关节盂缺损反肩置换术的研究进展（开放获取）

Research progress in reverse shoulder arthroplasty for glenoid defect

摘要:

反式全肩关节置换术 （reverse total shoulder arthroplasty, RTSA） 是治疗肩关节终末期疾病的重要手段，但关节盂缺损 （glenoid bone loss, GBL） 会影响手术效果。本文阐述了 GBL 的常见病因、分类方法，介绍术前评估手段，详细说明偏心扩髓、骨移植、使用增强型基座、患者特异性技术等处理技术，旨在为临床实践和研究提供参考。

Abstract:

Reverse total shoulder arthroplasty (RTSA) is currently an important method for treating end-stage shoulder diseases. However, glenoid bone loss (GBL) poses challenges to the surgery and impacts the stability of implants and clinical outcomes. This article elaborates on the common causes and classification of glenoid defects, introduces preoperative assessment methods, and details treatment techniques such as eccentric reaming, bone grafting, using enhanced bases, and patient-specific techniques, aiming to provide reference for clinical practice and research.