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Orthop Res Rev. 2024 Jul 26;16:205-220. doi: 10.2147/ORR.S312870. eCollection 2024.
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Anatomic total shoulder arthroplasty with inlay glenoid component: A systematic review.采用嵌体式关节盂组件的解剖型全肩关节置换术:一项系统评价
Shoulder Elbow. 2024 Apr;16(2):119-128. doi: 10.1177/17585732231154850. Epub 2023 Feb 6.
2
Analysis of three different reverse shoulder arthroplasty designs for cuff tear arthropathy - the combination of lateralization and distalization provides best mobility.分析三种不同的反式肩关节置换设计用于肩袖撕裂性关节炎 - 侧方化和远移化的结合可提供最佳的活动度。
BMC Musculoskelet Disord. 2024 Mar 7;25(1):204. doi: 10.1186/s12891-024-07312-5.
3
Pyrolytic Carbon Hemiarthroplasty for Proximal Interphalangeal Joint Arthritis, Long-Term Follow-Up.热解碳半关节成形术治疗近节指间关节炎,长期随访。
J Hand Surg Am. 2024 Feb;49(2):99-107. doi: 10.1016/j.jhsa.2023.11.007. Epub 2023 Dec 7.
4
Pyrolytic carbon head shoulder arthroplasty: CT scan glenoid bone modeling assessment and clinical results at 3-year follow-up.热解碳头肩关节置换术:3年随访时的CT扫描评估肩胛盂骨塑形及临床结果
JSES Int. 2023 Jul 27;7(6):2476-2485. doi: 10.1016/j.jseint.2023.06.028. eCollection 2023 Nov.
5
Pyrocarbon radial head arthroplasty offers satisfactory clinical and radiological outcomes with low revision rate: A systematic review.热解碳头径向假体置换术具有较低的翻修率,可获得满意的临床和影像学结果:一项系统评价。
Orthop Traumatol Surg Res. 2024 May;110(3):103750. doi: 10.1016/j.otsr.2023.103750. Epub 2023 Nov 8.
6
Volume, indications, and number of surgeons performing reverse total shoulder arthroplasty continue to expand: a nationwide cohort analysis from 2016-2020.进行反式全肩关节置换术的手术量、适应证及外科医生数量持续增加:一项2016 - 2020年的全国队列分析。
JSES Int. 2023 May 25;7(5):827-834. doi: 10.1016/j.jseint.2023.05.002. eCollection 2023 Sep.
7
Stemless anatomic total shoulder arthroplasty: surgical technique and review of the literature.无柄解剖型全肩关节置换术:手术技术及文献综述
JSES Rev Rep Tech. 2022 Aug 27;2(4):442-450. doi: 10.1016/j.xrrt.2022.08.001. eCollection 2022 Nov.
8
Artificial intelligence-based applications in shoulder surgery leaves much to be desired: a systematic review.基于人工智能的肩部手术应用仍有很大的改进空间:一项系统评价。
JSES Rev Rep Tech. 2023 Jan 7;3(2):189-200. doi: 10.1016/j.xrrt.2022.12.006. eCollection 2023 May.
9
Cemented or uncemented humerus fixation in shoulder arthroplasty? - A narrative review of the current literature.肩关节置换术中肱骨的骨水泥型或非骨水泥型固定?——当前文献的叙述性综述
J Orthop. 2023 Jun 15;41:84-89. doi: 10.1016/j.jor.2023.05.008. eCollection 2023 Jul.
10
Reverse shoulder arthroplasty: State-of-the-art.反向肩关节置换术:最新技术。
J ISAKOS. 2023 Oct;8(5):306-317. doi: 10.1016/j.jisako.2023.05.007. Epub 2023 Jun 8.

肩关节置换植入系统的设计与应用的最新进展及其对临床结果的影响:一项综述

Recent Advances in the Design and Application of Shoulder Arthroplasty Implant Systems and Their Impact on Clinical Outcomes: A Comprehensive Review.

作者信息

Twomey-Kozak John, Adu-Kwarteng Kwabena, Lunn Kiera, Briggs Damon Vernon, Hurley Eoghan, Anakwenze Oke A, Klifto Christopher S

机构信息

Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.

出版信息

Orthop Res Rev. 2024 Jul 26;16:205-220. doi: 10.2147/ORR.S312870. eCollection 2024.

DOI:10.2147/ORR.S312870
PMID:39081796
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11288362/
Abstract

PURPOSE OF REVIEW

This narrative review comprehensively aims to analyze recent advancements in shoulder arthroplasty, focusing on implant systems and their impact on patient outcomes. The purpose is to provide a nuanced understanding of the evolving landscape in shoulder arthroplasty, incorporating scientific, regulatory, and ethical dimensions.

RECENT FINDINGS

The review synthesizes recent literature on stemless implants, augmented glenoid components, inlay vs onlay configurations, convertible stems, and associated complications. Notable findings include improved patient-reported outcomes with stemless implants, variations in outcomes between inlay and onlay configurations, and the potential advantages of convertible stems. Additionally, the regulatory landscape, particularly the FDA's 510(k) pathway, is explored alongside ethical considerations, emphasizing the need for standardized international regulations.

SUMMARY

Recent innovations in shoulder arthroplasty showcase promising advancements, with stemless implants demonstrating improved patient outcomes. The review underscores the necessity for ongoing research to address unresolved aspects and highlights the importance of a standardized regulatory framework to ensure patient safety globally. The synthesis of recent findings contributes to a comprehensive understanding of the current state of shoulder arthroplasty, guiding future research and clinical practices.

摘要

综述目的

本叙述性综述全面旨在分析肩关节置换术的最新进展,重点关注植入系统及其对患者预后的影响。目的是从科学、监管和伦理层面,对肩关节置换术不断演变的格局提供细致入微的理解。

最新发现

该综述综合了关于无柄植入物、增强型关节盂组件、嵌体与覆盖式构型、可转换柄以及相关并发症的近期文献。显著发现包括无柄植入物改善了患者报告的预后、嵌体与覆盖式构型之间预后的差异以及可转换柄的潜在优势。此外,还探讨了监管格局,特别是美国食品药品监督管理局(FDA)的510(k)途径以及伦理考量,强调了标准化国际法规的必要性。

总结

肩关节置换术的近期创新展示了有前景的进展,无柄植入物显示出改善的患者预后。该综述强调了持续研究以解决未解决问题的必要性,并突出了标准化监管框架对确保全球患者安全的重要性。近期发现的综合有助于全面理解肩关节置换术的当前状态,指导未来的研究和临床实践。