旋转手套修复与大规模撕裂的逆关节整形:以患者为中心的结果分析
Fatih Emre Topsakal1, Ekrem Özdemir1, Nasuhi Altay1
1Department of Orthopedics and Traumatology, Erzurum City Hospital, 25240, Erzurum, Türkiye.
Journal of orthopaedics
|February 13, 2026
概括
对于没有关节炎的大规模旋转袖口撕裂,年轻患者的关节镜旋转袖口修复 (RCR) 比逆肩关节整形术 (RSA) 产生更好的运动范围和功能. RSA适用于患有严重撕裂的老年患者.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物医学工程 生物医学工程
背景情况:
- 巨大的旋转带撕裂 (MRCT) 没有关节关节炎,构成了管理挑战.
- 由于有限的以患者为中心的比较结果数据,关节镜旋转手套修复 (RCR) 和逆肩关节整形 (RSA) 之间的选择仍在争论中.
研究的目的:
- 在MRCT中比较一次性关节镜RCR和一次性RSA之间的功能结果.
- 评估两个手术选择的患者优先结果领域和并发症率.
主要方法:
- 70名患者 (36名RCR,34名RSA) 的回顾性队列研究,至少12个月的随访.
- 比较人口统计,成像 (Goutallier,Patte,Hamada),功能分数 (ASES,Constant,DASH,VAS),运动范围和患者优先领域.
主要成果:
- RCR组的年龄较小,脂肪透率较低. 两组都显示疼痛减轻和功能改善.
- 在主动曲,内部旋转,ASES分数,空中活动,内部旋转任务和恢复运动方面,RCR优越.
- 在RCR和RSA组之间,并发症率相似.
结论:
- 主要关节镜RCR提供优越的运动范围和以患者为中心的结果,在年轻,活跃的患者具有足够的组织质量.
- 对于患有发达脂肪透和伪的老年患者来说,RSA是一个可行的选择.
- 根据年龄,活动水平和组织质量进行仔细的患者选择对于最佳结果至关重要.
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