胸下双肩形和转移旋转部撕裂:临床和患者报告的结果 - 一个案例系列
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Reverse Total Shoulder Arthroplasty
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Kassem Ghayyad1, Shelby Cowan1, Nikita Golovachev1
1Rothman Orthopaedics Florida at AdventHealth, Orlando, FL, USA.
JSES reviews, reports, and techniques
|November 3, 2025
概括
这项研究表明,用于旋转手套修复的新双肩增强技术显著改善了肩膀功能并减少了疼痛. 该程序在早期有效性方面表现出最少的双肩相关并发症.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 再生医学是一种再生医学.
背景情况:
- 双肩自体移植增强将双肩肌的长头整合到旋转手套修复中,以增强原蛋白和生物力学.
- 之前的研究支持了自主双肩肌转移在增大旋转手套撕裂的有效性.
研究的目的:
- 评估用于旋转手套修复的新型胸下双肩缩技术的临床,功能和患者报告的结果.
- 为了评估增强旋转手套修复的有效性和安全性,通过保留双肩肌的近端长头来修复旋转手套.
主要方法:
- 以后回顾的患者经历了胸下双肩缩和转移大旋转手套撕裂的患者.
- 术前和术后的肩部运动范围 (屈曲,绑架) 和视觉模拟尺度 (VAS) 疼痛评分的比较.
- 收集关于双肩疼痛,美容形,美国肩膀和肘部外科医生 (ASES) 评分以及单次评估数值评估 (SANE) 评分的术后数据.
主要成果:
- 在肩膀曲 (96.8°至152.9°) 和缩 (77.6°至123.4°) 中观察到显著改善,VAS疼痛分数从6.7降至0.
- 高平均术后ASES (95.5) 和SANE (82.2) 评分表明患者的治疗结果有利.
- 并发症发生率低,只有2名患者 (6.5%) 报告间歇性双肩疼痛,没有严重的不良事件或复发.
结论:
- 胸下双肩缩和转移技术在改善肩膀运动范围和减少旋转手套修复中的疼痛方面是有效的.
- 这种新的外科手术方法证明了早期的疗效,与双肩相关并发症的发病率低,患者满意度高.
- 该技术显示了通过利用双肩肌增强来管理大型旋转手套撕裂的前景.
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