一种用于稳定肩部的新型肩胛下肌吊带手术。一项尸体研究。
A new subscapular sling operation to stabilize the shoulder. A cadaver study.
作者信息
Klungsøyr P J, Guldal F, Vagstad T, Klungsøyr J A
机构信息
Orthopaedic Department. Aalesund Hospital, Aalesund, Norway.
出版信息
J Exp Orthop. 2015 Dec;2(1):12. doi: 10.1186/s40634-015-0028-y. Epub 2015 Jun 2.
INTRODUCTION
A new arthroscopic shoulder stabilisation procedure is proposed, which for some patients could be an alternative to the arthroscopic Latarjet procedure.
METHODS
The objective was to stabilize the shoulder by making a sling around the subscapularis tendon, using a hamstring graft and enhancing the anterior rim of the glenoid with the same graft. The anatomical feasibility of the surgical procedure was tested to establish the surgical method.
RESULTS
Four surgeons performed the surgery on six cadavers. After the surgery the cadavers were dissected to visualize the result. The sling was placed according to the intention and the nerves in the area (axillary and musculocutaneus) were not at risk, nor had they altered position during the procedure.
CONCLUSION
The procedure is technically feasible and the risk of complications seems low. This procedure could be an alternative to the Latarjet procedure and to other operations used for anterior instability of the shoulder. A biomechanical study will be performed as the next stage of the development.
CLINICAL RELEVANCE
This procedure could be an alternative to the Latarjet procedure and to other operations used for anterior instability of the shoulder.
TRIAL REGISTRATION
2012/1978/REK sør-øst.
引言
提出了一种新的关节镜下肩关节稳定手术方法，对于某些患者而言，该方法可能是关节镜下Latarjet手术的替代方案。
方法
目的是通过使用绳肌腱移植物围绕肩胛下肌腱制作吊带，并使用同一移植物加强肩胛盂前缘来稳定肩关节。测试了该手术方法的解剖学可行性以确定手术方式。
结果
四名外科医生对六具尸体进行了手术。术后对尸体进行解剖以观察结果。吊带按预期放置，该区域的神经（腋神经和肌皮神经）未受影响，且在手术过程中其位置未发生改变。
结论
该手术在技术上可行，并发症风险似乎较低。此手术方法可能是Latarjet手术以及用于治疗肩关节前向不稳的其他手术的替代方案。作为下一步研发阶段，将进行生物力学研究。
临床意义
此手术方法可能是Latarjet手术以及用于治疗肩关节前向不稳的其他手术的替代方案。
试验注册
2012/1978/REK sør-øst。
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