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无可挽回的后高位旋转手套撕裂的亚体外科手术
Matthew D Smith1, Clayton W Nuelle2, Robert U Hartzler3
1Department of Orthopaedic Surgery, University of Texas Health Science Center Houston, Houston, Texas, U.S.A..
概括
在老年患者中,不可挽回的旋转手套撕裂可以通过下层手术选择来管理,如脱bridement或气球间隔器,提供疼痛缓解和功能改善,而无需复杂的重建.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
背景情况:
- 无法修复的后至上旋转部撕裂是巨大的,收缩的,不动的.
- 这些破裂带来了治疗挑战,特别是在患有完整的下骨和保持前向升高的患者中.
研究的目的:
- 在低需求的老年患者中审查不可修复的旋转部撕裂的手术选择.
- 讨论各种下手术干预的疗效和结果.
主要方法:
- 审查包括脱bridement ("光滑和移动"),可生物降解的亚克罗米亚气球间隔器 (InSpace),生物结核整形和bursal acromial重建在内的亚克罗米亚外科选择.
- 讨论患者选择标准,重点关注需求较低的老年人.
主要成果:
- 脱皮 ("光滑和移动") 显示了可靠的长期改善疼痛和功能.
- 可生物降解的亚体气球间隔器在非手术治疗失败的情况下显著改善疼痛和功能.
- 生物移植提供了气球间隔器的替代方案,以防止骨对骨接触.
结论:
- 在精选的患者群体中,亚体外科选择提供有效的疼痛缓解和功能改善,用于无法修复的旋转手套撕裂.
- 虽然没有一个单一的黄金标准存在,但不同的手术技术允许针对这些具有挑战性的撕裂进行量身定制的管理.
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