在旋转袖珍修复中对双肩肌的应用
1Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.
概括
双肩肌的长头是肩膀关节镜术的多功能自体移植,为旋转手套撕裂提供了新的增强和重建技术. 这些方法提高了修复结果,并扩大了复杂的肩部病理的治疗选择.
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:
- 二头肌肌的长头在肩膀关节镜检查中历来被忽视.
- 最近的进展认识到它的潜力,作为一个强大的自移植重建程序.
研究的目的:
- 介绍各种增强和重建技术,利用肩膀关节镜术中双肩肌的长头.
- 为了突出双腿自体移植在管理复杂的旋转手套撕裂的实用性.
主要方法:
- 动员和转移完整的双肩肌进行间增强 (上层囊重建).
- 切术和使用近道双肩肌用于前线缆重建.
- 双肩肌的释放和重定向用于插入增大 ("三明治"技术).
- 双肩肌的关节镜路由用于大规模无法修复的撕裂 ("蛇"技术).
- 摘取和处理双肩肌以进行自移植补丁增大 ("双肩粉碎").
- 用双肩肌补充 subscapularis 修复的补充.
主要成果:
- 证明了多个双肩自体移植技术的可行性,用于各种旋转手套病理.
- 展示了双肩肌在增强修复,重建缺陷结构和管理不可修复的撕裂方面的作用.
- 突出了"双腿粉碎"技术作为生物补丁的替代品.
结论:
- 双肩肌的长头是肩膀透镜中一个有价值和适应性的自体移植.
- 这些技术为外科医生提供了更多的选择来治疗复杂的旋转手套撕裂.
- 双臂自移植手术为增强和重建提供了有效的解决方案,改善了患者的治疗结果.
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