-on-ceramic total hip arthroplasty in patients younger than 55 years.
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Do patients return to work after total knee arthroplasty?患者在全膝关节置换术后会返回工作岗位吗?
Clin Orthop Relat Res. 2014 Jan;472(1):138-46. doi: 10.1007/s11999-013-3099-z.
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Surface replacement of the humeral head in the rheumatoid shoulder.类风湿性肩关节肱骨头表面置换术。
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