修改的关节镜 suture-button Latarjet 程序用于复发的前肩部不稳定性: 9 年的最低随访时间
Wei Lu1,2, Daqiang Liang2, Shengwu Yang3,4
1Department of Orthopedics, Shenzhen Hospital of Southern Medical University, Shenzhen, Guangdong, China.
概括
修改的关节镜 suture-button (MASB) Latarjet程序提供持久的肩部稳定性和9年来患者的满意度. 这项研究发现,在心膜移植手术后,并发症率较低,没有显著的膜下垂退化.
科学领域:
- 整形外科手术 整形外科手术
- 肩部关节镜检查 肩部关节镜检查
- 运动医学运动医学
背景情况:
- 反复出现的前肩部不稳定性往往需要手术干预.
- 拉达喷气手术是一种常见的手术技术,用于肩膀不稳定.
- 评估长期结果和移植愈合对于评估外科疗效至关重要.
研究的目的:
- 为了评估修改的关节镜针按 (MASB) 后喷程序的长期疗效.
- 为了评估MASB Latarjet之后的心脏状移植 (CGs) 的重塑和结合.
- 在至少9年的随访期内确定临床结果和并发症率.
主要方法:
- 对接受MASB Latarjet手术的106名患者进行了回顾性审查.
- 评估临床结果,包括疼痛 (VAS),功能评分 (ASES,Rowe,Walch-Duplay) 和运动范围 (ROM).
- 胸膜移植 (CG) 位置,结合,重塑和膜膜退化的放射评价.
主要成果:
- 疼痛和功能评分显著改善 (p < 0.001) 没有显著的ROM限制.
- 优秀或位置良好的移植 (86.8%) 和与状腺 (89.6%) 相匹配的高率.
- 在99.1%的病例中,心肌移植 (CG) - 腺结合,恢复了99.5%的腺,并发症率为8.5%.
结论:
- MASB Latarjet 程序提供持久的肩部稳定性和高患者满意度,长达9年.
- 该程序显示出低并发症率和最小的运动范围损失.
- 在长期随访中没有观察到明显的膜关节退化,这表明关节的保存.
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