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年轻患者肩关节置换术后的结果:他们的情况如何以及我们预期这些结果能持续多久?

Outcomes After Shoulder Replacement Surgery in the Young Patient: How Do They Do and How Long Can We Expect Them to Last?

作者信息

Brolin Tyler J, Thakar Ocean V, Abboud Joseph A

机构信息

Department of Orthopaedic Surgery, Campbell Clinic, University of Tennessee Health Science Center, 1400 South Germantown Road, Germantown, TN 38138, USA.

Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University Hospital, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107, USA.

出版信息

Clin Sports Med. 2018 Oct;37(4):593-607. doi: 10.1016/j.csm.2018.05.008.

Abstract

Glenohumeral arthritis in the young, active patient remains a challenging problem shoulder surgeons face. Anatomic total shoulder arthroplasty has been proven to be a successful operation for patients with end-stage shoulder arthritis; however, concerns over long-term implant survival remain. These concerns are amplified in young patients and largely revolve around the placement of a glenoid component, which is seen as the "weak link" in shoulder arthroplasty. Here we discuss the reported outcomes and survivorship of the different shoulder arthroplasty options in young patients.

摘要

对于年轻、活跃的患者而言,盂肱关节关节炎仍是肩部外科医生面临的一个具有挑战性的问题。解剖型全肩关节置换术已被证明是终末期肩关节关节炎患者的一种成功手术;然而,对植入物长期存活的担忧依然存在。这些担忧在年轻患者中更为突出,并且主要围绕肩胛盂假体的放置,这被视为肩关节置换术中的“薄弱环节”。在此,我们讨论了年轻患者中不同肩关节置换术选择的报告结果及生存率。

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