肩袖修复术后的固定：我们目前有哪些证据？
Immobilization After Rotator Cuff Repair: What Evidence Do We Have Now?
作者信息
Hsu Jason E, Horneff John G, Gee Albert O
机构信息
Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA 98195, USA.
Department of Orthopaedic Surgery, University of Pennsylvania, 2 Silverstein Pavilion, 3400 Spruce Street, Philadelphia, PA 19104, USA.
出版信息
Orthop Clin North Am. 2016 Jan;47(1):169-77. doi: 10.1016/j.ocl.2015.08.017.
Recurrent tears after rotator cuff repair are common. Postoperative rehabilitation after rotator cuff repair is a modifiable factor controlled by the surgeon that can affect re-tear rates. Some surgeons prefer early mobilization after rotator cuff repair, whereas others prefer a period of immobilization to protect the repair site. The tendon-healing process incorporates biochemical and biomechanical responses to mechanical loading. Healing can be optimized with controlled loading. Complete load removal and chronic overload can be deleterious to the process. Several randomized clinical studies have also characterized the role of postoperative mobilization after rotator cuff repair.
肩袖修复术后复发性撕裂很常见。肩袖修复术后的康复是一个可由外科医生控制的可变因素，它会影响再次撕裂的发生率。一些外科医生倾向于在肩袖修复术后早期进行活动，而另一些医生则倾向于一段时间的固定以保护修复部位。肌腱愈合过程包含对机械负荷的生化和生物力学反应。通过控制负荷可以优化愈合。完全去除负荷和慢性过载对这个过程可能是有害的。几项随机临床研究也已明确了肩袖修复术后活动的作用。
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