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关节镜辅助下形转移使用长骨自体移植,以弥补不可弥补的后上旋转手套撕裂
Silvampatti Ramasamy Sundararajan1, Rajagopalakrishnan Ramakanth1, Bandlapally Sreenivasa Guptha Sujith1
1Department of Arthroscopy and Sports Medicine, Ganga Medical Center & Hospitals, Coimbatore, India.
JBJS essential surgical techniques
|March 19, 2025
概括
这项研究详细介绍了以关节镜辅助的下梯形肌转移,使用长骨自移植器进行大规模的旋转手套撕裂. 在活跃的患者中,该程序有效减少疼痛并改善肩膀功能.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肩膀重建的重建 肩膀重建的重建
背景情况:
- 大规模的收缩旋转带撕裂显著影响身体活跃的个体.
- 非手术治疗往往失败,需要手术干预.
- 下梯形肌转移为缓解疼痛和改善功能提供了一个有希望的解决方案.
研究的目的:
- 描述关节镜辅助下梯移动 (SALTT) 的外科手术技术.
- 为了利用长自体移植来重建旋转手套.
- 为了证明一种方法来改善腺部动力学和强度.
主要方法:
- 患者在沙椅上放置,后肩可进入.
- 关节镜可视化和门户的使用程序.
- 摘取长骨自移植并固定在部头部.
- 使用Pulvertaft技术将自移植器移到下形肌.
主要成果:
- 研究表明,转移后疼痛,肩膀主观值 (SSV) 和手臂,肩膀和手的残疾 (DASH) 得分有显著改善.
- 通常观察到外部旋转强度的恢复和肩膀功能的改善.
- 报告的成功率很高,有些病例需要检查是否感染或破裂.
结论:
- 关节镜辅助下梯形肌移动是一种有效的手术选择,用于巨大的旋转手套撕裂.
- 使用长骨自移植提供了可行的重建材料.
- 适当的患者选择和手术技术对于最佳结果至关重要.
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