PDF(Pubmed)
Abstract：
UNASSIGNED: Glenoid wear secondary to primary osteoarthritis or rotator cuff arthropathy is an obstacle commonly encountered by surgeons performing reverse shoulder arthroplasty, with numerous techniques devised to address this finding. The most recent of such techniques is the introduction of augmented glenoid baseplates to fill these glenoid defects. The objectives of this systematic review are to analyze clinical outcomes of augmented baseplates in patients with glenoid wear, including pain, range of motion, patient-reported functional scores, radiographic outcome measures, complication rates, and revision rates.
UNASSIGNED: Three online databases (Ovid Medline, EMBASE, Pubmed) were searched for studies publishing clinical and functional outcomes of augmented baseplates in primary reverse shoulder arthroplasty. Findings were aggregated and frequency-weighted means of these variables were calculated when applicable.
UNASSIGNED: Seven studies comprising 810 patients were included in this review. The mean patient age was 72.1 ± 8.1 years with an average follow-up time of 41.4 months. Frequency-weighted means of improvement in forward elevation, abduction, and active external rotation were 53°, 47°, and 19°, respectively. Patients experienced American Shoulder and Elbow Surgeons, Simple Shoulder Test, and Constant score improvements of 45.9, 5.9, and 33.7, respectively. Pooled complicated rate was 6.4%, with 10 cases of baseplate loosening and 3 cases of instability. Five (0.6%) patients required reoperation. Subdividing among augment type (posterior, superior, posterosuperior), there were no apparent differences in outcomes or complication rates between directional augments.
UNASSIGNED: This systematic review demonstrates that augmented baseplates for reverse shoulder arthroplasty provide positive outcomes both clinically and functionally at early follow-up. Complications are within an acceptable range for primary reverse shoulder arthroplasty, with a low rate of revision. Augmented baseplates should serve as a viable option for surgeons seeking to address glenoid wear during reverse shoulder arthroplasty.
UNASSIGNED: Three online databases (Ovid Medline, EMBASE, Pubmed) were searched for studies publishing clinical and functional outcomes of augmented baseplates in primary reverse shoulder arthroplasty. Findings were aggregated and frequency-weighted means of these variables were calculated when applicable.
UNASSIGNED: Seven studies comprising 810 patients were included in this review. The mean patient age was 72.1 ± 8.1 years with an average follow-up time of 41.4 months. Frequency-weighted means of improvement in forward elevation, abduction, and active external rotation were 53°, 47°, and 19°, respectively. Patients experienced American Shoulder and Elbow Surgeons, Simple Shoulder Test, and Constant score improvements of 45.9, 5.9, and 33.7, respectively. Pooled complicated rate was 6.4%, with 10 cases of baseplate loosening and 3 cases of instability. Five (0.6%) patients required reoperation. Subdividing among augment type (posterior, superior, posterosuperior), there were no apparent differences in outcomes or complication rates between directional augments.
UNASSIGNED: This systematic review demonstrates that augmented baseplates for reverse shoulder arthroplasty provide positive outcomes both clinically and functionally at early follow-up. Complications are within an acceptable range for primary reverse shoulder arthroplasty, with a low rate of revision. Augmented baseplates should serve as a viable option for surgeons seeking to address glenoid wear during reverse shoulder arthroplasty.
摘要：
■原发性骨关节炎或肩袖关节病继发的关节盂磨损是外科医生进行反向肩关节成形术时经常遇到的障碍，设计了许多技术来解决这一发现。这种技术中的最新技术是引入增强的关节盂基板来填充这些关节盂缺陷。本系统评价的目的是分析关节盂磨损患者增加基板的临床结果，包括疼痛,运动范围,患者报告的功能评分，射线照相结果测量，并发症发生率,和修订率。
■三个在线数据库(OvidMedline，EMBASE,搜索Pubmed）以获取发表原发性反向肩关节置换术中增强基板的临床和功能结果的研究。汇总结果，并在适用时计算这些变量的频率加权平均值。
■七项研究包括810名患者。患者平均年龄为72.1±8.1岁，平均随访时间为41.4个月。频率加权的前向高程改善手段，绑架,主动外旋转为53°，47°,19°,分别。患者经历过美国肩肘外科医师,简单的肩部测试,和恒定分数分别提高了45.9、5.9和33.7。合并复杂率为6.4%，其中底板松动10例,失稳3例。5例（0.6%）患者需要再次手术。在增强类型之间细分(后，上级,后上)，定向增强治疗在结局或并发症发生率方面无明显差异.
■本系统综述表明，在早期随访中，用于反向肩关节置换术的增强基板在临床和功能上都提供了积极的结果。原发性反向肩关节置换术的并发症在可接受范围内，修订率低。对于寻求在反向肩关节成形术中解决关节盂磨损的外科医生，增强基板应作为可行的选择。
■三个在线数据库(OvidMedline，EMBASE,搜索Pubmed）以获取发表原发性反向肩关节置换术中增强基板的临床和功能结果的研究。汇总结果，并在适用时计算这些变量的频率加权平均值。
■七项研究包括810名患者。患者平均年龄为72.1±8.1岁，平均随访时间为41.4个月。频率加权的前向高程改善手段，绑架,主动外旋转为53°，47°,19°,分别。患者经历过美国肩肘外科医师,简单的肩部测试,和恒定分数分别提高了45.9、5.9和33.7。合并复杂率为6.4%，其中底板松动10例,失稳3例。5例（0.6%）患者需要再次手术。在增强类型之间细分(后，上级,后上)，定向增强治疗在结局或并发症发生率方面无明显差异.
■本系统综述表明，在早期随访中，用于反向肩关节置换术的增强基板在临床和功能上都提供了积极的结果。原发性反向肩关节置换术的并发症在可接受范围内，修订率低。对于寻求在反向肩关节成形术中解决关节盂磨损的外科医生，增强基板应作为可行的选择。
