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新型射频棒在肱二头肌肌腱切断术和肩峰下滑囊切除术中的应用

Use of Novel Radiofrequency Wand for the Application of the Biceps Tenotomy and Subacromonical Bursectomy.

作者信息

Amin Nirav H, Liu Joseph N

机构信息

Department of Orthopedic Surgery, VA Loma Linda, Loma Linda, California, U.S.A.

Department of Orthopaedic Surgery, Loma Linda University Medical Center, Loma Linda, California, U.S.A.

出版信息

Arthrosc Tech. 2021 Jul 13;10(8):e1961-e1964. doi: 10.1016/j.eats.2021.04.019. eCollection 2021 Aug.

DOI:10.1016/j.eats.2021.04.019
PMID:34401240
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8355414/
Abstract

Rotator cuff tears in patients can lead to a surgical intervention to relieve the pain and improve the function of the shoulder joint. In the majority of cases, the rotator cuff repair is completed arthroscopically and requires the ability for soft-tissue resection and visualization to restore the anatomic structures to their native state. With the advent of a radiofrequency wand, the technical aspects of a biceps tenotomy from the insertion point on the glenoid can be completed, along with the ability to resect, ablate, and coagulate tissue, using a single instrument. Although bone resection is completed with a bone cutting shaver and/or burr, the soft-tissue dissection can be completed in a precise and efficient manner.

摘要

患者的肩袖撕裂可能需要手术干预以减轻疼痛并改善肩关节功能。在大多数情况下,肩袖修复通过关节镜完成,需要具备软组织切除和可视化能力,以将解剖结构恢复到其原始状态。随着射频棒的出现,从肩胛盂插入点进行肱二头肌肌腱切断术的技术操作得以完成,同时还能够使用单一器械进行组织切除、消融和凝固。虽然骨切除是用骨切割刀和/或磨钻完成的,但软组织解剖可以精确且高效地完成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf2/8355414/4fd023c1c7be/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf2/8355414/e364693b1422/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf2/8355414/05d4f591a81a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf2/8355414/7e4d203ecd74/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf2/8355414/d1ea7672026e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf2/8355414/4fd023c1c7be/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf2/8355414/e364693b1422/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf2/8355414/05d4f591a81a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf2/8355414/7e4d203ecd74/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf2/8355414/d1ea7672026e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf2/8355414/4fd023c1c7be/gr5.jpg

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本文引用的文献

1
Superior Labral Anterior Posterior Repair and Biceps Tenodesis Surgery: Trends of the American Board of Orthopaedic Surgery Database.肩盂上唇前后修复和肱二头肌肌腱固定术:美国骨科手术委员会数据库的趋势。
Am J Sports Med. 2020 Jun;48(7):1583-1589. doi: 10.1177/0363546520913538. Epub 2020 Apr 16.
2
Diagnostic Shoulder Arthroscopy: Surgical Technique.诊断性肩关节镜检查:手术技术。
Arthrosc Tech. 2019 Apr 11;8(5):e443-e449. doi: 10.1016/j.eats.2018.12.003. eCollection 2019 May.
3
Identifying regional characteristics influencing variation in the utilization of rotator cuff repair in the United States.
确定影响美国肩袖修复利用变化的区域特征。
J Shoulder Elbow Surg. 2019 Aug;28(8):1568-1577. doi: 10.1016/j.jse.2018.12.013. Epub 2019 Apr 5.
4
Rotator Cuff Repair in Patients over 75 Years of Age: Clinical Outcome and Repair Integrity.75岁以上患者的肩袖修复:临床结果与修复完整性
Clin Orthop Surg. 2016 Dec;8(4):420-427. doi: 10.4055/cios.2016.8.4.420. Epub 2016 Nov 4.
5
All-arthroscopic suprapectoral versus open subpectoral tenodesis of the long head of the biceps brachii.全关节镜下肱二头肌长头胸大肌上止点固定术与开放胸大肌下止点固定术的比较
Am J Sports Med. 2015 May;43(5):1077-83. doi: 10.1177/0363546515570024. Epub 2015 Mar 29.
6
Fenestrated cannulae with outflow reduces fluid gain in shoulder arthroscopy.开窗套管联合外引流可减少肩关节镜手术中的液体吸收。
Clin Orthop Relat Res. 2010 Jan;468(1):158-62. doi: 10.1007/s11999-009-0955-y. Epub 2009 Jun 26.