Dietz S O, Habermeyer P, Magosch Petra
Schulter- und Ellenbogenchirurgie, ATOS-Praxisklinik, Heidelberg, Germany.
Zentralbl Chir. 2002 Mar;127(3):194-202. doi: 10.1055/s-2002-24250.
The expectation of a functional shoulder joint, even in advanced age, the growing experience and success in shoulder surgery have brought the operative treatment another step further. The goal of any advanced knowledge should be a proper treatment of the patients and the pathology. Complex rotator cuff tears can be repaired by means of muscle transfer and partial reconstruction. In cases of irreparable rotator cuff tear arthropathy prosthetic replacement of the gleno-humeral joint can be performed. In this article a review on the different techniques and indications for rotator cuff repair is given.
即使是高龄患者,对于功能良好的肩关节的期望,以及肩部手术经验的不断积累和成功,都使手术治疗又向前迈进了一步。任何先进知识的目标都应该是对患者和病理情况进行恰当的治疗。复杂的肩袖撕裂可以通过肌肉转移和部分重建的方法进行修复。在肩袖撕裂性关节病无法修复的情况下,可以进行盂肱关节的假体置换。本文对肩袖修复的不同技术和适应证进行了综述。