修改的张力带技术的中长期结果,用于小型和中型旋转手套撕裂
Tuğcan Demir1, Taner Bekmezci, Halil Karaca
1Giresun Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 28200 Giresun, Türkiye. tugcandem@hotmail.com.
Joint diseases and related surgery
|August 10, 2025
概括
关节镜改性张力带技术为小到中等旋转手套撕裂提供了良好的功能恢复. 然而,长期患者满意度可能会下降,在52个月后观察到复发.
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:
- 旋转手套撕裂是肩膀受伤的常见情况.
- 手术修复的目的是恢复功能和缓解疼痛.
- 张力带 suture技术是旋转器袖口修复的一种方法.
研究的目的:
- 评估关节镜改性张力带技术的中长期结果.
- 评估旋转手腕修复后的功能恢复和患者满意度.
- 为了确定影响小到中等尺寸旋转手套撕裂的患者的结果的因素.
主要方法:
- 追溯分析36名小到中型旋转手套撕裂的患者,接受了关节镜修改的张力带修复.
- 使用美国肩膀和肘部外科医生 (ASES) 评分评估的功能结果.
- 通过超声波评估结构完整性;通过ASES指数得分测量患者满意度.
主要成果:
- 手术后ASES肩部得分显著改善 (中位数为18.5至89).
- 患者满意度 (ASES指数) 在平均随访时间为49.9个月后下降.
- 发生了6次复发,主要发生在52个月后;与年龄,双肩病理或号没有相关性.
结论:
- 关节镜改性张力带技术是小到中等旋转手套撕裂的可行选择.
- 观察到有利的中期功能结果.
- 长期患者满意度和延续率需要进一步调查.
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