Adam John R, Nanjayan Shashi K T, Johnson Melissa, Rangan Amar
The James Cook University Hospital, Middlesbrough, UK.
The Mary Kinross Trust & RCS Chair, Department of Health Sciences & Hull York Medical School, University of York, UK.
J Clin Orthop Trauma. 2021 Apr 3;17:254-260. doi: 10.1016/j.jcot.2021.03.021. eCollection 2021 Jun.
Symptomatic irreparable rotator cuff tears pose a challenge for shoulder surgeons. Whilst reverse polarity shoulder arthroplasty is an effective option for older symptomatic patients who have exhausted conservative management, the optimal treatment for younger patients remains controversial. In this article we outline the main tendon transfer options, including anatomical considerations, indications, contraindications, surgical technique, complications and a review of the evidence. Tendon transfers provide an alternative joint-preserving surgical option, but the evidence so far is limited, with a clear need for well-designed comparative studies to confirm their effectiveness.
有症状的不可修复性肩袖撕裂给肩关节外科医生带来了挑战。虽然反置式肩关节置换术对于保守治疗无效的老年有症状患者是一种有效的选择，但对于年轻患者的最佳治疗方法仍存在争议。在本文中，我们概述了主要的肌腱转移选择，包括解剖学考虑、适应症、禁忌症、手术技术、并发症以及证据综述。肌腱转移提供了一种保留关节的手术替代方案，但目前的证据有限，显然需要设计良好的比较研究来证实其有效性。
