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Akshar V Patel¹, David E Kantrowitz¹, Kevin Chen¹

¹Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.

Journal of orthopaedics

|February 3, 2025

概括

胸部主要转移 (PMT) 与肩膀关节整形手术相结合,在无法修复的骨下裂方面显示出良好的长期结果. 这种手术改善了肩膀功能和患者在修复肩膀整节整形术病例中的结果.

科学领域:

整形外科手术整形外科手术
肌肉骨研究研究
生物机械工程生物机械工程

背景情况:

在肩膀手术中,不可弥补的下肌肉撕裂在肩膀手术中存在重大挑战.
胸腔大转移 (PMT) 是一种被公认的治疗 subscapularis 缺陷的方法.
在严重病例中,将PMT与肩关节整形手术结合在一起的记录较少.

研究的目的:

为了评估长期的结果,胸部主要转移 (PMT) 与修复全肩关节整形手术 (TSA) 同时进行.
评估这种结合方法在患有不可弥补的底肌缺陷的患者中的有效性.

主要方法:

在2000年至2017年期间,回顾5名接受PMT和修订TSA的患者的病例系列.
纳入标准:不可弥补的甲下撕裂,修订TSA,以及至少12个月的随访.
主要终点:运动范围和患者报告的结果得分.

主要成果:

平均10年的随访显示了100%的植入物存活率,没有进一步的修订.
在前方升高 (69°至100°) 和内部旋转 (L4至L2) 显著改善.
患者报告的结果有所改善,ASES分数从25上升到39,VAS下降.

结论:

胸部大关节移植 (PMT) 结合修复肩部全关节整形手术 (TSA) 为无法修复的肩下关节撕裂带来了令人满意的中长期结果.
联合手术有效地提高了肩膀的稳定性,内部旋转和功能.
好的结果支持这种技术用于复杂的肩部重建.

关键词:

内部旋转的内部旋转.长期的长期的长期的肌肉转移是肌肉的转移.大胸主要的胸部.肩部关节整形手术肩部关节整形手术下骨是指一个下骨.肌肌是一种肌.

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