挽救"不可挽回"的撕裂:上层囊重建增强了部分袖口修复
Seng Juong Wong1, Benjamin Neo Jun Hao2, Hannah Marian Lie2
1Resident, Singapore General Hospital, Outram Road, Singapore.
Shoulder & elbow
|November 17, 2023
概括
带有部分旋转袖口修复的上层囊重建 (SCR) 对巨大的旋转袖口撕裂显示出有希望的短期结果. 这种技术可以在患有无法修复的撕裂患者中提供功能改善和疼痛减轻.
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
- 肌肉骨研究 研究
背景情况:
- 大规模的旋转带撕裂 (MRCT) 往往导致不可弥补的旋转带撕裂 (RCT),由于肌收缩,脂肪透和肌肉缩,其功能结果不佳.
- 及时治疗对于防止不可逆转的损伤和功能缺陷至关重要.
研究的目的:
- 描述一项用于上层囊重建 (SCR) 的外科手术技术,加上部分袖口修复.
- 为MRCTs报告这种增强SCR技术的短期结果.
主要方法:
- 2019年1月至2019年12月期间,七名连续接受增强SCR的MRCT患者的病例系列.
- 审查手术前数据,手术内发现和手术后结果,包括疼痛,运动范围和验证的肩膀分数.
主要成果:
- 所有七名患者至少有两个肌出现了不可挽回的撕裂,肌肉损耗显著.
- 在手术后12个月,在Constant (12.1分),UCLA (9.4分) 和牛津肩部得分 (17分) 中观察到显著改善.
- 活跃向前曲的平均改善为40度,数字疼痛评分尺度上的平均疼痛减少为5.1分.
结论:
- 附带部分袖口修复的上层囊重建证明了巨大的旋转袖口撕裂患者的良好短期功能结果.
- 这种技术对具有挑战性的修复旋转手套修复特别有希望.
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