McCluskey George M, Gaunt Bryce W
Southeastern Shoulder Institute, Inc., PO Box 4099, 2200 Hamilton Rd, Suite B, Columbus, GA 31904, USA.
J Surg Orthop Adv. 2006 Fall;15(3):145-53.
Open shoulder procedures require a deltoid release for proper exposure. Arthroscopic techniques have progressed so that minimally invasive techniques give similar outcomes as more formal open procedures with less risk of morbidity. Arthroscopically assisted open rotator cuff repair offers advantages over open procedures with some diagnostic and decompression performed with the arthroscope. The mini-open technique has more aspects of a cuff repair performed through the arthroscope leaving a few steps to be done open. The modern use of arthroscopic techniques for minimally invasive rotator cuff surgery coupled with advances in rehabilitation is discussed.
开放式肩关节手术需要松解三角肌以获得充分暴露。关节镜技术不断进步，使得微创技术能产生与更传统的开放式手术相似的效果，且发病风险更低。关节镜辅助下的开放式肩袖修复术相较于开放式手术具有优势，因为部分诊断和减压操作可通过关节镜进行。小切口开放技术在更多方面类似于通过关节镜进行的肩袖修复，仅留少数步骤需开放操作完成。本文讨论了现代关节镜技术在微创肩袖手术中的应用以及康复方面的进展。
