PDF(Pubmed)
Abstract：
(1) Background: The aims of this study were to compare serial changes in outcome measures in the early postoperative period after rotator cuff repair (RCR), anatomical total shoulder replacement (ATSR), and reverse total shoulder replacement (RTSR). (2) Methods: In total, 143 patients who underwent RCR (n = 47), ATSR (n = 46), and RTSR (n = 50) were included. The visual analogue scale (VAS) for pain, the activity of daily living (ADL) score, and the American Shoulder and Elbow Surgeons (ASES) score were completed. (3) Results: At 3 months, the recovery rate for the VAS pain score was 43.7% in the RCR, 89.1% in the ATSR, and 78.4% in RTSR. The recovery rate for the ADL score was 36.3%, 69.5%, and 76.4%. The recovery rate for ASES score was 40.9%, 79.5%, and 77.4%. For all outcome measures, a lower recovery rate was observed in the RCR group than in the ATSR and RTSR groups. At 6 months after surgery, the recovery rate for the VAS pain score was 69.9%, 100%, and 90.3%. The recovery rate for the ADL score was 66.8%, 92.8%, and 91.5%. The recovery rate for the ASES score was 68.7%, 96.5%, and 90.9%. (4) Conclusion: Compared with ATSR and RTSR, a slower recovery rate was observed for RCR, measured to be approximately 40% at 3 months and 70% at 6 months after surgery. Rapid improvement in pain and shoulder function was achieved after ATSR and RTSR, with a recovery rate of over 70% at 3 months and over 90% at 6 months after surgery.
摘要：
（1）背景：本研究的目的是比较肩袖修复（RCR）术后早期结局指标的一系列变化，解剖全肩关节置换（ATSR），和反向全肩关节置换（RTSR）。(2)方法：总的来说，143例接受RCR的患者（n=47），ATSR(n=46),包括RTSR（n=50）。疼痛的视觉模拟评分（VAS），日常生活活动(ADL)评分，美国肩肘外科医师（ASES）成绩完成。（3）结果：在3个月时，RCR中VAS疼痛评分的恢复率为43.7%,ATSR中的89.1%，RTSR为78.4%。ADL评分的恢复率为36.3%,69.5%,和76.4%。ASES评分恢复率为40.9%,79.5%,和77.4%。对于所有结果指标，RCR组的恢复率低于ATSR和RTSR组.手术后6个月,VAS疼痛评分恢复率为69.9%,100%,90.3%。ADL评分的恢复率为66.8%,92.8%,91.5%。ASES评分的恢复率为68.7%,96.5%,90.9%。(4)结论:与ATSR和RTSR相比,RCR的回收率较慢，手术后3个月测量为约40%，6个月测量为70%。ATSR和RTSR后疼痛和肩关节功能迅速改善，术后3个月恢复率超过70%，术后6个月恢复率超过90%。
