背景:对接受全肩关节置换术(TSA)的患者,系统比较无柄假体和有柄假体的短期至中期有效性,并为临床决策提供指导。
方法:PubMed,Cochrane图书馆,和WebofScience在2019年7月之前使用给定的搜索词进行搜索,以确定已发表的文章,这些文章评估了接受TSA的患者的无茎假体与有茎假体的临床结局。纳入研究的数据提取和质量评估由两名作者独立进行。采用Stata软件14.0对数据进行分析和综合。
结果:本荟萃分析包括两项随机对照试验和6项病例对照研究,共347个肩关节。这项荟萃分析的结果表明,在Constant评分方面,无茎假体和有茎假体之间没有显着差异,疼痛评分,力量,日常生活活动,术后活动范围(ROM),和术后最大活动ROM。
结论:这是首次荟萃分析报告无茎TSA在短期至中期随访期间的临床结果。两种类型的肩关节假体在获得满意的临床结果方面相似。
BACKGROUND: To systematically compare the short- to midterm effectiveness of
stemless prostheses to that of stemmed prostheses for patients who underwent total shoulder arthroplasty (TSA) and to provide a guideline for clinical decision-making.
METHODS: PubMed, the Cochrane Library, and Web of Science were searched with the given search terms until July 2019 to identify published articles evaluating the clinical outcomes for
stemless prostheses compared with stemmed prostheses for patients who underwent TSA. Data extraction and the quality assessment of the included studies were independently performed by two authors. Stata software 14.0 was used to analyze and synthesize the data.
RESULTS: Two randomized controlled trials and six case-controlled studies with a total of 347 shoulders were included in this meta-analysis. The results of this meta-analysis showed that there were no significant differences between the
stemless and stemmed prostheses in terms of the Constant score, pain score, strength, activities of daily living, postoperative range of motion (ROM), and postoperative maximum active ROM.
CONCLUSIONS: This is the first meta-analysis reporting the clinical results of
stemless TSA in the short- to midterm follow-up period. Both types of shoulder prostheses were similar in achieving satisfactory clinical outcomes.