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关节镜上层囊重建与逆肩关节整形术在巨大的不可修复的旋转手套撕裂的患者:一个比较的临床研究
Alper Şükrü Kendirci1, Mehmet Chodza2, Koray Şahin1
1Department of Orthopaedics and Traumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.
Acta orthopaedica et traumatologica turcica
|September 6, 2023
概括
高级囊重建提供了可比的临床和功能结果,以逆转肩部关节整形手术巨大的旋转手套撕裂与轻度关节炎. 这两种手术都显著改善了手术后的肩部功能.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 重建性手术是一种重建性手术.
背景情况:
- 巨大的不可修复的旋转带关节炎的巨大的不可修复的旋转带关节炎是一个重要的治疗挑战.
- 目前的治疗选择包括逆肩关节整形 (RSA) 和上层囊重建 (SCR).
研究的目的:
- 为了比较RSA与关节镜SCR的临床和功能结果,使用张力筋膜近距离自移植.
- 评估大量不可修复的旋转手腕撕裂和哈马达1-2级关节关节炎患者的治疗疗效.
主要方法:
- 追溯病例控制研究,比较40名患者 (20人/组) 的前性结果.
- 患者接受了SCR与张伸筋近距离自体移植或RSA.
- 结果措施包括运动范围,疼痛和功能评分 (Constant-Murley,ASES).
主要成果:
- 在SCR组中,术后曲和常数得分显著提高 (P=.007,P=.043).
- RSA 组表现出绑架的显著增加 (P=.003).
- 两组患者在所有测量参数中都显示出明显的术后改善,与手术前值相比.
结论:
- 关节镜上层囊重建与张力带近距离自体移植提供了与逆肩关节整形相比的临床和功能改善.
- SCR是一种可行的替代方案,用于治疗大规模不可修复的旋转手套撕裂与哈马达等级1-2关节病.
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