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Joseph G Monir¹, Eric R Wagner²

¹Orlando Health Jewett Orthopedic Institute, Orlando, FL, USA.

JSES reviews, reports, and techniques

|August 19, 2024

概括

肌移植与逆肩关节整形手术相结合,可显著改善严重肩关节炎和旋转手套撕裂患者的功能. 新的手术技术为肩膀外科医生提供了有前途的解决方案.

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
生物机械工程生物机械工程

背景情况:

膜关节炎和不可弥补的旋转手套缺陷带来了重大的功能挑战.
反向全肩关节整形术 (RTSA) 是这些疾病的常见治疗方法.
肌转移提供了一种补充方法来增强RTSA结果.

研究的目的:

审查与RTSA使用的肌转移技术的当前文献.
描述复杂病例中恢复肩部功能的程序.
突出外科解剖学,技术和潜在的陷.

主要方法:

在RTSA的背景下对肌移植的文献综述.
对各种肩部缺陷的手术程序的分析.
包括解剖学描述,手术技术和临床结果.

主要成果:

拉蒂斯木斯背部转移显示出更好的结果比胸部主要转移 subscapularis 缺陷.
下梯形转移在生物机械上优于后层旋转缺陷的拉蒂斯木斯转移.
脚状胸部主要转移解决了三角形缺陷;全移植假肢复合物管理骨质损失.

结论:

与RTSA集成的肌移植显著改善功能结果.
肩部外科医生应该熟悉这些先进的重建技术.
这些综合方法有效地解决了复杂的肩部病理.

关键词:

整体移植假肢复合材料解剖学上的解剖学拉提西姆斯转移转移逆向的反向逆向的反向修复肩部关节整形术修复肩部关节整形术肩膀肩膀在肩膀上倾向转移的倾向转移整体肩部关节整形术肩部关节整形术

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