Outcomes of patients undergoing anatomical total shoulder arthroplasty with augmented glenoid components - a systematic review.

IF 4.6 2区物理与天体物理 Q1 ASTRONOMY & ASTROPHYSICS

Physical Review D Pub Date : 2024-10-01 Epub Date: 2023-08-07 DOI:10.1177/17585732231192991

Carlos Prada, Omar A Al-Mohrej, Salwa Siddiqui, Moin Khan

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引用次数: 0

Abstract

Background: Glenoid loosening is an issue in anatomic total shoulder arthroplasty (a-TSA). This has been attributed to abnormal glenoid anatomy, common among these patients. Different alternatives have been proposed to tackle glenoid bone loss and restore joint alignment with augmented glenoid implants being increasingly used to deal with this problem. This systematic review aims to evaluate the clinical and radiological outcomes of patients undergoing augmented glenoid a-TSAs. Our hypothesis was that augmented glenoid components will lead to good patient outcomes with a low incidence of complications and revision procedures.

Methods: MEDLINE, EMBASE, CENTRAL and CINHAL were searched from inception to February 2022 for information pertaining to outcomes of patients undergoing a-TSA with augmented glenoid implants.

Results: Eighteen studies reported on outcomes of 814 a-TSA (800 participants) with a mean follow-up of 3.7 years. Most studies (67%) were Type IV level of evidence. Almost 70% of participants underwent an a-TSA secondary to primary glenohumeral osteoarthritis. Most glenoids were type B2 (73%). Augmented glenoids material was mostly all-polyethylene (81%) with full wedge (45%) and stepped components (38%) designs being the most common. Most studies reported good clinical outcomes. 17 patients (4%) underwent a revision surgery.

Conclusions: Our review found that patients undergoing a-TSA with augmented glenoid components report good outcomes at short-to-mid-term follow-up. Further research is warranted to determine if such outcomes remain similar in long term.

Level of evidence: Level III, Systematic Review of Therapeutic Studies.

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使用增强型盂成形组件进行解剖型全肩关节置换术的患者疗效--系统综述。

背景：盂松动是解剖型全肩关节置换术（a-TSA）中的一个问题。这归因于这些患者常见的盂骨解剖异常。人们提出了不同的替代方案来解决盂骨缺失和恢复关节对齐的问题，其中增强型盂植入物越来越多地被用于解决这一问题。本系统性综述旨在评估接受增强型盂成形术的患者的临床和放射学效果。我们的假设是，增强型髋臼组件将为患者带来良好的治疗效果，并发症和翻修手术的发生率较低：方法：检索了MEDLINE、EMBASE、CENTRAL和CINHAL从开始到2022年2月有关使用增强型髋臼假体进行a-TSA的患者疗效的信息：18项研究报告了814例a-TSA（800名参与者）的结果，平均随访时间为3.7年。大多数研究（67%）的证据等级为 IV 类。近70%的参与者是继发于原发性盂肱关节骨关节炎而接受a-TSA的。大多数关节镜为B2型（73%）。增强型关节镜的材料大多为全聚乙烯（81%），最常见的设计是全楔形（45%）和阶梯形组件（38%）。大多数研究都报告了良好的临床效果。17名患者（4%）接受了翻修手术：我们的综述发现，使用增强型髋臼组件进行人工关节置换术的患者在中短期随访中都获得了良好的疗效。结论：我们的综述发现，接受髋臼置换术的患者在中短期随访中表现良好，但仍需进一步研究，以确定长期随访结果是否与之相似：证据等级：III级，治疗研究系统综述。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physical Review D ASTRONOMY & ASTROPHYSICSPHYSICS, PARTICLES-PHYSICS, PARTICLES & FIELDS

CiteScore

9.30

自引率

36.00%

发文量

3456

期刊介绍： Physical Review D (PRD) is a leading journal in elementary particle physics, field theory, gravitation, and cosmology and is one of the top-cited journals in high-energy physics. PRD covers experimental and theoretical results in all aspects of particle physics, field theory, gravitation and cosmology, including: Particle physics experiments, Electroweak interactions, Strong interactions, Lattice field theories, lattice QCD, Beyond the standard model physics, Phenomenological aspects of field theory, general methods, Gravity, cosmology, cosmic rays, Astrophysics and astroparticle physics, General relativity, Formal aspects of field theory, field theory in curved space, String theory, quantum gravity, gauge/gravity duality.