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肩袖修复术中的骨质疏松:一项叙述性综述。

Osteoporosis in the setting of rotator cuff repair: A narrative review.

作者信息

Daher Mohammad, Zalaquett Ziad, Fares Mohamad Y, Boufadel Peter, Khanna Akshay, Abboud Joseph A

机构信息

Rothman Institute/Thomas Jefferson Medical Center, Philadelphia, PA, USA.

Orthopedic Department, Hôtel Dieu de France, Beirut, Lebanon.

出版信息

Shoulder Elbow. 2024 Oct;16(6):587-594. doi: 10.1177/17585732231207338. Epub 2023 Oct 17.

Abstract

Osteoporosis and osteopenia are frequently found in patients undergoing shoulder surgery, especially rotator cuff repair, and it is anticipated that this link will become more common as more elderly people have operations on their shoulders. For orthopedic surgical candidates who are at high risk, preoperative screening may identify those who might benefit from early intervention and prevent any associated adverse events. The major complications include repair failure and revision surgery. Antiresorptive medication preoperatively has shown good results . However, when used in the clinical setting, the efficacy remains controversial. Surgical management may include repair augmentation and placing the anchors in the posteromedial part of the greater tuberosity. IV.

摘要

骨质疏松症和骨质减少在接受肩部手术的患者中经常出现,尤其是肩袖修复手术,并且预计随着越来越多的老年人进行肩部手术,这种关联将变得更加普遍。对于高风险的骨科手术候选人,术前筛查可能会识别出那些可能从早期干预中获益的人,并预防任何相关的不良事件。主要并发症包括修复失败和翻修手术。术前使用抗吸收药物已显示出良好效果。然而,在临床应用中,其疗效仍存在争议。手术管理可能包括加强修复以及将锚钉置于大结节的后内侧部分。四、

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