关节镜下自体阔筋膜移植术治疗不可修复的后上肩袖撕裂。

IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES
You-Hung Cheng, Poyu Chen, Chung-Yu Chen, Cheng-Pang Yang, Chen-Heng Hsu, Alvin Chao-Yu Chen, Joe Chih-Hao Chiu
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引用次数: 0

摘要

本研究探讨自体阔筋膜上囊重建术(SCR)治疗不可修复的肩袖撕裂的疗效。根据我们的经验和现有文献,SCR已显示出良好的结果,可改善肩部稳定性,减轻疼痛并预防肱骨头移位。自体阔筋膜SCR术后患者的肩关节活动范围接近正常,在x线随访中观察到肩关节与肱骨的距离保持不变。各种移植改良,包括真皮移植和二头肌肌腱长头的使用,已经被探索。然而,研究表明,自体阔筋膜移植物较好的厚度和抗拉强度支持更持久的结果。本研究中详细介绍的SCR方案包括细致的移植物采集、关节镜检查和使用缝合锚钉精确放置移植物以确保稳定性。术后护理包括固定,随后逐步康复,促进有效愈合和功能恢复。该方法突出了SCR作为不可修复的肩袖撕裂患者的有价值治疗方法的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Arthroscopic Superior Capsule Reconstruction for Irreparable Posterosuperior Rotator Cuff Tears with Autologous Fascia Lata Graft.

This study explores the efficacy of superior capsule reconstruction (SCR) using fascia lata autograft for treating irreparable rotator cuff tears. Based on our experience and existing literature, SCR has demonstrated promising outcomes, offering improved shoulder stability, reduced pain, and prevention of humeral head migration. Patients undergoing SCR with fascia lata autograft achieved near-normal shoulder range of motion postoperatively, with maintained acromio-humeral distance observed in radiographic follow-ups. Various graft modifications, including the use of dermal grafts and the long head of the biceps tendon, have been explored. Yet, studies indicate the superior thickness and tensile strength of fascia lata autograft supports more durable outcomes. The SCR protocol detailed in this study includes meticulous graft harvesting, arthroscopic examination, and precise graft placement with suture anchors to ensure stability. Postoperative care involves immobilization followed by gradual rehabilitation, promoting effective healing and functional recovery. This approach highlights SCR's potential as a valuable treatment for active patients with irreparable rotator cuff tears.

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来源期刊
Jove-Journal of Visualized Experiments
Jove-Journal of Visualized Experiments MULTIDISCIPLINARY SCIENCES-
CiteScore
2.10
自引率
0.00%
发文量
992
期刊介绍: JoVE, the Journal of Visualized Experiments, is the world''s first peer reviewed scientific video journal. Established in 2006, JoVE is devoted to publishing scientific research in a visual format to help researchers overcome two of the biggest challenges facing the scientific research community today; poor reproducibility and the time and labor intensive nature of learning new experimental techniques.
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