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.
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。
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