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Increased revision rates in shoulder arthroplasty following shoulder arthroscopy. 肩关节镜手术后肩关节置换术的翻修率增加。
IF 1.5 Q4 Psychology Pub Date : 2024-10-01 Epub Date: 2023-05-17 DOI: 10.1177/17585732231176269
Sribava Sharma, Peter Z Berger, Safa C Fassihi, Alex Gu, Monica Stadecker, Omar H Tarawneh, Joshua C Campbell, Matthew J Best, Ed G McFarland, Uma Srikumaran

Introduction: Total shoulder arthroplasty (TSA) and reverse TSA (rTSA) are successful treatments for end-stage shoulder arthritis. However, it is unknown whether prior arthroscopy is associated with an increased risk for revision surgery. This study investigates if undergoing a shoulder arthroscopy in the year prior to primary arthroplasty increases risk of revision surgery within 2 years.

Methods: Patients who underwent TSA or rTSA between 2005 and 2017 were identified in a natinal claims database and stratified into two cohorts: (1) individuals with a history of shoulder arthroscopy prior to arthroplasty and (2) individuals with no documented history of arthroscopy prior to arthroplasty. These cohorts were propensity matched based on demographic and comorbidity factors. Univariate analysis was used to determine differences in revision rates, aseptic loosening, periprosthetic fracture, and infection between the two cohorts.

Results: Seven hundred and eighty-eight patients were successfully matched from the two cohorts. Revision surgery (3.4% vs. 1.4%, p  =  0.001) and aseptic loosening (2.2% vs. 0.8% p  =  0.021) were significantly more common in the arthroscopy cohort. Periprosthetic fracture and periprosthetic infection were not found to be significantly different between cohorts.

Discussion: Shoulder arthroscopy in the year prior to shoulder arthroplasty is associated with an increased risk of complications, including revision and aseptic loosening.

导言:全肩关节置换术(TSA)和反向全肩关节置换术(rTSA)是治疗终末期肩关节炎的成功疗法。然而,目前尚不清楚接受过关节镜手术是否会增加翻修手术的风险。本研究探讨了在初次关节置换术前一年接受肩关节镜检查是否会增加两年内翻修手术的风险:从国家索赔数据库中识别出2005年至2017年间接受过TSA或rTSA的患者,并将其分为两个队列:(1)关节置换术前有肩关节镜检查史的患者;(2)关节置换术前无关节镜检查史记录的患者。这些组群根据人口统计学和合并症因素进行了倾向匹配。采用单变量分析确定两组患者在翻修率、无菌性松动、假体周围骨折和感染方面的差异:结果:两组共有 78 名患者成功配对。在关节镜组中,翻修手术(3.4% 对 1.4%,P = 0.001)和无菌性松动(2.2% 对 0.8%,P = 0.021)明显更常见。假体周围骨折和假体周围感染在不同组别中无明显差异:讨论:肩关节置换术前一年进行肩关节镜检查会增加并发症风险,包括翻修和无菌性松动。
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引用次数: 0
Impact of Emotional Immaturity on Mental Wellbeing and Physiological Symptomology in Emerging Adults: Mediating Role of Distress Tolerance 情感不成熟对成年期心理健康和生理症状的影响:压力耐受性的中介作用
Q4 Psychology Pub Date : 2024-03-29 DOI: 10.33824/pjpr.2024.39.1.10
Soulat Khan, Javeria Azmat, Tayyab Ali Butt, Sadaf Ahsan
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引用次数: 0
Paranoid Tendencies Scale: Development and Establishment of Psychometric Properties in Young Adults 偏执倾向量表:青少年心理测量学特性的开发与确立
Q4 Psychology Pub Date : 2024-03-29 DOI: 10.33824/pjpr.2024.39.1.01
Fatima Aslam, Sadia Saleem, S. Zahra
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引用次数: 0
Relationship Between Acculturation Difficulty, Coping Skills, and Psychological Wellbeing Among Young Adults 年轻成年人的文化适应困难、应对技能与心理健康之间的关系
Q4 Psychology Pub Date : 2024-03-29 DOI: 10.33824/pjpr.2024.39.1.06
mishal fatima, Laraib Niazi
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引用次数: 0
Factors influencing female sex workers to engage in risky sexual behaviour with clients 影响女性性工作者与嫖客发生危险性行为的因素
Q4 Psychology Pub Date : 2024-03-29 DOI: 10.33824/pjpr.2024.39.1.07
Molefi Motsoeneng
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引用次数: 0
Self-Compassion and Psychological Wellbeing Among Patients With Hepatitis-C: Social Support as Moderator 自我同情与丙型肝炎患者的心理健康:社会支持是调节因素
Q4 Psychology Pub Date : 2024-03-29 DOI: 10.33824/pjpr.2024.39.1.11
Arooj Fatima, T. Rehna
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Q4 Psychology Pub Date : 2024-03-29 DOI: 10.33824/pjpr.2024.39.1.03
Zahra Batool, Rabia Khadim
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Q4 Psychology Pub Date : 2024-03-29 DOI: 10.33824/pjpr.2024.39.1.04
Mehak Batool, Bushra Akram, Hoor Ul Ain
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引用次数: 0
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Pakistan Journal of Psychological Research
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