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半限制性全肩关节置换术。

The semiconstrained total shoulder arthroplasty.

作者信息

Coughlin M J, Morris J M, West W F

出版信息

J Bone Joint Surg Am. 1979 Jun;61(4):574-81.

PMID:438245
Abstract

In a two-year follow-up on sixteen total shoulder arthroplasties done with the semiconstrained Stanmore prosthesis, we found that patients with rheumatoid arthritis or osteoarthritis of the glenohumeral joint noted a greater relief of pain, were more satisfied with their surgery, used fewer analgesics, and had a greater increase in range of motion than patients with traumatic arthritis. Patients with irreparable rotator-cuff injury demonstrated the poorest range of motion postoperatively. Younger patients gained significantly more motion than older patients. All patients continued to have difficulty with lifting heavy loads. Complications consisted of one patient with a chronically dislocating prosthesis, one patient with a deep wound infection, and one with a postoperative wound dehiscence. The average follow-up was 31.4 months, ranging from twenty-four to fifty-three months.

摘要

在对使用半限制性斯坦莫尔假体进行的16例全肩关节置换术进行的两年随访中,我们发现,与创伤性关节炎患者相比,患有类风湿性关节炎或盂肱关节骨关节炎的患者疼痛缓解更明显,对手术更满意,使用的镇痛药更少,活动范围增加更大。肩袖损伤无法修复的患者术后活动范围最差。年轻患者比老年患者获得的活动度明显更多。所有患者在提重物时仍有困难。并发症包括1例假体慢性脱位患者、1例深部伤口感染患者和1例术后伤口裂开患者。平均随访时间为31.4个月,范围从24个月到53个月。

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