探索巨大的不可修复的后轮裂痕的上层囊重建和肌移植
Majd Mzeihem1,2, Mohamad Nassereddine2, Anas El Zouhbi2
1Department of Orthopaedic Surgery, University of Illinois at Chicago, Chicago, Illinois, USA.
EFORT open reviews
|September 4, 2025
概括
巨大的旋转撕裂带来了重大挑战. 这篇评论探讨了外科手术的选择,如高级囊重建和肌移植,以指导最佳的患者管理.
科学领域:
- 骨科手术
- 运动医学
- 生物医学工程
背景情况:
- 旋转撕裂是常见的, 巨大的撕裂带来了复杂的临床问题.
- 无法弥补的巨大的眼往往导致手术结果较差和复发率较高.
- 现有的分类系统缺乏标准化,使治疗决策复杂化.
研究的目的:
- 审查目前对巨大的后顶部不可修复的旋转手套损伤的治疗策略.
- 评估高级囊重建 (SCR) 和肌移植的疗效和结果.
- 提供基于证据的指导来管理这些具有挑战性的伤害.
主要方法:
- 对巨大的旋转手套撕裂的手术技术进行全面的文献审查.
- 对SCR的临床结果和移植选择的分析 (带,皮肤全移植,LHBT).
- 肌移动程序的评估 (大背部,下).
主要成果:
- 上层囊重建显示有前途, 特别是在完好无损的下.
- 尽管有捐赠部位的发病率,但Fascia lata自移植在SCR中表现出良好的结果.
- 肌移植为年轻的活跃患者提供了可行的替代方案.
结论:
- 巨大的不可修复的旋转撕裂的治疗需要仔细考虑手术选择.
- 肌转移是重建的关键策略.
- 需要对移植材料和长期结果进行进一步的研究.
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