Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA.
Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA.
Orthop Traumatol Surg Res. 2020 Jun;106(4):661-665. doi: 10.1016/j.otsr.2020.02.005. Epub 2020 Apr 4.
This study compares outcomes of reverse total shoulder arthroplasty (RTSA) in patients with prior rotator cuff repair to matched control patients without prior surgery.
All primary RTSAs with prior surgery were retrospectively identified from a prospective research database between 2000 and 2014. RTSA patients with prior open or arthroscopic rotator cuff repair and minimum 2-year follow-up, with age- and sex-matched controls, were identified. Active range of motion (ROM) and functional outcomes were evaluated. Preoperative, postoperative, and improvement in outcomes were compared between groups.
One hundred fifty RTSA patients were included, with 75 patients in each group (42 female, 33 male). Mean age of the RTSA group with prior rotator cuff repair was 69.6years (average follow-up: 3.8years) compared to the RTSA group without prior surgery (control) aged 70.0years (average follow-up: 3.3years). Preoperatively and postoperatively, RTSA patients with prior cuff repair had slightly worse overhead ROM and outcome scores compared to controls but none were statistically different. The RTSA and control groups had similar and significant improvements in all postoperative ROM and outcome scores. Complications were similar between groups.
RTSA patients with prior rotator cuff repair had similar ROM, functional outcome scores, and complications compared to a matched control group without prior surgery.
III, treatment study.
本研究比较了有肩袖修复史的反式全肩关节置换术（RTSA）与无手术史的匹配对照组患者的结果。
从 2000 年至 2014 年的前瞻性研究数据库中回顾性确定所有有手术史的原发性 RTSA。确定有开放或关节镜下肩袖修复史且随访时间至少 2 年、年龄和性别匹配的 RTSA 患者。评估主动活动范围（ROM）和功能结果。比较两组患者的术前、术后和结果改善情况。
共纳入 150 例 RTSA 患者，每组 75 例（女性 42 例，男性 33 例）。有肩袖修复史的 RTSA 组的平均年龄为 69.6 岁（平均随访时间：3.8 年），而无手术史的 RTSA 组（对照组）的年龄为 70.0 岁（平均随访时间：3.3 年）。与对照组相比，有肩袖修复史的 RTSA 患者术前和术后的过顶 ROM 和结果评分略差，但无统计学差异。RTSA 组和对照组在所有术后 ROM 和结果评分上均有相似且显著的改善。两组的并发症相似。
与无手术史的匹配对照组相比，有肩袖修复史的 RTSA 患者的 ROM、功能结果评分和并发症相似。
III，治疗研究。
