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Brent A Geers¹, Jacob Archutowski¹, Clarence Cabatu¹

¹Department of Orthopedic Surgery, Henry Ford Macomb Hospital, Clinton Twp, MI, USA.

Journal of shoulder and elbow surgery

|June 28, 2025

概括

关节镜辅助下梯形移动 (AaLTT) 显著改善了运动范围和不可修复的旋转手套撕裂患者的结果. 这种手术选择为活跃的患者提供了一个可行的替代方案,当其他治疗方法不适合时.

科学领域:

整形外科手术整形外科手术
肩膀的重建肩膀的重建
旋转器袖子维修旋转器袖子维修

背景情况:

巨大的不可修复的后上旋转部撕裂的管理缺乏确定的外科手术方法.
选项包括部分修复与异体移植,气球间隔器,肌移植,和逆向全肩关节整形手术 (rTSA).
肌移植是考虑的年轻,活跃的患者不适合RTSA.

研究的目的:

评估关节镜辅助下梯形肌移动 (AaLTT) 的结果,以治疗不可挽回的上后旋转手套撕裂.
评估AaLTT后运动范围 (ROM) 和患者报告的功能评分的改善.

主要方法:

一组54名患者 (平均年龄59岁) 患有不可挽回的旋转部撕裂,接受了AaLTT.
在手术后,患者被跟踪至少12个月.
术前和术后的ROM,美国肩膀和肘部外科医生 (ASES) 评分和视觉模拟尺度 (VAS) 疼痛评分进行了比较.

主要成果:

在向前曲 (20°) 和外部旋转 (10°) 中观察到显著的改善.
在94.7%的患者中,外部旋转滞后的迹象逆转了.
在ASES得分中平均有53分,在VAS得分中平均有4分的改善,超过了临床重要差异的最小值.

结论:

带有全移植增强的AALTT在不可修复的旋转手套撕裂方面,在ROM和患者报告的结果中提供了显著的改善.
该程序显示了作为一种有效的治疗选择的潜力.
建议通过更长的后续和标准化技术进行进一步的研究.

关键词:

下一个梯形转移.关节镜辅助肌移动关节镜辅助肌移动无法弥补的旋转手套撕裂.巨大的旋转手套撕裂.旋转器袖口的重建工作肌转移是因为肌转移.

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