扩大经肩峰上入路联合反式肩关节置换术治疗骨折
Enlarged transacromial superior approach with reverse shoulder arthroplasty for fractures.
作者信息
Poignard Alexandre, Bouhou Mohamed, Homma Yasuhiro, Hernigou Philippe
机构信息
University Paris XII, Hospital Henri Mondor, Creteil, France.
出版信息
Orthop Rev (Pavia). 2011 Mar 17;3(1):e2. doi: 10.4081/or.2011.e2.
Abstract
The authors describe a step-by-step technique for reverse total shoulder arthroplasty using arthrotomy via the enlarged transacromial superior approach. This technique seems ideal for reinsertion of the tuberosities and to ensure adequate postoperative tensional balance of the infraspinatus and the subscapularis, which is critical for the rotator cuffs to function properly and to achieve optimal arthroplasty stability. Reviewing these different steps helps understanding each rotator cuff individual component's contribution to achieve optimal arthroplasty stability and external rotation with a reverse shoulder arthroplasty.
摘要
作者描述了一种使用经扩大的经肩峰上入路切开术进行反向全肩关节置换术的逐步技术。该技术似乎非常适合结节的重新植入，并确保术后冈下肌和肩胛下肌有足够的张力平衡，这对于肩袖正常发挥功能和实现最佳的关节置换稳定性至关重要。回顾这些不同步骤有助于理解每个肩袖个体组成部分对通过反向肩关节置换术实现最佳关节置换稳定性和外旋的贡献。
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