在患有复发前肩不稳定症的患者中,用Xenograft Glenoid 骨块进行关节镜式下肩增大
Marco Maiotti1,2, Carlo Massoni2, Francesco Di Pietto3
1Villa Stuart Hospital, Rome, Italy.
Arthroscopy, sports medicine, and rehabilitation
|June 30, 2023
概括
这项研究表明,关节镜外移植骨块加上前肩关节镜 (ASA) 有效地治疗反复出现的前下肩部不稳定. 两年后,患者在肩膀稳定性和功能方面经历了显著改善,没有移植再吸收或移位的迹象.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肩部不稳定性研究研究
背景情况:
- 复发的前下腺骨不稳定性往往涉及显著的骨骨损失 (>10%) 和前囊功能不充分.
- 参与Hill-Sachs病变可能会导致持续的不稳定性,需要有效的重建技术.
研究的目的:
- 为了评估2年的临床和放射性结果的关节镜外移植骨块增强结合前肩关节镜 (ASA) 复发的前下侧膜膜不稳定性.
- 评估这种综合方法在状腺重建和恢复肩膀稳定性的有效性.
主要方法:
- 对20名患有慢性下侧肩部不稳定,状腺缺陷>10%,Hill-Sachs病变的患者进行了回顾性分析.
- 患者接受了关节镜外移植骨块手术和ASA,并使用西安大略州肩部不稳定指数 (WOSI) 和罗伊尺度进行临床评估.
- 通过CT扫描进行放射评估,在24个月后评估异种移植的再吸收,移位和状腺表面变化.
主要成果:
- 平均罗伊得分从38.3到95.5 (P < .001) 和WOSI得分从1242到120 (P < .0001) 显著改善.
- 90%的患者根据罗伊尺度获得了优秀或良好的结果.
- CT扫描显示,异种移植物没有再吸收或移位,在手术后,状腺表面积增加了34.4%.
结论:
- ASA和异种移植骨块的组合有效地重建了状腺体并恢复了肩膀的稳定性.
- 在24个月的随访期间,没有观察到移植再吸收,移位或二次关节关节炎的放射证据.
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