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关节镜辅助下形转移的中期功能结果,使用双重长骨肌

Karthikraj Kuberakani¹, Senthilvelan Rajagopalan², Girinivasan Chellamuthu³

¹Department of Orthopaedics, Medcare Royal Speciality Hospital, Dubai, United Arab Emirates.

Journal of ISAKOS : joint disorders & orthopaedic sports medicine

|March 5, 2026

概括

这项研究表明,通过骨关节镜的辅助下形转移,使用骨肌自移植是大规模不可修复的旋转手套撕裂 (MIRCT) 的有效治疗方法. 这种技术提供了可靠的功能结果,特别是在资源有限的环境中.

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
旋转器袖口维修旋转器袖口维修

背景情况:

在没有关节炎的年轻活跃患者中,大规模不可修复的旋转手套撕裂 (MIRCT) 可以通过肌移植来管理.
关节镜辅助下形转移 (LTT) 通常需要全移植,这些移植的可用性有限,特别是在发展中国家.

研究的目的:

为了评估关节镜辅助下梯移动 (LTT) 的功能结果,使用肌自移植来治疗MIRCT.

主要方法:

一项回顾性,单中心研究 (2019-2024) 包括接受关节镜辅助LTT的患者,双重长管自移植.
用Constant,DASH和ASES分数评估功能结果,肌肉力量通过MRC分级进行评估.
排除标准包括先前的头巾手术和神经肌肉疾病.

主要成果:

21名患者 (平均年龄60岁) 经历了明显的旋转部撕裂和关节病变的手术.
在外部旋转 (10°至38°) 和向前曲 (90°至145°) 中观察到显著的改善 (p < 0.001).
功能评分 (VAS,Constant,DASH,ASES) 显示出积极的趋势,手术后肌肉力量有所改善.

结论:

通过长骨自移植进行下梯移动,为MIRCT提供了可靠和有效的选择,提高了高级肩部手术的可访问性.
这种技术显示出令人满意的功能结果,特别有利于资源有限的环境.
建议进行进一步的随机对照试验以验证这些发现.

关键词:

关节镜检查 (arthroscopy) 是一种关节镜检查.自动转移 (autograft) 是一个自动转移.下一个梯形转移转移.长 (peroneus longus) 是一个长.旋转器袖口撕裂的情况肌转移是因为肌转移.

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