扩大大规模的旋转手套修复使用双臂转移而没有切术改善了临床和患者报告的结果:生物高级囊重建技术
Samuel Gray McClatchy1, Douglas E Parsell1, Edward Rhettson Hobgood1
1Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.
概括
这项研究表明,使用生物高级囊重建 (bio-SCR) 技术用转移的双肩肌来增强大规模的旋转手腕修复,可以显著改善患者的结果和肩部功能. 生物-SCR技术在本系列中显示出较低的并发症率.
科学领域:
- 整形外科手术 整形外科手术
- 肩膀重建的重建 肩膀重建的重建
- 旋转器袖口维修 旋转器袖口维修
背景情况:
- 大规模的旋转带撕裂在骨科手术中构成了重大挑战.
- 增加旋转手套修复的目的是改善结果和耐用性.
研究的目的:
- 为了评估使用一个转移的双肩肌而没有切术 (生物上层囊重建[生物SCR]技术) 来增强巨大的旋转手套修复的临床结果.
主要方法:
- 对30名患者进行了回顾性审查,这些患者有巨大的旋转部撕裂,并使用生物-SCR技术进行了增强.
- 收集了手术前和手术后的数据,包括ASES分数,疼痛分数,力量和运动范围.
主要成果:
- 在ASES分数 (33.2到87.0在2年,P<.001) 和向前曲 (120.6°到156.8°,P<.001) 中显著改善.
- 疼痛得分显著减少 (7.1至0.9,P<.001). 疼痛得分显著降低 (7.1至0.9,P<.001).
- 接近双肩骨破裂的一个并发症 (3.3%) 发生在术后.
结论:
- 用生物-SCR技术转移双肩肌为巨大的旋转手套修复提供了显著的临床益处.
- 这种增强技术显示出具有较低并发症率的前景.
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