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全肩关节置换术中最小骨水泥固定肩胛盂部件的骨钉周围骨整合及透亮线的发生率

Bone Integration and Prevalence of Radiolucent Lines around the Pegs of Minimally Cemented Glenoid Components in Total Shoulder Arthroplasty.

作者信息

Schiefer Márcio, Siqueira Gláucio, Figueira Alan, Souza Patrícia Martins, Monteiro Martim Teixeira, Motta Filho Geraldo

机构信息

Departamento de Ortopedia, Faculdade de Medicina, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brasil.

Departamento de Ortopedia, Instituto Nacional de Ortopedia e Traumatologia (INTO), Rio de Janeiro, RJ, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2020 Sep 25;57(1):120-127. doi: 10.1055/s-0040-1715509. eCollection 2022 Feb.

Abstract

Glenoid component failure is the main cause of total shoulder arthroplasty (TSA) revision, and component design seems to influence the failure rate. The aim of the present study was to clinically and radiographically (through X-rays and computed tomography scan) evaluate the results of TSA using a minimally cemented glenoid component.  Total should arthroplasties performed using the minimally cemented Anchor Peg (DuPuy Synthes, Warsaw, IN, USA) glenoid component between 2008 and 2013 were evaluated. University of California at Los Angeles (UCLA) scores were calculated, and standardized plain film and computed tomography images were obtained, at a minimum follow-up of 24 months. The presence of bone between the fins of the central component peg, which indicates its integration, was assessed on the images, as well the presence of radiolucent lines around the glenoid component.  Nineteen shoulders in 17 patients were available for evaluation. According to the UCLA score, clinical results were satisfactory in 74% of cases and fair in 21% of cases. One patient had a poor result. Component integration was found in 58% of patients (total in 42% and partial in 16%). Radiolucent lines were observed in 52% of cases. No relationship was detected between component integration and clinical results.  Satisfactory clinical results were achieved in most patients undergoing TSA using a minimally cemented glenoid component. Radiolucent lines around the glenoid component are common, but do not interfere with the clinical results. IV; Case series; Treatment study.

摘要

盂肱关节组件失败是全肩关节置换术(TSA)翻修的主要原因,并且组件设计似乎会影响失败率。本研究的目的是通过临床和影像学方法(通过X线和计算机断层扫描)评估使用微创固定盂肱关节组件的TSA的结果。

对2008年至2013年间使用微创固定锚钉(美国印第安纳州华沙市的DePuy Synthes公司生产)盂肱关节组件进行的全肩关节置换术进行了评估。计算加利福尼亚大学洛杉矶分校(UCLA)评分,并获取标准化的平片和计算机断层扫描图像,最短随访时间为24个月。在图像上评估中央组件钉鳍片之间骨的存在情况,这表明其整合情况,以及盂肱关节组件周围透亮线的存在情况。

17例患者的19个肩关节可供评估。根据UCLA评分,74%的病例临床结果满意,21%的病例结果尚可。1例患者结果较差。58%的患者发现组件整合(完全整合占42%,部分整合占16%)。52%的病例观察到透亮线。未发现组件整合与临床结果之间存在关联。

大多数使用微创固定盂肱关节组件进行TSA的患者取得了满意的临床结果。盂肱关节组件周围的透亮线很常见,但不影响临床结果。IV;病例系列;治疗研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9471/8856858/354ecf1b147c/10-1055-s-0040-1715509-i2000036en-1.jpg

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