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用于治疗不可修复性肩袖撕裂的肩峰下球囊间隔器:一项综述

Subacromial balloon spacers for the treatment of irreparable rotator cuff tears: a review.

作者信息

McNamara John K, Sudah Suleiman Y, Manzi Joseph E, Constantinescu David S, Nicholson Allen D, Menendez Mariano E

机构信息

Department of Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School New Brunswick, NJ, USA.

Department of Orthopedic Surgery, Monmouth Medical Center Long Branch, NJ, USA.

出版信息

JSES Rev Rep Tech. 2023 Mar 4;3(3):331-335. doi: 10.1016/j.xrrt.2023.01.010. eCollection 2023 Aug.

DOI:10.1016/j.xrrt.2023.01.010
PMID:37588486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10426637/
Abstract

Massive irreparable rotator cuff tears (RCTs) are a commonly encountered orthopedic condition that can be difficult to treat. Several techniques have been described to manage these tears, with the implantable subacromial balloon spacer being one of the most recent. The device, which has only been approved for clinical use in the United States since 2021, functions by resisting the superior humeral head migration seen in the setting of massive RCTs and restoring normal shoulder biomechanics, as corroborated by cadaveric studies. However, results regarding clinical outcomes have been mixed to date, and further high-quality studies are needed to define the optimal use of the subacromial balloon spacer in the treatment of massive irreparable RCTs.

摘要

巨大的不可修复的肩袖撕裂(RCTs)是一种常见的骨科疾病,治疗起来可能很困难。已经描述了几种处理这些撕裂的技术,可植入的肩峰下球囊间隔器是最新的技术之一。该装置自2021年以来才在美国被批准用于临床,其作用是抵抗在巨大RCTs情况下出现的肱骨头向上移位,并恢复正常的肩部生物力学,尸体研究证实了这一点。然而,迄今为止关于临床结果的报道喜忧参半,需要进一步的高质量研究来确定肩峰下球囊间隔器在治疗巨大的不可修复的RCTs中的最佳应用。

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本文引用的文献

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Poor Results After Arthroscopic Treatment of Irreparable Rotator Cuff Tears Using a Subacromial Balloon Spacer.关节镜下治疗不可修复性肩袖撕裂使用肩峰下球囊扩张间隔器的效果不佳。
J Am Acad Orthop Surg. 2022 Oct 1;30(19):e1260-e1268. doi: 10.5435/JAAOS-D-22-00025. Epub 2022 Jul 12.
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InSpace Implant Compared with Partial Repair for the Treatment of Full-Thickness Massive Rotator Cuff Tears: A Multicenter, Single-Blinded, Randomized Controlled Trial.《全层巨大肩袖撕裂的内置物修补与部分修复治疗的比较:一项多中心、单盲、随机对照试验》。
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Subacromial balloon spacer for irreparable rotator cuff tears of the shoulder (START:REACTS): a group-sequential, double-blind, multicentre randomised controlled trial.肩袖不可修复撕裂的肩峰下球囊扩张间隔器(START:REACTS):一项群组序贯、双盲、多中心随机对照试验。
Lancet. 2022 May 21;399(10339):1954-1963. doi: 10.1016/S0140-6736(22)00652-3. Epub 2022 Apr 21.
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Subacromial spacer implantation: an alternative to arthroscopic superior capsular reconstruction. A systematic review.肩峰下间隙植入物:关节镜上盂唇重建术的替代方法。系统评价。
Br Med Bull. 2021 Sep 10;139(1):59-72. doi: 10.1093/bmb/ldab014.
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Subacromial balloon spacer - Where are we now?肩峰下球囊间隔器——我们目前的进展如何?
J Clin Orthop Trauma. 2021 Mar 26;17:223-232. doi: 10.1016/j.jcot.2021.03.017. eCollection 2021 Jun.
6
Implantable Subacromial Balloon Spacers in Patients With Massive Irreparable Rotator Cuff Tears: A Systematic Review of Clinical, Biomechanical, and Financial Implications.可植入式肩峰下球囊间隔器治疗巨大不可修复性肩袖撕裂患者:临床、生物力学及经济影响的系统评价
Arthrosc Sports Med Rehabil. 2020 Oct 16;2(6):e855-e872. doi: 10.1016/j.asmr.2020.06.011. eCollection 2020 Dec.
7
Outcomes of Subacromial Balloon Spacer Implantation for Massive and Irreparable Rotator Cuff Tears: A Systematic Review.巨大且不可修复的肩袖撕裂行肩峰下球囊间隔器植入术的疗效:一项系统评价
Orthop J Sports Med. 2019 Oct 15;7(10):2325967119875717. doi: 10.1177/2325967119875717. eCollection 2019 Oct.
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Musculoskelet Surg. 2020 Aug;104(2):207-214. doi: 10.1007/s12306-019-00614-1. Epub 2019 Jun 27.
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Biomechanics of Biodegradable Subacromial Balloon Spacer for Irreparable Superior Rotator Cuff Tears: Study of a Cadaveric Model.可生物降解的肩峰下球囊间隔物治疗不可修复性肩袖全层撕裂的生物力学研究:尸体模型研究。
J Bone Joint Surg Am. 2019 Jun 5;101(11):e49. doi: 10.2106/JBJS.18.00850.
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Satisfactory mid-term outcome of subacromial balloon spacer for the treatment of irreparable rotator cuff tears.肩峰下球囊扩张间隔器治疗不可修复性肩袖撕裂的中期疗效满意。
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