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Early results of reverse total shoulder arthroplasty using a patient-specific baseplate to address severe glenoid deficiency. 使用患者特制基板进行反向全肩关节置换术治疗严重盂缺损的早期效果。
IF 1.5 Q3 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-10-01 Epub Date: 2023-09-07 DOI: 10.1177/17585732231200495
Thomas E Moran, Anna E Sumpter, Carter J Berry, Stephen F Brockmeier, Brian C Werner

Background: The purpose of this study was to describe outcomes of patients undergoing reverse total shoulder arthroplasty (rTSA) using a patient-specific, custom glenoid component to address severe glenoid deficiency.

Methods: Retrospective chart review identified patients at a single institution undergoing rTSA using the glenoid vault reconstruction system (VRS) between 2017 and 2022. Radiographic evaluation, range of motion and patient-reported outcome (PRO) measures, complications, and re-operations were assessed.

Results: Fourteen shoulders were included. There was 100% implant survivorship of the glenoid baseplate at mean follow-up of 26.6 months. Mean range of motion improved in forward elevation (62-106 degrees), abduction (41-100 degrees), and external rotation (11-36 degrees). In 7 of 13 patients available for PRO collection, the mean final Visual Analog Pain Scale (VAS) score was 1.29, Single Assessment Numeric Evaluation (SANE) score was 72.14, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) score was 77.14, and Penn Shoulder score was 72.26.

Conclusions: Use of this custom glenoid resulted in encouraging clinical and radiographic outcomes, with no failures in implant survivorship seen at early follow-up. Larger prospective studies with longer-term follow-up should be undertaken in order to better determine the efficacy and longevity of this implant.

Study design: Retrospective case series; Level of evidence, 4.

背景:本研究旨在描述接受反向全肩关节置换术(rTSA)的患者的治疗效果:本研究旨在描述接受反向全肩关节置换术(rTSA)的患者的治疗效果,该手术使用患者特异性定制的盂成形组件来解决严重的盂缺损问题:回顾性病历审查确定了2017年至2022年间在一家机构接受盂顶重建系统(VRS)反向全肩关节置换术的患者。对放射学评估、活动范围和患者报告结果(PRO)测量、并发症和再手术进行了评估:结果:共纳入 14 个肩关节。在平均26.6个月的随访中,髋臼底板的植入存活率为100%。前倾(62-106 度)、外展(41-100 度)和外旋(11-36 度)的平均活动范围有所改善。在 13 名可收集到专业评分的患者中,有 7 名患者的最终视觉模拟疼痛量表(VAS)平均评分为 1.29 分,单一评估数字评价(SANE)评分为 72.14 分,美国肩肘外科医生标准化肩关节评估表(ASES)评分为 77.14 分,宾大肩关节评分为 72.26 分:使用这种定制盂体取得了令人鼓舞的临床和影像学效果,在早期随访中未发现植入物存活失败的情况。为了更好地确定这种植入物的疗效和寿命,应进行更大规模的前瞻性研究和更长期的随访:研究设计:回顾性病例系列;证据等级,4。
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引用次数: 0
The deconstructive effects of combining discourses. A case study: Marxism and psychoanalysis 组合话语的解构效果。案例研究:马克思主义与精神分析
IF 0.4 Q3 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-08-16 DOI: 10.1057/s41282-023-00394-5
Adrià Porta Caballé
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引用次数: 0
Remote Psychoanalysis and Psychotherapy 远程精神分析和心理治疗
IF 0.4 Q3 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-07-31 DOI: 10.18529/psychoanal.2023.34.3.39
J. Hong
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引用次数: 0
Trauma, Guilt, and Conspiracy: The Zero Process and the Superego 创伤,内疚和阴谋:零过程和超我
IF 0.4 Q3 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-07-31 DOI: 10.18529/psychoanal.2023.34.3.54
J. Fernando
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引用次数: 0
Space and the Unconscious - Focusing on a Case Admitted to Closed Warda 空间与无意识——以一个被封闭的瓦尔达接纳的案例为中心
IF 0.4 Q3 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-07-31 DOI: 10.18529/psychoanal.2023.34.3.43
Hyun Kwon Lee, Min Geol Kim, H. Yoon
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引用次数: 0
Charicterist Clinical Features Between Post-Traumatic Stress Disorder, Complex Post-Traumatic Disorder and Borderline Personality Disorder Based On Prevalence, Comorbidity and Symptoms 基于患病率、合并症和症状的创伤后应激障碍、复杂创伤后障碍和边缘型人格障碍的临床特征
IF 0.4 Q3 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-04-30 DOI: 10.18529/psychoanal.2023.34.2.17
Bo Jin, U. Chung
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引用次数: 0
Reading Delusions With Psychoanalysis 用精神分析解读妄想
IF 0.4 Q3 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-04-30 DOI: 10.18529/psychoanal.2023.34.2.25
Chulkwon Kim
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引用次数: 0
Bodies, reproductive rights and self determination 身体、生殖权利和自决
IF 0.4 Q3 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-04-25 DOI: 10.1057/s41282-023-00382-9
Angie Voela, Lara Sheehi
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引用次数: 0
Ramifications of client’s use of projective identification, racism, and enactments of otherness: A nascent clinician’s struggle inhabiting her identities in the therapy room 来访者使用投射性认同、种族主义和他者行为的后果:一个初出名状的临床医生在治疗室里与她的身份斗争
IF 0.4 Q3 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-03-29 DOI: 10.1057/s41282-023-00378-5
Natalia N. Báez-Powell
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引用次数: 0
Decolonizing my therapeutic identity: Going beyond the surface 去殖民化我的治疗身份:超越表面
IF 0.4 Q3 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-03-29 DOI: 10.1057/s41282-023-00376-7
Natalia N. Báez-Powell
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引用次数: 0
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