Pasache Lozano Rocio D P, Valencia Ramón Edwin A, Johnston David G, Trenholm J A I
Upper Limb Surgery, Hospital Ángeles Querétaro, Santiago de Querétaro, Mexico.
Foot & Ankle Reconstruction Surgery, Hospital Ángeles Querétaro, Santiago de Querétaro, Mexico.
Bone Jt Open. 2023 Aug 3;4(8):567-572. doi: 10.1302/2633-1462.48.BJO-2023-0047.
The aim of this study is to evaluate the change in incidence rate of shoulder arthroplasty, indications, and surgeon volume trends associated with these procedures between January 2003 and April 2021 in the province of Nova Scotia, Canada.
A total of 1,545 patients between 2005 and 2021 were analyzed. Patients operated on between 2003 and 2004 were excluded due to a lack of electronic records. Overall, 84.1% of the surgeries (n = 1,299) were performed by two fellowship-trained upper limb surgeons, with the remainder performed by one of the 14 orthopaedic surgeons working in the province.
Total shoulder arthroplasty (TSA) was the most frequent procedure (32.17%; n = 497), followed by stemmed hemiarthroplasty (SHA) (27.7%; n = 428). The most frequent indication for primary shoulder arthroplasty was degenerative osteoarthritis (58.1%; n = 882), followed by acute proximal humerus fracture in 15.11% (n = 245), and rotator cuff arthropathy in 14.18% (n = 220). The overall rate of revision was 7.7% (2.8% to 11.2%). The number of TSAs and reverse shoulder arthroplasties (RSAs) has been increasing since 2016. The amount of revision cases is proportional to the number of operations performed in the same year throughout the study period.
The incidence of shoulder arthroplasty in the Maritime Provinces has increased over the last 16 years. Revision rates are similar the those found in other large database registries. Reverse shoulder arthroplasty prevalence has increased since 2016.
本研究旨在评估2003年1月至2021年4月期间，加拿大新斯科舍省肩关节置换术的发病率变化、手术指征以及与这些手术相关的外科医生手术量趋势。
对2005年至2021年间的1545例患者进行了分析。由于缺乏电子记录，2003年至2004年接受手术的患者被排除在外。总体而言，84.1%的手术（n = 1299）由两名接受过专科培训的上肢外科医生进行，其余手术由该省工作的14名骨科医生中的一名进行。
全肩关节置换术（TSA）是最常见的手术（32.17%；n = 497），其次是带柄半肩关节置换术（SHA）（27.7%；n = 428）。初次肩关节置换术最常见的指征是退行性骨关节炎（58.1%；n = 882），其次是急性肱骨近端骨折，占15.11%（n = 245），肩袖关节病占14.18%（n = 220）。总体翻修率为7.7%（2.8%至11.2%）。自2016年以来，TSA和反式肩关节置换术（RSA）的数量一直在增加。在整个研究期间，翻修病例数与同年进行的手术数量成正比。
在过去16年中，海洋省份肩关节置换术的发病率有所增加。翻修率与其他大型数据库登记处的翻修率相似。自2016年以来，反式肩关节置换术的患病率有所增加。
