全肩关节置换中的软组织平衡。
Soft tissue balancing in total shoulder replacement.
机构信息
Evangelisches Waldkrankenhaus, Spandau, Berlin, Germany.
出版信息
Curr Rev Musculoskelet Med. 2014 Mar;7(1):16-21. doi: 10.1007/s12178-013-9195-6.
Abstract
Total shoulder arthroplasty is now capable of recreating near anatomic reproduction of native bony shoulder anatomy, but the function and longevity of anatomic shoulder replacement is dependent on a competent soft tissue envelope and adequate motoring of all musculo-tendinous units about the shoulder. Balancing the soft tissues requires understanding of the anatomy and pathology, as well as technical skills. The advent of reverse shoulder biomechanics has brought with it special requirements of understanding of the soft tissue elements still left in the shoulder despite major rotator cuff deficiency.
摘要
全肩关节置换术现在能够近乎解剖学地重建肩部的原生骨骼结构，但解剖型肩关节置换的功能和寿命取决于其周围软组织的完整性和所有肩周肌肉-肌腱结构的正常活动。平衡这些软组织需要了解其解剖和病理特征，以及相关技术技能。反向肩关节生物力学的出现带来了一些特殊的要求，需要理解在严重肩袖缺损的情况下，仍保留在肩部的软组织结构。
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