小型开放式手术治疗肩袖损伤的疗效研究

Nageswararao Y, Shin Gm, Chemboli Jm
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摘要

背景:对于肩袖撕裂的治疗有很多选择,从非手术良性忽视到复杂的关节镜下间歇滑动部分修复技术。虽然这些选择中的许多可能获得令人满意的结果,但应该记住,很少有前瞻性的随机试验对这些治疗进行比较。因此,关于每一种药物的绝对适应症仍存在争议,个别患者因素可能会显著影响最终的治疗决定。方法:基于医院的观察性研究。获得患者的知情同意。研究纳入了2018年11月至2020年9月在卡基纳达政府总医院骨科住院的30名患者。结果:采用加州大学洛杉矶分校肩标法,25例疗效优,4例疗效好,1例疗效差。恒莫里评分法显示,优良者29例,优良者1例。结论:在关节镜下肩袖手术时代,小型开放技术联合开放式肩峰成形术和肩袖修复术作为一种可选择的手术方式,在临床上可以取得与其他当代技术相媲美的效果。
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A Study on Outcomes of Mini Open Procedures on Rotator Cuff Injuries
Background: Many treatment options exist for the management of rotator cuff tears, varying from non-operative-benign neglect to complex arthroscopic partial repair using an interval slide technique. Although satisfactory results may be obtained with many of these options, it should be remembered that few prospective, randomized trials exist comparing these treatments. Thus, controversy remains as to the absolute indications for each, and individual patient factors may significantly affect the final treatment decision. Methods: Hospital-based observational study. Informed consent was taken from the patients. A total of 30 patients who got admitted to the Department of Orthopaedics, Government General Hospital, Kakinada from November 2018 to September 2020 were included in the study. Results: Twenty five cases showed excellent results four cases showed good results and one showed poor result using University of California LosAngeles shoulder scale. Twenty nine cases showed excellent results and one case showed good result with Constant Murley Score. Conclusion: In the era of arthroscopic rotator cuff surgery the mini open technique with open acromio plasty and rotator cuff repair adds to rural surgeon as an elective procedure and can produce clinically competing results that of other contemporary techniques.
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