de Geofroy Bernard, Micicoi Grégoire, Olmos Manuel, Boileau Pascal, Bronsard Nicolas, Gonzalez Jean-François, Gauci Marc Olivier
Department of Orthopedic Surgery and Traumatology, Military Teaching Hospital, 34 Boulevard Laveran, 13384, Marseille, France.
Department of Orthopaedic Surgery and Sport Surgery, University Institute of Locomotion and Sport, University Hospital of Nice, 30 Av Voie Romaine, 06000 Cedex 1, Nice, CS, France.
Int Orthop. 2024 Feb;48(2):505-511. doi: 10.1007/s00264-023-06003-5. Epub 2023 Oct 18.
One-stage bilateral shoulder arthroplasty has the advantage of requiring a single hospital stay and a single anaesthesia. The topic has been little reported, unlike one stage bilateral hip and knee arthroplasty, which have demonstrated their interest. The aim of the present study was to determine peri- and early post-operative morbidity and mortality after this procedure. The study hypothesis was that peri- and early post-operative morbidity and mortality in one stage bilateral shoulder arthroplasty is low in selected patients and that satisfaction is high.
A single-centre retrospective study assessed peri- and early post-operative morbidity and mortality in one stage bilateral shoulder arthroplasty. Twenty-one patients, aged < 80 years, with ASA score ≤ 3, were consecutively operated on between 1999 and 2020. Indications comprised primary osteoarthritis, aseptic osteonecrosis, inflammatory arthritis, massive rotator cuff tear, and dislocation fracture, involving both shoulders.
There were no early deaths. The complication rate was 10% (4/21 cases). No prosthesis dislocation or sepsis was reported. Mean blood loss was 145 ± 40 cc, mean surgery time 164 ± 63 min, and mean hospital stay five ± four days. Only one patient required postoperative transfusion. Functional results at six months showed significantly improved range of motion and good patient satisfaction.
One-stage bilateral shoulder arthroplasty was feasible in selected patients. Mortality was zero, and morbidity was low. Surgery time was reasonable and required no repositioning. Postoperative home help is indispensable for patient satisfaction during rehabilitation.
一期双侧肩关节置换术具有只需一次住院和一次麻醉的优势。与一期双侧髋关节和膝关节置换术已显示出其优势不同，该主题的报道较少。本研究的目的是确定该手术后围手术期和早期的发病率及死亡率。研究假设是，在选定患者中，一期双侧肩关节置换术的围手术期和早期发病率及死亡率较低，且满意度较高。
一项单中心回顾性研究评估了一期双侧肩关节置换术的围手术期和早期发病率及死亡率。1999年至2020年期间，连续对21例年龄＜80岁、美国麻醉医师协会（ASA）评分≤3的患者进行了手术。适应症包括原发性骨关节炎、无菌性骨坏死、炎性关节炎、巨大肩袖撕裂和脱位骨折，累及双侧肩部。
无早期死亡病例。并发症发生率为10%（4/21例）。未报告假体脱位或感染。平均失血量为145±40毫升，平均手术时间为164±63分钟，平均住院时间为5±4天。只有1例患者术后需要输血。六个月时的功能结果显示活动范围明显改善，患者满意度良好。
一期双侧肩关节置换术在选定患者中是可行的。死亡率为零，发病率较低。手术时间合理，无需重新定位。术后家庭护理对于康复期间患者的满意度不可或缺。
