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开放拉蒂斯木斯背部转移用于不可修复的肩下肌撕裂
Malo Le Hanneur1,2, Victor Housset1, Vincent Martinel3
1The Shoulder Clinic-Groupe Maussins, Paris, France.
Video journal of sports medicine
|May 1, 2025
概括
斜背肌移动 (LD) 是活跃患者无可挽回的下骨 (SSC) 撕裂的可行的手术选择. 这种手术提供了可靠的结果,并发症率低,使其成为管理复杂的肩部伤害的安全替代方案.
科学领域:
- 整形外科手术 整形外科手术
- 肌肉骨研究 研究
- 运动医学 运动医学
背景情况:
- 在年轻,活跃的个体中,不可修复的下 (SSC) 肌撕裂往往需要手术干预.
- 肌移植目前是这些衰弱性损伤的唯一手术解决方案.
- 斜背肌 (LD) 肌肉被认为是最佳的,因为它具有生物力学优势和与SSC的协同作用.
研究的目的:
- 为了评估大背肌 (LD) 肌转移对于不可弥补的下骨 (SSC) 撕裂的疗效和安全性.
- 评估与这种手术技术相关的功能结果和并发症率.
主要方法:
- 该研究描述了一种使用deltopectoral方法的开放的LD移动程序.
- 关键步骤包括动员LD肌,准备较小的结节,并用固定安全.
- 该程序还涉及关闭旋转器间隔和稳定双肩长头 (LHB).
主要成果:
- 腰部移动的失败率和修复率在0%到20%之间,与其他移动方法相比.
- 没有报告神经压缩并发症.
- 使用LD肌肉相比,使用大胸肌 (PM) 肌肉时,功能结局显著更好.
结论:
- 开放的LD肌移植是一种简单的外科手术技术,在无法修复的,有症状的SSC撕裂的情况下,可以获得短期到中期令人满意的结果.
- 长期疗效,特别是关于关节骨关节炎的发展,需要进一步研究.
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