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用腿筋肌进行下梯移动的结果,用于不可修复的旋转手套撕裂
Thiago Bc Almeida1,2, Luciano Pascarelli1, Roberto R Bongiovanni1
1Shoulder and Elbow Department, Hospital IFOR - Rede D'Or, São Bernardo do Campo, SP, Brazil.
Shoulder & elbow
|November 17, 2023
概括
使用腿筋移植的下梯肌移植改善了肩膀功能,并减少了轮袖口无法修复的患者的疼痛. 这种手术技术对符合条件的患者,特别是65岁以下的患者来说是有前途的.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 再生医学是一种再生医学.
背景情况:
- 无法修复的旋转手套撕裂在骨科手术中是一个重大挑战.
- 目前广泛的旋转手套撕裂的治疗选择有限,往往导致持续的疼痛和功能缺陷.
研究的目的:
- 为了评估下形肌移植的疗效,加上腿筋肌移植,用于治疗不可挽回的旋转手套撕裂.
- 为了评估这个重建手术后的功能结果和疼痛减轻.
主要方法:
- 一个回顾性的案例系列,涉及十名患者,他们有不可挽回的上和下裂.
- 患者经历了下形肌的转移,使用了自身的腿筋肌移植.
- 结果在术前和术后6个月和12个月被评估,使用经过验证的评分系统和运动范围测量.
主要成果:
- 在手术后一年的肩部主观值 (47到71) 和美国肩部和肘部外科医生 (ASES) 评分 (26.63到75.24) 中观察到显著的改善.
- 视觉模拟量表 (VAS) 疼痛评分从7.9降至2.5.
- 运动的平均范围有所改善,侧向旋转从31°增加到51°,曲从84°增加到122°,移动从76°增加到101°.
结论:
- 用腿筋肌移植移植的下梯体移植在65岁以下的患者中显示出积极的结果,这些患者有不可挽回的旋转手套撕裂.
- 这项手术使肩膀功能和疼痛缓解得到了显著改善.
- 需要更多的随访时间和更大的队列进行进一步的研究,以证实长期的疗效,并完善这种手术技术的患者选择.
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