Leite Luiz Marcelo Bastos, Lins-Kusterer Liliane, Belangero Paulo Santoro, Patriota Gyoguevara, Ejnisman Benno
Universidade Federal de São Paulo - UNIFESP, Department of Orthopedics and Traumatology, Centro de Traumato-Ortopedia do Esporte - CETE, São Paulo, SP, Brazil.
Universidade Federal da Bahia - UFBA, Department of Preventive and Social Medicine, Salvador, BA, Brazil.
Acta Ortop Bras. 2019 Sep-Oct;27(5):269-272. doi: 10.1590/1413-785220192705222929.
To evaluate the health-related quality of life (HRQoL) of patients who have undergone reverse shoulder arthroplasty (RSA) for rotator cuff arthropathy (RCA).
A retrospective study with 35 patients who underwent RSA from August 2007 to July 2015. We collected clinical data and applied the 36-item Short Form Health Survey (SF-36).
Of the 35 patients, 29 (82.9%) were female, and mean age was 75.71 years, ranging from 50 to 89 years. The dominant side was frequently affected (68.6%), and most of the cases were Hamada type 3 (57.1%). The Mackenzie approach was used in 30 patients (85.7%). Physical and mental HRQoL was not associated with severity of RCA before RSA. Lower scores for Physical Functioning, Role Physical, Bodily Pain, and Physical Component Summary (PCS) were associated with other orthopedic comorbidities. Vitality, Role Emotional, Mental Health, and Mental Component Summary (MCS) were significantly higher in patients without depression. Orthopedic comorbidity and depression predicted lower PCS and longer follow-up time predicted better PCS scores. Depression was also a predictor of the MCS.
Patients who had undergone RSA for RCA had good HRQoL. Longer follow-up time was associated with better HRQoL. Good results were maintained over the follow-up period.
评估因肩袖关节病(RCA)接受反肩关节置换术(RSA)患者的健康相关生活质量(HRQoL)。
对2007年8月至2015年7月期间接受RSA的35例患者进行回顾性研究。我们收集了临床数据并应用了36项简短健康调查(SF-36)。
35例患者中,29例(82.9%)为女性,平均年龄75.71岁,年龄范围为50至89岁。优势侧经常受累(68.6%),大多数病例为滨田3型(57.1%)。30例患者(85.7%)采用麦肯齐入路。RSA术前,身体和心理HRQoL与RCA严重程度无关。身体功能、角色身体、身体疼痛和身体成分总结(PCS)得分较低与其他骨科合并症相关。无抑郁症患者的活力、角色情感、心理健康和心理成分总结(MCS)显著更高。骨科合并症和抑郁症预示着较低的PCS,较长的随访时间预示着更好的PCS得分。抑郁症也是MCS的一个预测因素。
因RCA接受RSA的患者具有良好的HRQoL。较长的随访时间与更好的HRQoL相关。在随访期间保持了良好的结果。