针桥修复的结果使用双肩重定向技术加强了针桥修复的结果
Keun-Bae Hong1, Sun-Hwan Kwon2, Hong-Keun Park2
1Joint Center, Department of Orthopedic Surgery, Seoul Bumin Hospital, Seoul, Republic of Korea.
Journal of shoulder and elbow surgery
|March 25, 2025
概括
这项研究发现,使用桥技术的关节镜旋转袖口修复,加上大撕裂时双肩重定向的加强,导致9%的复发率. 这项手术在两年内显著改善了疼痛和肩膀功能.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物医学工程 生物医学工程
背景情况:
- 关节镜旋转手套修复技术各不相同,用于质量差或大撕裂的自体移植/异体移植.
- 双肩肌的长头是一个可行的自移植材料.
- 双肌重定向为具有挑战性的关节镜旋转手套修复提供了一个选择.
研究的目的:
- 为了分析关节镜旋转袖口桥修复的临床结果和复发率,加强了双肩重定向.
- 在2年的随访期内,评估该技术在患有大旋转手套撕裂的患者中.
主要方法:
- 对56名接受关节镜旋转袖口桥修复与双肩重定向的患者进行回顾性研究 (2018年6月 - 2021年12月).
- 在手术前和后评估疼痛 (视觉模拟量表) 和肩部功能 (美国肩膀和肘部外科医生量表).
- 在多次间隔 (6周至24个月) 进行超声波检查,以监测 retear 状态.
主要成果:
- 视觉模拟尺度疼痛得分显著降低 (5.32至2.57) 和美国肩膀和肘部外科医生得分的改善 (51.34至72.62) 超过2年 (P <.001).
- 显著增加前向曲和外部旋转,但不是内部旋转.
- 9%的复发率 (5名患者) 和10%的双肩肌破裂率 (6名患者),对破裂的疼痛或运动范围没有显著影响.
结论:
- 关节镜旋转手套桥修复加强与双肩重定向证明了 9%的重裂率在大的眼.
- 该技术在2年的随访期间,在临床上显著改善了疼痛和肩部功能.
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