■本系统综述的目的是总结关节置换术治疗慢性盂肱脱位的临床结果和相关预后因素。
■使用Embase进行了系统的文献检索,PubMed,中部,BIOSIS,和CINAHL数据库从这些数据库的开始到2021年1月1日,以确定所有文章,检查了关节置换术的结果或预测慢性肱骨关节脱位患者的结果。研究检查了接受半髋关节置换术治疗的慢性肱骨关节脱位(≥3周)患者的结局,解剖全肩关节置换术,包括或反向全肩关节置换术。急性或亚急性脱位(<3周)骨折脱位,排除采用关节保留治疗方式的患者.
■我们确定了195篇文章;其中,22名(201名患者/205名肩膀)符合我们的纳入标准。共有14项研究报告了半髋关节置换术的结果,10项研究报告了解剖全肩关节置换术的结果,9项研究报告了反向全肩关节置换术的结局.所有研究均记录了关节成形术后的临床改善。在测量运动范围的16项研究中,所有16项研究均显示术后活动范围改善.在所有研究中进行了31次再次手术(15%)。
■我们发现,在长期随访中,关节成形术治疗慢性肩关节脱位的临床效果有所改善。一些证据表明,与半髋关节置换术和解剖全肩关节置换术相比,反向全肩关节置换术可能具有更好的预后和更少的并发症。关于脱位持续时间的潜在影响,位错的方向,增加伴随程序,或肱骨部分逆行对结果有影响。
UNASSIGNED: The aim of this systematic review was to summarize the clinical outcomes and associated predictors of outcomes for chronic
glenohumeral dislocations treated with arthroplasty.
UNASSIGNED: A systematic literature search was performed with Embase, PubMed, CENTRAL, BIOSIS, and CINAHL databases from the inception of these databases through January 1, 2021 to identify all articles that examined outcomes or predictors of outcomes of arthroplasty in patients with chronic
glenohumeral dislocations. Studies that examined outcomes for patients with a chronic
glenohumeral dislocation (≥3 weeks) treated with hemiarthroplasty, anatomic total shoulder arthroplasty, or reverse total shoulder arthroplasty were included. Those with acute or subacute dislocations (<3 weeks), fracture dislocations, and those treated with joint preserving treatment modalities were excluded.
UNASSIGNED: We identified 195 articles; of which, 22 (201 patients/205 shoulders) met our inclusion criteria. A total of 14 studies reported outcomes of hemiarthroplasty, 10 studies reported outcomes of anatomic total shoulder arthroplasty, and 9 studies reported outcomes of reverse total shoulder arthroplasty. All studies documented clinical improvement after arthroplasty. Among 16 studies that measured range of motion, all 16 studies demonstrated improvement in range of motion postoperatively. Thirty-one reoperations (15%) were performed across all studies.
UNASSIGNED: We found improved clinical outcomes after arthroplasty for the treatment of chronic
glenohumeral fewer dislocations at a long-term follow-up. Some evidence suggests that reverse total shoulder arthroplasty may have superior outcomes and less complications compared with hemiarthroplasty and anatomic total shoulder arthroplasty. There is insufficient evidence regarding the potential influence that duration of dislocation, direction of dislocation, addition of concomitant procedures, or humeral component retroversion have on outcomes.