Evolution of Reverse Shoulder Arthroplasty Design Rationales and Where We Are Now.

IF 2.6 2区 医学 Q1 ORTHOPEDICS Journal of the American Academy of Orthopaedic Surgeons Pub Date : 2024-08-16 DOI:10.5435/JAAOS-D-23-01265
Anup A Shah, Mihir Sheth, Michael McKee, Evan Lederman
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Abstract

Reverse shoulder arthroplasty (RSA) will soon reach its 20-year anniversary in the United States and has now become the most performed shoulder arthroplasty in the United States. The evolution from Grammont style implants to lateralized designs continues to generate debate as comparable outcomes have been reported with both types of systems. While early literature focused on fixation and expanded indications, recent studies have evaluated component design and position and their effect on functional outcomes and complications. The purpose of this article was to provide a synopsis of design rationales of current RSA prostheses and review outcomes related to RSA design and position.

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反向肩关节置换术设计原理的演变与现状。
反向肩关节置换术(RSA)在美国即将迎来 20 周年,目前已成为美国实施最多的肩关节置换术。从格拉蒙(Grammont)式植入物到侧向设计的演变仍在引发争论,因为两种系统的治疗效果不相上下。早期的文献侧重于固定和扩大适应症,而近期的研究则对组件设计和位置及其对功能结果和并发症的影响进行了评估。本文旨在概述目前RSA假体的设计原理,并回顾与RSA设计和位置相关的结果。
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
CiteScore
6.10
自引率
6.20%
发文量
529
审稿时长
4-8 weeks
期刊介绍: The Journal of the American Academy of Orthopaedic Surgeons was established in the fall of 1993 by the Academy in response to its membership’s demand for a clinical review journal. Two issues were published the first year, followed by six issues yearly from 1994 through 2004. In September 2005, JAAOS began publishing monthly issues. Each issue includes richly illustrated peer-reviewed articles focused on clinical diagnosis and management. Special features in each issue provide commentary on developments in pharmacotherapeutics, materials and techniques, and computer applications.
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