Subscapularis-sparing approaches in shoulder arthroplasty: A systematic review

被引：4
|
作者：
Lee, Sandra [1 ]
Sardar, Huda [1 ]
Horner, Nolan S. [1 ]
Al Mana, Latifah [1 ]
Miller, Bruce S. [2 ]
Khan, Moin [1 ]
Alolabi, Bashar [1 ]
机构：
[1] McMaster Univ, Dept Surg, Div Orthopaed Surg, Hamilton, ON, Canada
[2] Univ Michigan, MedSport, Ann Arbor, MI 48109 USA
来源：
JOURNAL OF ORTHOPAEDICS | 2021年 / 24卷
关键词：
Arthroplasty; Total shoulder arthroplasty; Shoulder replacement; Subscapularis-sparing; Rotator-cuff sparing; LESSER TUBEROSITY OSTEOTOMY; FOLLOW-UP; OSTEOARTHRITIS; COMPLICATIONS; REPLACEMENT; DISLOCATION; MANAGEMENT; ULTRASOUND; CROSSOVER; TENOTOMY;
D O I：
10.1016/j.jor.2021.02.034
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Background: Novel approaches for anatomic and reverse total shoulder arthroplasty (aTSA and rTSA) that spare the subscapularis (SSC) have recently been described. Outcomes for the SSC-sparing approach were evaluated through this systematic review. Methods: Medline, Embase, PubMed, and CENTRAL were searched. Results: From 2051 citations, 8 studies were included (aTSA group, n = 241; rTSA group, n = 68). SSC-sparing aTSA and rTSA were associated with significant postoperative improvements in shoulder function and range of motion at 12- to 24-month follow-up. Conclusion: The SSC-sparing approach may provide a safe alternative for up to two years post-surgery. Evidence for long-term use remains inconclusive.
引用
收藏
页码：165 / 172
页数：8
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