巨大的旋转袖口撕裂的肌转移:一个叙事审查
Chang Hee Baek1, Bo Taek Kim1, Truong Nguyen Khanh Hung2
1Department of Orthopaedic Surgery, Yeosu Baek Hospital, Yeosu, Republic of Korea.
Shoulder & elbow
|January 1, 2026
概括
肌移植手术通过重新连接肌来恢复无法修复的撕裂的肩膀功能. 仔细规划和康复是成功的关键,避免像移植失败这样的并发症.
科学领域:
- 整形外科手术 整形外科手术
- 生物机械工程 生物机械工程
- 重建性手术是一种重建性手术.
背景情况:
- 肌转移对于不可修复的旋转手套撕裂 (IRCT) 和当直接修复失败时的神经功能障碍至关重要.
- 它通过重新连接肌来恢复肩膀的稳定性和功能,以弥补失去的肌肉活动.
- 常见的技巧包括腰部 (LD),大腿部 (TM),下梯 (LT),大胸部 (PM) 和中梯 (MT) 的转移.
研究的目的:
- 在肩膀重建中审查肌转移的基本概念.
- 讨论指示,生物力学原理,临床结果和潜在的并发症.
- 强调患者选择,手术技术和康复对最佳结果的重要性.
主要方法:
- 对肩部疾病的肌移植手术现有文献的审查.
- 在各种研究中报告的生物力学策略和临床结果的分析.
- 确定和分类与肌移植相关的常见并发症.
主要成果:
- 肌移植在IRCT和神经损伤的情况下有效地恢复肩膀功能.
- 具体的转移 (LD,LT,PM,MT) 是根据撕裂位置和程度表示的.
- 双移植为具有广泛肌肉缺陷的复杂病例提供了解决方案.
- 并发症包括神经血管损伤,感染,肌破裂以及由于不适当的紧张而改变的生物力学.
结论:
- 肌移植是复杂的肩部病理的一个有价值的重建选择.
- 细致的患者选择,精确的手术执行和结构化的康复是至关重要的.
- 了解生物力学和潜在的并发症对于成功的肩部重建和功能恢复至关重要.
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