背阔肌转移联合三角肌瓣治疗肩袖不可修复撕裂的回顾性分析。

IF 1.8 Q2 ORTHOPEDICS SICOT-J Pub Date : 2023-01-01 Epub Date: 2023-12-07 DOI:10.1051/sicotj/2023034
Sami Roukoz, Samuel George, Marven Aoun, Mohammad Daher
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引用次数: 0

摘要

目的:本研究将评估背阔肌肌腱转移联合三角肌瓣治疗不可修复的后上肩袖撕裂的效果。方法:这是一项回顾性研究,15例患者接受双转移手术治疗不可修复的后上肩袖撕裂。这些患者分三个时期进行随访。评估功能结果,如恒定评分(CS)、主观肩值(SSV)和活动范围,以及放射学结果,如肩肱距离。结果:早期和中期随访15例,最后随访仅8例。早期随访时,SSV (p = 0.001)、CS (p = 0.021)和a - h距离(p = 0.008)较术前有统计学意义的改善。在最新随访时,只有外旋较中期随访时有所下降(p = 0.027)。结论:除外旋外,双移位技术可持续改善关节功能。然而,失去外旋并不影响其余的结果。需要将该技术与其他手术方法或mirct进行比较来证实这些结果。
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Combined latissimus dorsi transfer and deltoid flap for irreparable rotator cuff tear: A retrospective analysis.

Purpose: This study will evaluate the outcomes of the combined latissimus dorsi tendon transfer and deltoid flap for the management of irreparable posterosuperior rotator cuff tears.

Methods: This is a retrospective study of 15 patients who have undergone double transfer surgery for their irreparable posterosuperior rotator cuff tears. These patients were followed up in three periods. Functional outcomes such as the constant score (CS), subjective shoulder value (SSV), and range of motion were assessed as well as radiographic outcomes such as the acromio-humeral distance.

Results: Fifteen patients were included in the early and intermediate follow-up while only 8 remained at the latest follow-up. At the early follow-up the SSV (p = 0.001), CS (p = 0.021), and A-H distance (p = 0.008) showed a statistically significant improvement from their pre-operative values. At the latest follow-up, only the external rotation decreased from its value at the intermediate follow-up (p = 0.027).

Conclusion: The double transfer technique showed sustainable improvement of the functional outcomes except for the external rotation. However, the loss of external rotation did not affect the remaining outcomes. Trials comparing this technique to other surgical managements or MIRCTs are needed to confirm these results.

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来源期刊
SICOT-J
SICOT-J ORTHOPEDICS-
CiteScore
3.20
自引率
12.50%
发文量
44
审稿时长
14 weeks
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