Sobhi Salar, Bochat Kieran, Booth Grant, Mattin Andrew, Moniz Sheldon
Department of Orthopaedic Surgery, The Orthopaedic Research Foundation of Western Australia (ORFWA), Murdoch, WA 6150, Australia.
Department of Orthopaedic Surgery, Royal Perth Hospital, Perth, WA 6000, Australia.
J Clin Med. 2024 Aug 10;13(16):4701. doi: 10.3390/jcm13164701.
Shoulder arthrodesis is typically seen as a salvage procedure with limited functional objectives. In appropriately selected patients, it may effectively alleviate pain, provide stable motion, and offer patient function satisfaction. However, there have been few reports on the outcomes following shoulder arthrodesis. A multicenter, retrospective chart review of patients undergoing shoulder arthrodesis between 2001 and 2023 in Western Australia was conducted. Clinical records and imaging were then reviewed to determine patient demographics. A cross-sectional analysis of Visual Analogue (VAS), Oxford Shoulder (OSS), and American Shoulder and Elbow Surgeons Shoulder (ASES) Scores, satisfaction and complication rates was conducted. In total, 14 patients with a mean age of 39.5 years (range 22-52 years, 71% male) with a mean follow-up of 7.4 years (range 3 months-18 years) were identified. The most common indications for arthrodesis included osteoarthritis (8, 57%) and instability (6, 43%). Major contributory factors were recurrent seizures (5, 36%) and multiple surgeries (4, 29%). Radiographic union was observed in 13 (93%) patients. The mean VAS was 2.8 (range 0-7), mean OSS was 33.0 (range 23-42) and ASES score was 55.4 (range 37-82). In total, 11 patients (79%) reported being satisfied. Five (36%) patients returned to theatre for complications. : In this patient series, shoulder arthrodesis demonstrates a notable efficacy in pain reduction, high satisfaction, acceptable function, and complication rates.
肩关节融合术通常被视为一种功能目标有限的挽救性手术。在适当选择的患者中，它可以有效减轻疼痛，提供稳定的活动，并使患者对功能满意。然而，关于肩关节融合术后结果的报道很少。对2001年至2023年在西澳大利亚接受肩关节融合术的患者进行了一项多中心回顾性病历审查。然后审查临床记录和影像学资料以确定患者的人口统计学特征。对视觉模拟评分（VAS）、牛津肩关节评分（OSS）和美国肩肘外科医师协会肩关节评分（ASES）、满意度和并发症发生率进行了横断面分析。总共确定了14例患者，平均年龄39.5岁（范围22 - 52岁，71%为男性），平均随访7.4年（范围3个月至18年）。融合术最常见的适应证包括骨关节炎（8例，57%）和不稳定（6例，43%）。主要促成因素是癫痫反复发作（5例，36%）和多次手术（4例，29%）。13例（93%）患者观察到影像学骨愈合。平均VAS为2.8（范围0 - 7），平均OSS为33.0（范围23 - 42），ASES评分为55.4（范围37 - 82）。总共11例患者（79%）报告满意。5例（36%）患者因并发症返回手术室。在这个患者系列中，肩关节融合术在减轻疼痛、高满意度、可接受的功能和并发症发生率方面显示出显著疗效。
