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旋转手套撕裂的侧侧角的变化 经过形整形的患者
Gang Hong1, Xiaochuan Kong1, Le Zhang1
1Department of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Orthopaedic surgery
|December 19, 2023
概括
双排旋转手套修复比单排修复更多地增加了侧侧角角 (LAA). 这种改善的LAA与手术后更好的肩膀功能有关.
科学领域:
- 整形外科手术 整形外科手术
- 肩部关节镜检查 肩部关节镜检查
- 生物医学工程 生物医学工程
背景情况:
- 关节镜旋转手套修复是治疗撕裂的有效方法.
- 侧侧角 (LAA) 可能会影响外科手术的结果.
- 在不同修复技术后调查LAA变化至关重要.
研究的目的:
- 为了比较单行与双行关节镜旋转手套修复后的LAA修改.
- 为了确定LAA对旋转手套后修复功能恢复的影响.
主要方法:
- 对100名旋转部撕裂的患者进行了回顾性观察性研究.
- 单行 (n=50) 和双行 (n=50) 钉固定技术的比较.
- 手术后的MRI评估LAA和旋转间隔 (RI);使用UCLA和qDASH得分的功能评估24个月.
主要成果:
- 与单行维修相比,双排维修导致LAA显著增加.
- 在手术后的LAA,RI和qDASH得分之间发现了显著的相关性.
- 术后平均LAA增加,双排组的收益更大.
结论:
- 双排钉固定导致比单排固定更大的LAA.
- 保护LAA与改善肩关节功能恢复有显著的关联.
- LAA可能是优化旋转器袖口修复结果的重要因素.
相关概念视频
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