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在巨大的旋转袖口撕裂修复中,基于带的SCR提供了与双肩肌的SCR相比较的功能结果,其重新撕裂率较低

Özer Öztürk¹, Berhan Bayram¹, Edip Yılmaz¹

¹Department of Orthopedics and Traumatology, Acibadem Altunizade Hospital, Istanbul, Turkey.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA

|March 7, 2026

概括

带 (ST) 上层囊重建 (SCR) 提供与双肩肌长头 (LHBT) SCR可比的功能结果,用于巨大的旋转手套撕裂. ST重建显示了较低的再撕裂率,表明结构完整性得到改善.

科学领域:

整形外科手术整形外科手术
肩膀的重建肩膀的重建
旋转器袖子维修旋转器袖子维修

背景情况:

巨大的旋转带撕裂通常需要先进的重建技术.
上层囊重建 (SCR) 旨在恢复肩膀功能.
比较像双肩肌长头 (LHBT) 和带 (ST) 这样的移植材料对于优化结果至关重要.

研究的目的:

为了比较基于LHBT的SCR和基于ST的SCR之间的功能结果,解剖修复和重新撕裂率.
评估ST与LHBT在巨大的旋转手套撕裂的部分修复中的有效性.
测试ST重建导致较低的再撕裂率与相似的功能结果的假设.

主要方法:

一个回顾性队列研究,对56名患者进行了大量的旋转手套撕裂 (2017-2022年).
第一组:30名基于LHBT的SCR患者;第二组:26名基于ST的SCR患者.
通过MRI评估功能性结果 (恒定分数,VAS,ASES),运动范围,角部距离 (AHD) 和再撕裂率.

主要成果:

这两组都显示出显著的术后功能改善 (VAS,Constant,ASES得分).
在ST群体中,术后骨骨距离 (AHD) 显著增加.
与LHBT组 (16.6%) 相比,ST组的再撕裂率明显较低 (11.5%).

结论:

基于ST和LHBT的SCR在巨大的不可修复的旋转手套撕裂时产生了可比的功能改善.
基于ST的SCR可以提供优越的结构稳定性和降低的再撕裂率.
对于肌质量差或缺少双肩肌的患者来说,ST是一种可行的替代方案,需要进一步的长期研究.

关键词:

增强增强增强增强二头肌肌的肌巨大的旋转手套撕裂.上层囊重建的重建带是用来 suture 带的.

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