肩关节炎置换术后不可修复的肩胛下肌腱撕裂采用真皮移植物进行前囊重建：病例报告。
Anterior Capsular Reconstruction Using a Dermal Allograft for an Irreparable Subscapularis Tear After Shoulder Arthroplasty: A Case Report.
机构信息
OhioHealth Doctors Hospital, Orthopedic Residency Program, Columbus, Ohio.
McConnell Spine, Sport and Joint Physicians, Columbus, Ohio.
出版信息
JBJS Case Connect. 2020 Jan-Mar;10(1):e0468. doi: 10.2106/JBJS.CC.18.00468.
CASE
A 51-year-old man was noted to have an irreparable subscapularis tear after total shoulder arthroplasty (TSA). Owing to positive reported results with superior capsular reconstruction, his insufficiency was addressed with anterior capsular reconstruction with use of a dermal allograft. Two-year follow-up results demonstrate good functional outcomes, no recurrent instability, and excellent patient satisfaction.
CONCLUSIONS
Anterior shoulder insufficiency after TSA can significantly alter glenohumeral function and is an important cause of patient morbidity. This novel technique exhibits a good outcome and provides an alternative to previous methods of repair.
病例
一名 51 岁男性患者在接受全肩关节置换术后发现肩胛下肌不可修复撕裂。由于报道称采用上盂唇前后向重建术（SLAP）治疗效果良好，因此他的肩胛下肌撕裂采用真皮同种异体移植物前关节囊重建术进行治疗。两年随访结果显示功能恢复良好，无复发性不稳定，患者满意度高。
结论
全肩关节置换术后的前肩袖间隙不足会显著改变盂肱关节功能，是导致患者发病的一个重要原因。这种新的技术具有良好的效果，为以前的修复方法提供了一种替代选择。
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