Greiwe R Michael
Commonwealth Orthopaedic Centers, Edgewood, KY.
J Am Acad Orthop Surg Glob Res Rev. 2017 Mar 31;1(1):e002. doi: 10.5435/JAAOSGlobal-D-17-00002. eCollection 2017 Mar.
The traditional total shoulder arthroplasty approach uses a subscapularis takedown through tenotomy, peel, or lesser tuberosity osteotomy. Recently, a subscapularis split, rotator interval, and sub-subscapularis approach have been developed to spare the rotator cuff and provide improved functional outcomes for patients. Rotator cuff-sparing total shoulder arthroplasty may improve postoperative pain, rehabilitation, and subscapularis function and strength. Here, the first three patients treated with a rotator cuff-sparing posterior approach that uses the interval between the teres minor and infraspinatus and an in situ osteotomy are described.
传统的全肩关节置换术入路通过肌腱切断术、剥离术或小结节截骨术来切断肩胛下肌。最近，一种肩胛下肌劈开、旋转间隙和肩胛下肌下入路已被开发出来，以保留肩袖，并为患者提供更好的功能结果。保留肩袖的全肩关节置换术可能会改善术后疼痛、康复情况以及肩胛下肌的功能和力量。在此，描述了首例采用保留肩袖的后入路（利用小圆肌和冈下肌之间的间隙以及原位截骨术）治疗的三名患者。
