使用阿基里斯肌全移植的下梯形肌移植有效地恢复功能后失败的上层囊重建
Bo Taek Kim1, Erick M Marigi2, Chang Hee Baek1
1Department of Orthopaedic Surgery, Yeosu Baek Hospital, Yeosu, Jeollanam-do, Republic of Korea.
Arthroscopy, sports medicine, and rehabilitation
|January 26, 2026
概括
下梯形肌 (LTT) 移植与阿基里斯肌全移植显著改善了失败的上层囊重建 (SCR) 后的结果. 这种手术为活跃患者的疼痛缓解和功能恢复提供了可行的选择.
科学领域:
- 整形外科手术 整形外科手术
- 肩膀重建的重建 肩膀重建的重建
- 招标转让程序 招标转让程序
背景情况:
- 上层囊重建 (SCR) 失败在肩膀治疗中构成了重大挑战.
- 确定SCR失败的患者有效的救援程序对于恢复肩部功能至关重要.
- 下梯形肌 (LTT) 转移是一种新兴的技术,用于解决复杂的肩部不稳定性和缺陷.
研究的目的:
- 评估使用阿基里斯肌全移植的下形肌 (LTT) 移植的临床结果,这些患者之前经历过上囊重建 (SCR) 的失败.
- 评估LTT转移作为失败的SCR救援程序的有效性,重点是减少疼痛和恢复功能.
主要方法:
- 在SCR失败后 (2018年1月 - 2020年5月) 进行了阿基里斯肌全移植进行LTT移植的18名患者的回顾性审查.
- 纳入标准包括结构性/功能性SCR衰竭与最小的关节关节炎和≥2年的随访.
- 在手术前和最终随访时,使用VAS,SSV,Constant分数,ASES分数和运动范围 (ROM) 评估了临床结果.
主要成果:
- 在VAS,SSV,Constant和ASES得分中观察到统计学上显著的改善 (P < .001).
- 临床上有意义的改善 (MCID) 在结果测量中在88.9-94.4%的患者中被注意到.
- 在前方升高 (73°至120°),引拐 (57°至93°) 和外部旋转 (-22°至40°) 中取得了显著的收益.
- 77.8%的人恢复了职业活动,61.1%的人恢复了体育活动,22.2%的人需要转换为逆肩关节整形术.
结论:
- 在SCR失败后,使用阿基里斯全移植的下梯形肌 (LTT) 移植导致疼痛,功能和运动范围的显著改善.
- 这种手术对年轻,活跃的患者来说是一个潜在的治疗选择,旨在在SCR失败后保持本地肩部解剖学和功能.
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