斜背肌转移与开放的完整修复对于有症状的巨大的旋转袖口撕裂
Emre Kaya1, Mehmet Kapıcıoglu2, Koray Sahin2
1Department of Orthopaedics and Traumatology, Istanbul Kent University, Turkey.
概括
斜背肌转移 (LDTT) 是巨大的旋转撕裂的可行选择,特别是在慢性病例中. 开放完全修复 (OCR) 对于急性撕裂是有效的,但在慢性病例中显示出更高的再撕裂率.
科学领域:
- 整形外科手术 整形外科手术
- 肌肉骨系统疾病 肌肉骨系统疾病
- 手术技术手术技术的使用.
背景情况:
- 带有症状的大规模旋转带撕裂 (MRCT) 存在治疗挑战,没有明确的策略.
- 对于MRCT来说,比较大背肌转移 (LDTT) 和开放完全修复 (OCR) 是至关重要的.
研究的目的:
- 为了比较LDTT和OCR在治疗症状性MRCT的疗效.
- 根据症状持续时间来评估功能结果和再撕裂率.
主要方法:
- 对18个LDTT和15个OCR案件 (2014-2021) 的回顾性研究.
- 使用ASES,Constant-Murley (CM) 和VAS分数进行评估的患者.
- 症状持续时间分为<6个月,6个月-1年和>1年.
主要成果:
- 无论是LDTT还是OCR,都提高了功能分数和运动范围.
- 在<1Y和>1Y症状持续时间之间,OCR显示出显著的功能差异.
- 与LDTT (16.6%) 相比,OCR的重新撕裂率更高 (33.3%).
结论:
- 对于MRCT治疗来说,LDTT是一个很好的选择,特别是在慢性病例 (>1Y) 中.
- OCR是一种更简单,安全的技术,用于急性-亚急性MRCT (<1Y).
- 用OCR治疗的慢性MRCT (>1Y) 呈现出高的再撕裂率和糟糕的结果.
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