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肩袖修复翻修术:一种综合方法及分步技术

Revision Rotator Cuff Repair: A Comprehensive Approach and Stepwise Technique.

作者信息

Ferguson W Jordan, Field Larry D

机构信息

Mississippi Sports Medicine and Orthopaedic Center, Jackson, MS, U.S.A.

出版信息

Arthrosc Tech. 2021 Jun 20;10(7):e1737-e1742. doi: 10.1016/j.eats.2021.03.028. eCollection 2021 Jul.

DOI:10.1016/j.eats.2021.03.028
PMID:34336572
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8322629/
Abstract

The indications for and techniques to accomplish revision rotator cuff repair continue to be challenging problems that surgeons face. Complexity of tears, poor tissue quality, retained hardware, and adhesions are routinely encountered during surgical intervention for failed rotator cuff repairs. A successful outcome for any revision rotator cuff repair is determined, in part, by the surgeon's ability to address these intraoperative issues in an optimum manner. The surgical technique described in this article outlines a comprehensive and stepwise approach that can aid the surgeon in developing an effective strategy to accomplish revision rotator cuff repair.

摘要

进行翻修性肩袖修复的适应证和技术仍然是外科医生面临的具有挑战性的问题。在对失败的肩袖修复进行手术干预时,经常会遇到撕裂的复杂性、组织质量差、内植物残留和粘连等情况。任何翻修性肩袖修复的成功结果部分取决于外科医生以最佳方式解决这些术中问题的能力。本文所述的手术技术概述了一种全面且逐步的方法,可帮助外科医生制定有效的策略来完成翻修性肩袖修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/0817ed893f49/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/fe5bb25ea9b6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/f99955fc91f5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/41bdaa10ad05/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/9f3f72f3bbc0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/b0f99d72b1c2/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/d09c1a023d9f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/7ac6835af4c5/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/80c7788caaf0/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/664d54800fb5/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/285f3cc2a770/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/0817ed893f49/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/fe5bb25ea9b6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/f99955fc91f5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/41bdaa10ad05/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/9f3f72f3bbc0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/b0f99d72b1c2/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/d09c1a023d9f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/7ac6835af4c5/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/80c7788caaf0/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/664d54800fb5/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/285f3cc2a770/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adf/8322629/0817ed893f49/gr11.jpg

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2
Revision rotator cuff repair: a systematic review.肩袖撕裂修复术的系统评价。
J Shoulder Elbow Surg. 2020 Mar;29(3):624-633. doi: 10.1016/j.jse.2019.06.023. Epub 2019 Aug 28.
3
Arthroscopic Massive Rotator Cuff Repair and Techniques for Mobilization.关节镜下巨大肩袖修复及活动技术
生物诱导性胶原蛋白植入物在肩袖撕裂治疗中产生了积极的组织学、临床和磁共振成像结果:一项系统评价。
Knee Surg Sports Traumatol Arthrosc. 2025 Mar;33(3):1070-1090. doi: 10.1002/ksa.12429. Epub 2024 Sep 5.
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"Double Row Rip-Stop" Arthroscopic Repair Technique for Acute, Retracted Rotator Cuff Tears.“双排防撕裂”关节镜修复技术治疗急性回缩性肩袖撕裂
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Arthrosc Tech. 2017 Oct 30;6(5):e2053-e2059. doi: 10.1016/j.eats.2017.08.003. eCollection 2017 Oct.
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Evidence of healing of partial-thickness rotator cuff tears following arthroscopic augmentation with a collagen implant: a 2-year MRI follow-up.关节镜下使用胶原蛋白植入物增强修复部分厚度肩袖撕裂后的愈合证据:2年MRI随访
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