Subscapularis-On Approach in Reverse Shoulder Arthroplasty:

Journal of Shoulder and Elbow Arthroplasty

AlexandreLädermann¹ 

关键词: Shoulder prosthesis;    reverse shoulder arthroplasty;    subscapularis-on;    subscapularis preserving or sparing approach;    cost-effectiveness;    function;    results;    complication;    length of stay;   

DOI  :  10.1177/2471549218808818

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Using a subscapularis- and deltoid-preserving anterior approach is an option for patients undergoing reverse shoulder arthroplasty. Outcomes are better at short term than compared with the standard deltopectoral approach. Maintaining the integrity of the subscapularis tendon and preserving the deltoid muscle minimizes the need for postoperative immobilization and rehabilitation, allowing the patient to achieve active shoulder range of motion more rapidly, without increasing the incidence of shoulder dislocation. Overall length of hospital stay and duration of postoperative physical therapy are minimized, leading to significant economic gain. Future studies with longer follow-up are required to document the potential long-term benefits of this surgical technique.

【 授权许可】

CC BY