Tian Shengyuan, Xu Zihang, Wu Changbing, Wang Junhua, Wang Hong
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引用次数: 0
Abstract
Objective: This systematic review aimed to determine whether obesity has a negative impact on the incidence of complications and functional scores of all types of shoulder arthroplasty.
Methods: Electronic databases such as PubMed, Embase, Web of Science, and Cochrane were systematically searched for publications concerning obesity and shoulder arthroplasty. The Newcastle-Ottawa scale criteria were used to evaluate the study's quality. A total of 15 studies were identified involving total shoulder arthroplasty, reverse total shoulder arthroplasty, or hemiarthroplasty. The studies com- paring the outcome of shoulder arthroplasty in different weight groups were conducted after the search of related literature and grouped according to different weights and compared with each other. Counted data used odds ratio value and its 95% CI for data analysis, and measurement data used weighted mean difference and its 95% CI for statistical analysis.
Results: The remaining 12 articles met the inclusion criteria and were included in this review. Any infection was reported in 6 studies, including 197 013 patients. Infections were more likely to occur in obese patients, with an odds ratio of 3.38 (95% CI, 2.28-5.02). The operation time of overweight patients (body mass index >25 kg/m2) was significantly longer than that of normal-weight patients (odds ratio, 6.90; 95% CI, 3.79-10.00). The venous thromboembolism was more likely to occur in obese patients (odds ratio, 3.39; 95% CI, 3.6- 4.28). In addition, there was no significant difference in the dislocation rate and revision rate of prostheses among the groups. Patients who undergo shoulder arthroplasty could obtain a good American Shoulder and Elbow Surgeons score (Mean Difference [MD], 1.87; 95% CI, -2.08 to 5.82), regardless of their body mass index.
Conclusion: Obesity had a negative impact on the prognosis of patients treated with shoulder arthroplasty. Additionally, obese patients require longer surgical times than normal-weight patients, although all patients can attain positive functional outcomes.
目的：本系统综述旨在确定肥胖是否对所有类型的肩关节置换术的并发症发生率和功能评分产生负面影响。方法：系统检索PubMed、Embase、Web of Science和Cochrane等电子数据库中有关肥胖和肩关节置换术的出版物。纽卡斯尔-渥太华量表标准用于评估研究的质量。共有15项研究涉及全肩关节置换术、反向全肩关节成形术或半关节置换术。在检索相关文献后，对不同重量组的肩关节置换术结果进行了比较研究，并根据不同重量进行分组并相互比较。计数数据使用比值比值及其95%置信区间进行数据分析，测量数据使用加权平均差及其95%置信度进行统计分析。结果：其余12篇文章符合纳入标准，纳入本综述。6项研究报告了任何感染，包括197013名患者。肥胖患者更容易发生感染，比值比为3.38（95%CI，2.28-5.02）。超重患者（体重指数>25kg/m2）的手术时间明显长于正常体重患者（比值比，6.90；95%CI，3.79-10.00），两组假体的脱位率和翻修率差异无统计学意义。接受肩关节置换术的患者可以获得良好的美国肩肘外科医生评分（平均差[MD]，1.87；95%置信区间，-2.08至5.82），无论他们的体重指数如何。结论：肥胖对肩关节置换术后患者的预后有负面影响。此外，肥胖患者需要比正常体重患者更长的手术时间，尽管所有患者都能获得积极的功能结果。证据级别：三级，治疗性研究。
期刊介绍：
Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English.
The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication.
The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.
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