一种以证据为基础的方法来说明补充年龄
Nathan Graden1, Jason Ina2, Brandon Cabarcas2
1Department of Orthopedic Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA. Graden.Nathan@mayo.edu.
Current reviews in musculoskeletal medicine
|April 24, 2025
概括
补充技术有效地减少了在关节镜上修复后反复出现的前肩部不稳定性 (ASI). 它没有对运动范围产生不利影响,尽管头部运动员可能有不太有利的体育回归结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肩部不稳定性研究研究
背景情况:
- 前肩部不稳定性 (ASI) 提出了复杂的治疗挑战.
- 对于ASI来说,手术决策涉及多个因素.
- 补充技术是关节镜手术的辅助方法.
研究的目的:
- 审查填充技术的历史,指示和结果.
- 评估补充剂在减少ASI复发方面的有效性.
- 评估补充剂对手术后运动范围和恢复体育运动的影响.
主要方法:
- 对关节镜肩部手术中补充术的先前研究的审查.
- 对结果的分析,将补充术与标准的关节镜拉布拉修复进行比较.
- 对运动范围和恢复运动率的数据的评估.
主要成果:
- 在患有Hill-Sachs病变的患者中,Remplissage显著降低了复发性ASI.
- 与单独进行腹腔修复相比,没有观察到术后运动范围的显著差异.
- 回归体育比率是有希望的,但对头部运动员来说可能不那么有利.
结论:
- 在ASI中,Remplissage是一种有价值的辅助物,可用于关节镜性腹腔修复或状腺体重建.
- 了解症状和结果对于最佳的患者结果至关重要.
- 对于接受手术的头部运动员,需要进一步考虑.
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