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超声引导下可生物降解肩峰下间隔器植入治疗巨大不可修复性肩袖撕裂患者

Ultrasound-guided biodegradable subacromial spacer implantation in a patient with massive irreparable rotator cuff tears.

作者信息

Poboży Tomasz, Kielar Maciej, Miąskiewicz Jakub

机构信息

Department of Orthopedic Surgery, Surgery Clinic, Medicover Hospital, Warsaw, Poland.

Department of Oncology and Nursing Oncology, Institute of Nursing and Obstetrics, Faculty of Medicine and Health Science, Jan Kochanowski University, Kielce, Poland.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2019 Jan;14(1):145-148. doi: 10.5114/wiitm.2018.77555. Epub 2018 Aug 8.

DOI:10.5114/wiitm.2018.77555
PMID:30766643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6372862/
Abstract

The aim of this manuscript is to present a modification of the current arthroscopic implantation technique of a biodegradable subacromial spacer. This modified ultrasound-guided technique was intended to maximally reduce the invasiveness of the procedure. The ultrasound technique was used to measure the subacromial space for an optimal fit and to verify subacromial spacer placement in the sagittal and frontal planes. This finding is of particular importance for patients with contraindications to general or regional anesthesia. The follow-up (5 months) of subacromial spacer implantation using ultrasound in a patient with an irreparable rotator cuff tear showed correct spacer placement.

摘要

本手稿的目的是介绍一种可生物降解的肩峰下间隔器当前关节镜植入技术的改良方法。这种改良的超声引导技术旨在最大程度地降低手术的侵入性。超声技术用于测量肩峰下间隙以实现最佳适配，并在矢状面和额状面验证肩峰下间隔器的放置位置。这一发现对于有全身麻醉或区域麻醉禁忌证的患者尤为重要。在一名患有不可修复的肩袖撕裂的患者中，使用超声进行肩峰下间隔器植入后的随访（5个月）显示间隔器放置正确。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b57/6372862/7286b3690713/WIITM-14-33453-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b57/6372862/e52468739181/WIITM-14-33453-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b57/6372862/9850e01a7754/WIITM-14-33453-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b57/6372862/6b04b39f8047/WIITM-14-33453-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b57/6372862/07e190f10092/WIITM-14-33453-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b57/6372862/7286b3690713/WIITM-14-33453-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b57/6372862/e52468739181/WIITM-14-33453-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b57/6372862/9850e01a7754/WIITM-14-33453-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b57/6372862/6b04b39f8047/WIITM-14-33453-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b57/6372862/07e190f10092/WIITM-14-33453-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b57/6372862/7286b3690713/WIITM-14-33453-g005.jpg

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The biodegradable spacer as a novel treatment modality for massive rotator cuff tears: a prospective study with 5-year follow-up.可生物降解间隔物作为治疗巨大肩袖撕裂的一种新的治疗方式：一项为期5年随访的前瞻性研究。
Arch Orthop Trauma Surg. 2017 Jan;137(1):95-103. doi: 10.1007/s00402-016-2603-9. Epub 2016 Dec 12.
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Fluoroscopy-guided biodegradable spacer implantation using local anesthesia: safety and efficacy study in patients with massive rotator cuff tears.
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Musculoskelet Surg. 2016 Dec;100(Suppl 1):19-24. doi: 10.1007/s12306-016-0433-0. Epub 2016 Nov 30.
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A review of ultrasonographic methods for the assessment of the anterior cruciate ligament in patients with knee instability - diagnostics using a posterior approach.膝关节不稳定患者前交叉韧带评估的超声检查方法综述——采用后路的诊断方法
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