Kim Du-Han, Kim Soon Gu, Cho Chul-Hyun
Department of Orthopedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, 1035, Dalgubeol-daero, Dalseo-gu, Daegu 42601, Republic of Korea.
Education Support Center, Keimyung University School of Medicine, 1035, Dalgubeol-daero, Dalseo-gu, Daegu 42601, Republic of Korea.
Diagnostics (Basel). 2024 Jul 16;14(14):1532. doi: 10.3390/diagnostics14141532.
(1) Background: The aims of this study were to compare serial changes in outcome measures in the early postoperative period after rotator cuff repair (RCR), anatomical total shoulder replacement (ATSR), and reverse total shoulder replacement (RTSR). (2) Methods: In total, 143 patients who underwent RCR ( = 47), ATSR ( = 46), and RTSR ( = 50) were included. The visual analogue scale (VAS) for pain, the activity of daily living (ADL) score, and the American Shoulder and Elbow Surgeons (ASES) score were completed. (3) Results: At 3 months, the recovery rate for the VAS pain score was 43.7% in the RCR, 89.1% in the ATSR, and 78.4% in RTSR. The recovery rate for the ADL score was 36.3%, 69.5%, and 76.4%. The recovery rate for ASES score was 40.9%, 79.5%, and 77.4%. For all outcome measures, a lower recovery rate was observed in the RCR group than in the ATSR and RTSR groups. At 6 months after surgery, the recovery rate for the VAS pain score was 69.9%, 100%, and 90.3%. The recovery rate for the ADL score was 66.8%, 92.8%, and 91.5%. The recovery rate for the ASES score was 68.7%, 96.5%, and 90.9%. (4) Conclusion: Compared with ATSR and RTSR, a slower recovery rate was observed for RCR, measured to be approximately 40% at 3 months and 70% at 6 months after surgery. Rapid improvement in pain and shoulder function was achieved after ATSR and RTSR, with a recovery rate of over 70% at 3 months and over 90% at 6 months after surgery.
(1) 背景：本研究的目的是比较肩袖修复术（RCR）、解剖型全肩关节置换术（ATSR）和反置全肩关节置换术（RTSR）术后早期结果指标的系列变化。(2) 方法：总共纳入了143例行RCR（n = 47）、ATSR（n = 46）和RTSR（n = 50）的患者。完成了疼痛视觉模拟量表（VAS）、日常生活活动（ADL）评分以及美国肩肘外科医师（ASES）评分。(3) 结果：3个月时，RCR组VAS疼痛评分的恢复率为43.7%，ATSR组为89.1%，RTSR组为78.4%。ADL评分的恢复率分别为36.3%、69.5%和76.4%。ASES评分的恢复率分别为40.9%、79.5%和77.4%。对于所有结果指标，RCR组的恢复率均低于ATSR组和RTSR组。术后6个月时，VAS疼痛评分的恢复率分别为69.9%、100%和90.3%。ADL评分的恢复率分别为66.8%、92.8%和91.5%。ASES评分的恢复率分别为68.7%、96.5%和90.9%。(4) 结论：与ATSR和RTSR相比，RCR的恢复速度较慢，术后3个月约为40%，术后6个月约为70%。ATSR和RTSR术后疼痛和肩部功能迅速改善，术后3个月恢复率超过70%，术后6个月超过90%。
