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Posterior Approach Total Shoulder Arthroplasty: A Retrospective Analysis of Short-term Results.后路全肩关节置换术:短期结果的回顾性分析
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2
Subscapularis sparing total shoulder arthroplasty through a superolateral approach: a radiographic study.经超外侧入路行肩胛下肌保留型全肩关节置换术:一项放射学研究。
J Shoulder Elbow Surg. 2020 Apr;29(4):814-820. doi: 10.1016/j.jse.2019.08.009. Epub 2019 Oct 31.
3
Subscapularis tenotomy versus lesser tuberosity osteotomy during total shoulder arthroplasty for primary osteoarthritis: a prospective, randomized controlled trial.肩胛下肌肌腱切断术与小转子截骨术在原发性骨关节炎全肩关节置换术中的比较:一项前瞻性、随机对照试验。
J Shoulder Elbow Surg. 2019 Mar;28(3):407-414. doi: 10.1016/j.jse.2018.11.057.
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Subscapularis-Sparing Total Shoulder Arthroplasty: A Prospective, Double-Blinded, Randomized Clinical Trial.保留肩胛下肌的全肩关节置换术:一项前瞻性、双盲、随机临床试验。
Orthopedics. 2019 Jan 1;42(1):e61-e67. doi: 10.3928/01477447-20181109-02. Epub 2018 Nov 14.
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Revision anatomic shoulder arthroplasty with posterior capsular plication for correction of posterior instability.采用后方关节囊折叠术的翻修解剖型肩关节置换术治疗后方不稳。
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Instability after reverse total shoulder arthroplasty.反式全肩关节置换术后不稳定。
J Shoulder Elbow Surg. 2018 Nov;27(11):1946-1952. doi: 10.1016/j.jse.2018.04.015. Epub 2018 Jun 19.
7
Risk and risk factors for revision after primary reverse shoulder arthroplasty for cuff tear arthropathy and osteoarthritis: a Nordic Arthroplasty Register Association study.原发性反肩关节置换术后修复肩袖撕裂性关节炎和骨关节炎的风险和风险因素:北欧关节置换登记协会研究。
J Shoulder Elbow Surg. 2018 Sep;27(9):1596-1601. doi: 10.1016/j.jse.2018.02.060. Epub 2018 May 18.
8
Outcomes for subscapularis management techniques in shoulder arthroplasty: a systematic review.肩关节置换术中肩胛下肌管理技术的结局:系统评价。
J Shoulder Elbow Surg. 2018 Feb;27(2):363-370. doi: 10.1016/j.jse.2017.08.003. Epub 2017 Nov 28.
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Induced Bias Due to Crossover Within Randomized Controlled Trials in Surgical Oncology: A Meta-regression Analysis of Minimally Invasive versus Open Surgery for the Treatment of Gastrointestinal Cancer.随机对照试验中交叉引起的偏倚:微创手术与开放性手术治疗胃肠道癌的荟萃回归分析
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Glenohumeral Mismatch in Anatomic Total Shoulder Arthroplasty.解剖型全肩关节置换术中的盂肱不匹配
JBJS Rev. 2017 Sep;5(9):e1. doi: 10.2106/JBJS.RVW.17.00014.

肩关节置换术中保留肩胛下肌的手术方法:一项系统综述。

Subscapularis-sparing approaches in shoulder arthroplasty: A systematic review.

作者信息

Lee Sandra, Sardar Huda, Horner Nolan S, Al Mana Latifah, Miller Bruce S, Khan Moin, Alolabi Bashar

机构信息

Division of Orthopaedic Surgery, Department of Surgery, McMaster University; Hamilton, Ontario, Canada.

MedSport, University of Michigan, Ann Arbor, MI, USA.

出版信息

J Orthop. 2021 Feb 26;24:165-172. doi: 10.1016/j.jor.2021.02.034. eCollection 2021 Mar-Apr.

DOI:10.1016/j.jor.2021.02.034
PMID:33716422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7933598/
Abstract

BACKGROUND

Novel approaches for anatomic and reverse total shoulder arthroplasty (aTSA and rTSA) that spare the subscapularis (SSC) have recently been described. Outcomes for the SSC-sparing approach were evaluated through this systematic review.

METHODS

Medline, Embase, PubMed, and CENTRAL were searched.

RESULTS

From 2051 citations, 8 studies were included (aTSA group, n = 241; rTSA group, n = 68). SSC-sparing aTSA and rTSA were associated with significant postoperative improvements in shoulder function and range of motion at 12- to 24-month follow-up.

CONCLUSION

The SSC-sparing approach may provide a safe alternative for up to two years post-surgery. Evidence for long-term use remains inconclusive.

摘要

背景

最近有文献描述了保留肩胛下肌(SSC)的解剖型和反式全肩关节置换术(aTSA和rTSA)的新方法。通过本系统评价对保留SSC的方法的疗效进行评估。

方法

检索了Medline、Embase、PubMed和CENTRAL数据库。

结果

从2051篇文献中纳入了8项研究(aTSA组,n = 241;rTSA组,n = 68)。在12至24个月的随访中,保留SSC的aTSA和rTSA与术后肩关节功能和活动范围的显著改善相关。

结论

保留SSC的方法在术后两年内可能提供一种安全的替代方案。长期使用的证据仍不确凿。