翻修肩关节置换术：患者报告的结局因翻修病因不同而有所差异。
Revision shoulder arthroplasty: Patient-reported outcomes vary according to the etiology of revision.
作者信息
Kim Kelvin, Elbuluk Ameer, Jia Nathan, Osmani Feroz, Levieddin Joseph, Zuckerman Joseph, Virk Mandeep
机构信息
Department of Orthopaedic Surgery, NYU Langone Medical Center, Langone Orthopedic Hospital, 301 E 17th St, New York, NY, 10003, United States.
出版信息
J Orthop. 2018 Aug 24;15(4):922-926. doi: 10.1016/j.jor.2018.08.030. eCollection 2018 Dec.
Abstract
BACKGROUND
The study evaluates patient-reported outcomes in revision shoulder arthroplasty (RevSA) according to etiology.
METHODS
Twenty-three consecutive RevSA (minimum 2-year follow-up) were retrospectively reviewed. Patient-reported outcome (PRO) scores and range of motion were compared by the type of revision procedure and indication.
RESULTS
EQ5D-QOL, VAS-pain, ASES, and forward elevation improved after RevSA. The infection group had least improvements. Revision to a reverse total shoulder arthroplasty (RTSA) demonstrated the most improvement in VAS-pain, forward elevation, and ASES.
CONCLUSIONS
Revision to RTSA significantly improved PRO scores compared to hemi- or total shoulder arthroplasty. RevSA for infection demonstrated the least improvement in outcomes.
摘要
背景
本研究根据病因评估翻修肩关节置换术（RevSA）患者报告的结局。
方法
回顾性分析连续23例RevSA患者（至少随访2年）。根据翻修手术类型和指征比较患者报告结局（PRO）评分及活动范围。
结果
RevSA术后EQ5D生活质量、视觉模拟评分法疼痛评分（VAS-疼痛）、美国肩肘外科医师协会（ASES）评分及前屈上举角度均有改善。感染组改善最少。翻修为反式全肩关节置换术（RTSA）的患者在VAS-疼痛、前屈上举角度及ASES评分方面改善最为明显。
结论
与半肩关节置换术或全肩关节置换术相比，翻修为RTSA显著改善了PRO评分。因感染而行RevSA的患者结局改善最少。
相似文献
1
Revision shoulder arthroplasty: Patient-reported outcomes vary according to the etiology of revision.翻修肩关节置换术：患者报告的结局因翻修病因不同而有所差异。
J Orthop. 2018 Aug 24;15(4):922-926. doi: 10.1016/j.jor.2018.08.030. eCollection 2018 Dec.
2
Previous Rotator Cuff Repair Is Associated With Inferior Clinical Outcomes After Reverse Total Shoulder Arthroplasty.既往肩袖修复与反式全肩关节置换术后较差的临床疗效相关。
Orthop J Sports Med. 2017 Oct 5;5(10):2325967117730311. doi: 10.1177/2325967117730311. eCollection 2017 Oct.
3
Clinical outcomes of reverse total shoulder arthroplasty in patients aged younger than 60 years.60 岁以下患者行反式全肩关节置换术的临床疗效。
J Shoulder Elbow Surg. 2014 Mar;23(3):395-400. doi: 10.1016/j.jse.2013.07.047. Epub 2013 Oct 12.
4
Outcomes of shoulder arthroplasty by year of index procedure: are we getting better?按索引手术年份评估肩关节置换术的结局：我们是否做得更好了？
J Shoulder Elbow Surg. 2022 Feb;31(2):245-251. doi: 10.1016/j.jse.2021.08.024. Epub 2021 Sep 27.
5
Comparative Clinical Outcomes of Reverse Total Shoulder Arthroplasty for Primary Cuff Tear Arthropathy Versus Severe Glenohumeral Osteoarthritis With Intact Rotator Cuff: A Matched-Cohort Analysis.肩袖撕裂性关节病与肩袖完整的严重肱骨头-关节盂骨关节炎行反式全肩关节置换术的临床疗效比较：一项匹配队列分析。
J Am Acad Orthop Surg. 2020 Dec 1;28(23):e1042-e1048. doi: 10.5435/JAAOS-D-19-00493.
6
Salvage reverse total shoulder arthroplasty for failed anatomic total shoulder arthroplasty: a cohort analysis.解剖型全肩关节置换失败后的挽救性反式全肩关节置换：一项队列分析。
J Shoulder Elbow Surg. 2020 Jul;29(7S):S134-S138. doi: 10.1016/j.jse.2020.04.013.
7
Early outcomes of staged bilateral reverse total shoulder arthroplasty: a case-control study.分期双侧反式全肩关节置换术的早期结果：一项病例对照研究。
Bone Joint J. 2013 Sep;95-B(9):1232-8. doi: 10.1302/0301-620X.95B9.31445.
8
Outcomes after shoulder replacement: comparison between reverse and anatomic total shoulder arthroplasty.肩关节置换术后的结果：反向与解剖型全肩关节置换术的比较。
J Shoulder Elbow Surg. 2015 Feb;24(2):179-85. doi: 10.1016/j.jse.2014.06.039. Epub 2014 Sep 9.
9
The effect of glenoid bone loss and rotator cuff status in failed anatomic shoulder arthroplasty after revision to reverse shoulder arthroplasty.在反式肩关节置换翻修后解剖型肩关节置换失败的原因中，肩盂骨丢失和肩袖状态的影响。
J Shoulder Elbow Surg. 2021 Apr;30(4):844-849. doi: 10.1016/j.jse.2020.07.024. Epub 2020 Aug 1.
10
Minimum 2-year clinical outcomes after superior capsule reconstruction compared with reverse total shoulder arthroplasty for the treatment of irreparable posterosuperior rotator cuff tears in patients younger than 70 years.与反式全肩关节置换术相比，对于 70 岁以下的不可修复性肩袖后上方撕裂患者，行上方囊重建术后的最低 2 年临床结果。
J Shoulder Elbow Surg. 2020 Dec;29(12):2514-2522. doi: 10.1016/j.jse.2020.04.002. Epub 2020 Jun 9.
引用本文的文献
1
Are high cutibacterium bacterial loads at the time of revision shoulder arthroplasty associated with more severe clinical signs or symptoms or increased risk of recurrent periprosthetic joint infection?在翻修肩关节置换术时，高痤疮丙酸杆菌载量是否与更严重的临床体征或症状相关，或与假体周围关节感染复发风险增加相关？
Int Orthop. 2025 Mar;49(3):705-711. doi: 10.1007/s00264-025-06442-2. Epub 2025 Feb 8.
2
Defining the tipping point for revision reverse shoulder arthroplasty.确定翻修反肩关节置换术的临界点。
Shoulder Elbow. 2024 Jul 23:17585732241263753. doi: 10.1177/17585732241263753.
3
Survivorship analysis of CAD-CAM total shoulder replacement.计算机辅助设计与制造（CAD-CAM）全肩关节置换术的生存分析
Shoulder Elbow. 2024 Jul;16(4):390-396. doi: 10.1177/17585732231193285. Epub 2023 Aug 7.
4
Reverse shoulder arthroplasty with an inverted-bearing prosthesis as revision procedure for failed anatomic and reverse shoulder arthroplasty: a long-term multicenter study.采用反向承重假体的反肩置换术作为解剖型和反肩置换失败后的翻修手术：一项长期多中心研究
JSES Int. 2024 May 28;8(5):1063-1068. doi: 10.1016/j.jseint.2024.05.006. eCollection 2024 Sep.
5
Comparison of clinical outcomes of revision reverse total shoulder arthroplasty for failed primary anatomic vs. reverse shoulder arthroplasty.初次解剖型全肩关节置换术失败后翻修反置式全肩关节置换术与初次反置式全肩关节置换术临床结果的比较。
JSES Int. 2022 Dec 16;7(2):257-263. doi: 10.1016/j.jseint.2022.11.003. eCollection 2023 Mar.
6
Three-Dimensional Printing in Orthopedics: from the Basics to Surgical Applications.骨科中的三维打印：从基础到手术应用
Curr Rev Musculoskelet Med. 2021 Feb;14(1):1-8. doi: 10.1007/s12178-020-09691-3.
7
Hemiarthroplasty and Total Shoulder Arthroplasty Conversion to Reverse Total Shoulder Arthroplasty.半关节成形术及全肩关节置换术转换为反式全肩关节置换术
Curr Rev Musculoskelet Med. 2020 Aug;13(4):501-508. doi: 10.1007/s12178-020-09649-5.
8
Conservative management of chronic prosthetic shoulder infection: 2 case reports with minimum 6-year follow-up.慢性人工肩关节感染的保守治疗：2例报告及至少6年随访
JSES Open Access. 2019 Jun 15;3(2):113-116. doi: 10.1016/j.jses.2019.03.005. eCollection 2019 Jul.
本文引用的文献
1
Determining the minimal clinically important difference for the American Shoulder and Elbow Surgeons score, Simple Shoulder Test, and visual analog scale (VAS) measuring pain after shoulder arthroplasty.确定美国肩肘外科医生评分、简易肩部测试以及用于测量肩关节置换术后疼痛的视觉模拟量表（VAS）的最小临床重要差异。
J Shoulder Elbow Surg. 2017 Jan;26(1):144-148. doi: 10.1016/j.jse.2016.06.007. Epub 2016 Aug 18.
2
Conversion to hemiarthroplasty as a salvage procedure for failed reverse shoulder arthroplasty.转为半关节成形术作为失败的反式肩关节置换术的挽救手术。
J Shoulder Elbow Surg. 2016 Nov;25(11):1795-1802. doi: 10.1016/j.jse.2016.03.011. Epub 2016 May 31.
3
Outcomes in the treatment of periprosthetic joint infection after shoulder arthroplasty: a systematic review.肩关节置换术后假体周围关节感染的治疗结果：一项系统评价
J Shoulder Elbow Surg. 2016 Aug;25(8):1337-45. doi: 10.1016/j.jse.2015.11.064. Epub 2016 Mar 21.
4
Revision for a failed reverse: a 12-year review of a lateralized implant.失败翻修术：对侧植入物的12年回顾
J Shoulder Elbow Surg. 2016 May;25(5):e115-24. doi: 10.1016/j.jse.2015.09.027. Epub 2015 Dec 15.
5
Early revision within 1 year after shoulder arthroplasty: patient factors and etiology.肩关节置换术后1年内的早期翻修：患者因素及病因
J Shoulder Elbow Surg. 2015 Dec;24(12):e323-30. doi: 10.1016/j.jse.2015.05.035. Epub 2015 Jul 7.
6
Failure after reverse total shoulder arthroplasty: what is the success of component revision?反式全肩关节置换术后失败：假体翻修的成功率如何？
J Shoulder Elbow Surg. 2015 Dec;24(12):1908-14. doi: 10.1016/j.jse.2015.05.029. Epub 2015 Jul 7.
7
Functional outcomes assessment in shoulder surgery.肩部手术中的功能结果评估
World J Orthop. 2014 Nov 18;5(5):623-33. doi: 10.5312/wjo.v5.i5.623.
8
Outcomes after shoulder replacement: comparison between reverse and anatomic total shoulder arthroplasty.肩关节置换术后的结果：反向与解剖型全肩关节置换术的比较。
J Shoulder Elbow Surg. 2015 Feb;24(2):179-85. doi: 10.1016/j.jse.2014.06.039. Epub 2014 Sep 9.
9
Reverse shoulder arthroplasty as salvage for failed prior arthroplasty in patients 65 years of age or younger.对于 65 岁或以下的患者，反式肩关节置换术可作为先前关节置换术失败的挽救性治疗。
J Shoulder Elbow Surg. 2014 Jul;23(7):1036-42. doi: 10.1016/j.jse.2014.02.019.
10
Revision surgery of reverse shoulder arthroplasty.反式肩关节置换翻修手术。
J Shoulder Elbow Surg. 2013 Oct;22(10):1359-70. doi: 10.1016/j.jse.2013.02.004. Epub 2013 May 22.
Zotero 插件