一期翻修肩关节置换术后成功的预测因素：112 例患者平均 5 年随访结果。
Predictors of success following single-stage revision shoulder arthroplasty: results at a mean of five year follow-up in one hundred and twelve patients.
机构信息
Department of Orthopaedics and Sports Medicine, University of Washington Medical Center, 1959 NE Pacific Street, Box 356500, Seattle, WA, 98195-6500, USA.
Department of Orthopaedic Surgery, Mayo Clinic Health System, 200, 1st SW, MN, 55905, Rochester, USA.
出版信息
Int Orthop. 2023 Mar;47(3):831-838. doi: 10.1007/s00264-022-05653-1. Epub 2022 Dec 22.
PURPOSE
The objective was to determine factors associated with a successful outcome at a minimum of two years after revision of a failed shoulder arthroplasty.
METHODS
We conducted a retrospective study of revision shoulder arthroplasties performed over a ten year period and collected patient-reported outcome data and re-revision data. A successful outcome was defined by improvement greater than the minimal clinically important difference (MCID) for the Simple Shoulder Test (SST).
RESULTS
One hundred twelve patients with average follow-up of five years were included. Improvement of VAS pain scores (6.6 ± 2.3 to 2.9 ± 2.6) and SST scores (2.7 ± 2.6 to 6.6 ± 3.3) were significant (p < 0.001). Males were more likely to have a successful outcome than females (p = 0.01).
CONCLUSION
Two-thirds of patients experienced clinically significant improvement at a minimum of two years after revision shoulder arthroplasty. Male sex was the strongest independent predictor of a successful outcome.
目的
确定与失败肩关节置换翻修后至少两年取得成功结果相关的因素。
方法
我们进行了一项回顾性研究，纳入了十年间进行的肩关节翻修手术，并收集了患者报告的结果数据和再次翻修数据。成功结果的定义为 Simple Shoulder Test（SST）的改善大于最小临床重要差异（MCID）。
结果
纳入了 112 例平均随访 5 年的患者。VAS 疼痛评分（6.6 ± 2.3 至 2.9 ± 2.6）和 SST 评分（2.7 ± 2.6 至 6.6 ± 3.3）的改善具有统计学意义（p < 0.001）。男性比女性更有可能取得成功结果（p = 0.01）。
结论
肩关节翻修后至少两年，三分之二的患者经历了具有临床意义的改善。男性是成功结果的最强独立预测因素。
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