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背阔肌肌腱转移术后外旋功能增强：一项尸体研究

Enhancement of External Rotation after Latissimus Dorsi Tendon Transfer (LDTT): A Cadaveric Study.

作者信息

Silberberg José M, Nilo Alessandro, Roces-García Jorge

机构信息

Orthopaedic Surgery and Traumatology Head Department, Sports Medicine Unit, Clínica Universidad de Navarra, 28027 Madrid, Spain.

Orthopaedic Surgery and Traumatology Department, Chief of Upper Limb Unit, Hospital General Regional N1, 97155 Mérida, Mexico.

出版信息

Medicina (Kaunas). 2021 Mar 24;57(4):305. doi: 10.3390/medicina57040305.

DOI:10.3390/medicina57040305
PMID:33804946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8063920/
Abstract

: Massive rotator cuff tears compromise shoulder mobility function and cannot be directly repaired. Latissimus dorsi tendon transfer (LDTT) is a therapeutic alternative suitable for the treatment of rotator cuff tears that helps to restore external shoulder rotation. Cadaver models have been used for studying the effects of LDTT and procedural variations, but, to the best of our knowledge, none of them have been validated. The aim of our study was to validate a novel cadaver model while verifying the effects of LDTT on external rotation. : Two groups were included in the study: a cadaver group and a control group made up of healthy volunteers, which were used for the validation of the cadaver model. Baseline external rotation measurements were performed with both groups, after which a massive rotator cuff tear was inflicted and repaired with LDTT in the cadaver group. Their postoperative external rotation was evaluated using three different tests. : No statistically significant differences were found between the baseline measurements of the two groups, and postoperative external rotation was significantly higher after LDTT in all cases but one. Cadaver models were validated, since they had a similar preoperative external rotation to healthy volunteers. Moreover, they allowed us to demonstrate the effect of LDTT on external shoulder rotation.

摘要

巨大的肩袖撕裂会损害肩关节活动功能且无法直接修复。背阔肌肌腱转移术（LDTT）是一种适用于治疗肩袖撕裂的治疗方法，有助于恢复肩关节外旋功能。尸体模型已被用于研究LDTT的效果和手术操作的变化，但据我们所知，尚无模型得到验证。我们研究的目的是验证一种新型尸体模型，同时验证LDTT对外旋的影响。

本研究纳入两组

尸体组和由健康志愿者组成的对照组，后者用于验证尸体模型。两组均进行基线外旋测量，之后在尸体组造成巨大肩袖撕裂并采用LDTT进行修复。使用三种不同测试评估其术后外旋情况。

两组的基线测量结果之间未发现统计学显著差异，除一例之外，所有病例在LDTT术后的外旋均显著更高。尸体模型得到验证，因为它们术前的外旋与健康志愿者相似。此外，它们使我们能够证明LDTT对肩关节外旋的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c1/8063920/22981bc95888/medicina-57-00305-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c1/8063920/28c4453cb0f3/medicina-57-00305-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c1/8063920/1abe95c99936/medicina-57-00305-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c1/8063920/e52e0607f424/medicina-57-00305-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c1/8063920/2f6ea5e4a4f9/medicina-57-00305-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c1/8063920/ea886f28415d/medicina-57-00305-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c1/8063920/22981bc95888/medicina-57-00305-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c1/8063920/28c4453cb0f3/medicina-57-00305-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c1/8063920/1abe95c99936/medicina-57-00305-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c1/8063920/e52e0607f424/medicina-57-00305-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c1/8063920/2f6ea5e4a4f9/medicina-57-00305-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c1/8063920/ea886f28415d/medicina-57-00305-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c1/8063920/22981bc95888/medicina-57-00305-g006.jpg

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