反肩置换与半肩置换临床疗效对比研究

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Abstract Objective To compare the curative effects of 2 operation methods of reverse shoulder arthroplasty and hemi-shoulder arthroplasty for shoulder joint dysfunction.Methods Data of patients who underwent reverse shoulder arthroplasty and hemi-shoulder arthroplasty from January 2014 to June 2018 in our hospital were collected and followed up respectively.Range of motion(ROM)，Visual Analogue score(VAS)，University of California at LosAngeles score(UCLA)，Adjusted Constant-Murley score(CMS) and American Shoulder and Elbow Surgeons (ASES) of the last follow-up were statistically analyzed.Results In this study，we found ROM of anteflexion，extorsion and abduction in reverse shoulder arthroplasty group were(130.56±3.09)degree，(38.44±2.70)degree and(131.78±2.54)degree respectively at last follow-up，results in hemi-shoulder arthroplasty group were anteflexion (104.12±7.66) degree，extorsion (27.06±3.93)degree and abduction (123.88±4.88)degree，anteflexion，extorsion and abduction were better in reverse shoulder arthroplasty group with P＜0.05.But intorsion degree was(41.67±3.39)degree in reverse shoulder arthroplasty group，with the degree of intorsion (48.76±3.29)degree in hemi-shoulder arthroplasty group，intorsion degree was relatively better in hemi-shoulder arthroplasty group with a significant P value below 0.05.The last follow-ups of UCLA，CMS and ASES in reverse shoulder arthroplasty group were (28.78±2.05)，(58.89±2.80) and (74.33±2.18) correspondingly，and UCLA (26.24±2.14)，CMS(56.12±2.47) and ASES (71.53±2.53) were detected in hemi-shoulder arthroplasty group，UCLA，CMSA and ASES were higher in reverse shoulder arthroplasty group through statistical analyses(P＜0.05).But VAS scores in reverse shoulder arthroplasty group and in hemi-shoulder arthroplasty group were (1.22±0.44) and (1.41±0.51)，which made VAS scores had no difference in comparison，with a pvalue above 0.05.Conclusion Reverse shoulder arthroplasty had relatively better postoperative shoulder function than hemi-shoulder arthroplasty method，it could enhance and improve the quality of patients` life，but this method should hold strict indications and treat it seriously.

Key words： reverse shoulder arthroplasty hemi-shoulder arthroplasty range of motion shoulder function score

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	Wang Lin 1
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	Tan Jie 2
	Wang Hao 1
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Cite this article:

Wang Lin 1,2,Tan Jie 2, et al. Comparative Research of the Clinic Efficacy of Reverse Shoulder Arthroplasty and Hemi-shoulder Arthroplasty for Shoulder Disease[J]. sygkzz, 2019, 25(1): 9-13.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2019/V25/I1/9

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