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治愈的小骨及其对关节侧面逆肩关节整形术中内部旋转的临床影响

Chang Hee Baek¹, Jung Gon Kim¹, Bo Taek Kim¹

¹Department of Orthopaedic Surgery, Yeosu Baek Hospital, Jeollanam-do, Republic of Korea.

Journal of shoulder and elbow surgery

|November 10, 2024

概括

在逆肩关节整形术 (RSA) 中,下骨 (SSC) 修复显示在愈合后改善了内部旋转强度和运动范围. 即使有重复,SSC维修也具有好处,建议在RSA期间尽可能进行.

科学领域:

整形外科手术整形外科手术
生物医学工程生物医学工程
肌肉骨研究研究

背景情况:

在逆肩关节整形术 (RSA) 中, subscapularis (SSC) 修复的有效性受到争议.
关于经过修复的SSC的术后完整性和临床结果的数据有限,关于愈合的影响的发现相互矛盾.

研究的目的:

为了比较部侧面化RSA后修复和未修复的SSC的临床结果.
评估修复后的SSC完整性对功能结果的重要性.

主要方法:

102名接受部横向化RSA (2015-2019) 的患者被分为修复 (n=66) 和未修复 (n=36) 的SSC组.
评估了临床结果 (疼痛,功能,运动范围,力量).
超声波评估了SSC完整性 (修改的Sugaya分类) 和骨折;子组分析比较了治愈和未治愈的SSC.

主要成果:

两组都显示出显著的术后改善;然而,愈合的SSC在日常生活活动 (ADL) 评分,内部旋转 (IR) 活动运动范围 (aROM) 和IR强度方面表现出优异的结果,与未愈合和未修复的组相比.
在2年后,52%的修复后的SSC愈合,44%的SSC复发. 在SSC修复和非修复组之间,并发症率相似.
治愈后的SSC与未修复的组相比显著改善了IR aROM和力量,尽管ADL得分差异并不显著.

结论:

治愈后的甲下肌在部侧面化RSA后显著增强了内部旋转功能.
在RSA期间,建议在可行的情况下进行SSC修复,尽管在实现高愈合率方面存在挑战.
需要进一步的研究来提高RSA后的 subscapularis 愈合率.

关键词:

反向肩膀关节整形手术是什么意思临床结果的临床结果.内部旋转的内部旋转.内部旋转强度的内部旋转强度侧面化的假肢假体在 subscapularis 的完整性.在 subscapularis 的修复.超声波评估的评估.

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