纽约州近端肱骨骨折治疗的变化趋势
Changing trends in the management of proximal humerus fractures in New York State.
作者信息
Sayegh Michael J, Nixon Ryan A, Perfetti Dean C, Rokito Steven E, Sgaglione Nicholas A
机构信息
Department of Orthopaedic Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY, USA.
出版信息
J Orthop. 2020 Mar 25;21:127-130. doi: 10.1016/j.jor.2020.03.001. eCollection 2020 Sep-Oct.
Abstract
PURPOSE
Reverse shoulder arthroplasty (RSA) as an alternative to hemiarthroplasty (HA) as treatment for proximal humerus fractures has prompted a re-evaluation of utilization trends.
METHODS
Operative treatment for proximal humeral fractures were analyzed using a New York State database.
RESULTS
After introduction as an ICD-9 code, RSA increased to 39.3% (m = +5.2%/year, r = 0.984). When stratifying by age ≥65, HA decreased to 7.7% (m = -2.8%/year, r = 0.962) while RSA increased to 50.6% (m = +6.4%/year, r = 0.985).
CONCLUSION
RSA overtook HA as the arthroplasty procedure of choice for proximal humerus fractures. In patients ≥65, RSA passed ORIF as the most prevalent procedure in 2017.
LEVEL OF EVIDENCE
III, Descriptive Epidemiology Study, Large Database Analysis.
摘要
目的
作为治疗肱骨近端骨折的一种选择，反肩关节置换术（RSA）促使人们重新评估其使用趋势，以替代半关节置换术（HA）。
方法
利用纽约州数据库分析肱骨近端骨折的手术治疗情况。
结果
作为国际疾病分类第九版（ICD - 9）代码引入后，RSA的使用率增至39.3%（年均增长率m = +5.2%，相关系数r = 0.984）。按年龄≥65岁分层时，HA的使用率降至7.7%（年均下降率m = -2.8%，r = 0.962），而RSA的使用率增至50.6%（年均增长率m = +6.4%，r = 0.985）。
结论
RSA已超过HA，成为肱骨近端骨折首选的关节置换手术方式。在65岁及以上患者中，RSA在2017年超过切开复位内固定术（ORIF），成为最常用的手术方式。
证据水平
III级，描述性流行病学研究，大型数据库分析。
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