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开放治疗后侧状骨质损失和双极性骨质损失
Edward J Testa1, Rory Byrne1, Logan Petit1
1Department of Orthopaedic Surgery, Brown University, Warren Alpert School of Medicine, Providence, RI, USA.
Annals of joint
|March 26, 2024
概括
开放式手术技术为后肩部不稳定提供了解决方案,当关节镜修复失败时,会有显著的骨损失. 这些方法包括骨移植和骨切除术,尽管长期结果需要进一步调查.
科学领域:
- 整形外科手术 整形外科手术
- 肩膀的不稳定性 肩膀的不稳定性
- 骨的重建 骨的重建
背景情况:
- 后侧膜部的不稳定性是一个复杂的骨科问题.
- 关节镜修复可能不足以关键的后部骨损失或参与逆Hill-Sachs病变.
研究的目的:
- 审查当前的开放外科手术技术后肩部的不稳定性与状或部头骨损失.
- 为这些具有挑战性的病例指导临床决策.
主要方法:
- 对后骨损失的当代开放外科手术方法的审查.
- 讨论使用各种骨移植的骨关节增强 (阴茎顶,脊等). ) 的情况.
- 描述技术,如后腺开口骨切除术,反向补充术和修改的麦克劳林手术.
主要成果:
- 开放的骨关节增强是后部骨损失的一个可行的选择.
- 不同的移植来源和手术技术可以解决状腺逆转和双极性骨损失.
- 短期和中期结果通常是可靠的.
结论:
- 开放式手术技术为后肩部不稳定性与骨损失提供了有效的治疗选择.
- 长期结果数据有限,对最佳方法缺乏共识.
- 需要进一步的研究来确定这些不断发展的手术方法的长期疗效.
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