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双腿的长头作为一个前部动态吊带,用于反复出现的前肩部脱位
Mohamed Hussein Khalil1, Ahmed Mahmoud Gad2
1Cairo University, Giza, Egypt. mohamedhussein1980@gmail.com.
Journal of orthopaedic surgery and research
|April 17, 2025
概括
使用双肩肌的长头进行关节镜动态前部稳定,有效地治疗骨损失的前部膜部不稳定性. 这种安全的手术显著改善了肩膀功能,并减少了反复发生的位.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肩部关节镜检查 肩部关节镜检查
背景情况:
- 带有状骨损失 (GBL) 的前面状骨不稳定性 (AGI) 提出了外科手术的挑战.
- 二头肌 (LHB) 肌的长头提供了一个潜在的自体移植,用于动态前部稳定 (DAS).
研究的目的:
- 评估使用LHB肌对AGI的关节透视onlayDAS的功能性结果,其GBL限制在临界下.
- 评估该技术在改善肩膀功能和稳定性方面的有效性和安全性.
主要方法:
- 一个前性的病例系列包括25名患有AGI和GBL的患者,他们接受了带有LHB肌的关节镜DAS.
- 在手术前和2年随访时,使用罗伊和快速DASH得分来评估功能性结局.
- 在手术后6个月,MRI评估了LHB肌的愈合.
主要成果:
- 在2年的随访期间,观察到Rowe和QuickDASH平均得分的显著改善.
- 只有8%的患者在随访期间报告了复发性脱位.
- 在大多数情况下,MRI证实LHB肌愈合到前侧状腺.
结论:
- 使用LHB肌进行关节透镜onlay DAS是一种安全有效的治疗方法,用于重复出现的前肩部不稳定性,GBL高达25%.
- 这种技术在中期随访中显示出良好的功能恢复和稳定性.
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