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肩峰下球囊植入术治疗不可修复的后上盂唇撕裂

Subacromial Balloon Implantation for the Treatment of Irreparable Posterosuperior Rotator Cuff Tears.

作者信息

Marigi Erick M, Alder Kareme D, Morrey Mark M, Sanchez-Sotelo Joaquin

机构信息

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.

出版信息

Arthrosc Tech. 2023 Jul 10;12(8):e1297-e1304. doi: 10.1016/j.eats.2023.03.021. eCollection 2023 Aug.

DOI:10.1016/j.eats.2023.03.021
PMID:37654869
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10466141/
Abstract

Despite the development of various therapeutic options, surgical management of irreparable rotator cuff tears (IRCTs) remains controversial. Recently, implantation of a biodegradable subacromial balloon spacer (InSpace, Stryker Corporation; Kalamazoo, MI) has gained considerable interest for the treatment of certain IRCTs. The reported outcome of balloon implantation has not been consistent, likely due to differing indications and technical approaches. The purpose of this article is to present a reproducible arthroscopic technique for implantation of a subacromial balloon and to review the literature published to date, regarding the efficacy and outcomes of this procedure.

摘要

尽管已经开发出各种治疗方法,但不可修复的肩袖撕裂(IRCT)的手术治疗仍存在争议。最近,可生物降解的肩峰下球囊间隔器(InSpace,史赛克公司;密歇根州卡拉马祖)的植入在治疗某些IRCT方面引起了相当大的关注。据报道,球囊植入的结果并不一致,这可能是由于适应症和技术方法不同所致。本文的目的是介绍一种可重复的关节镜下肩峰下球囊植入技术,并回顾迄今为止发表的关于该手术疗效和结果的文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/3704b16fa681/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/02638886f89b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/d726fb5055c5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/8513ec55f9a1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/494b87802543/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/b2cb1a001df0/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/ae930169d75e/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/da0f7ef05c0a/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/3704b16fa681/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/02638886f89b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/d726fb5055c5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/8513ec55f9a1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/494b87802543/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/b2cb1a001df0/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/ae930169d75e/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/da0f7ef05c0a/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a20/10466141/3704b16fa681/gr8.jpg

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本文引用的文献

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J Bone Joint Surg Am. 2022 Jul 20;104(14):1250-1262. doi: 10.2106/JBJS.21.00667. Epub 2022 Apr 25.
2
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.
3
Cost comparison and complication profiles of superior capsular reconstruction, lower trapezius transfer, and reverse shoulder arthroplasty for irreparable rotator cuff tears.
肩袖撕裂不可修复患者行肩峰下减压术、斜方肌下移术和反肩关节置换术的成本比较和并发症分析
J Shoulder Elbow Surg. 2022 Apr;31(4):847-854. doi: 10.1016/j.jse.2021.08.027. Epub 2021 Sep 27.
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Treatment Options for Massive Irreparable Rotator Cuff Tears.巨大不可修复性肩袖撕裂的治疗选择
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Management of irreparable massive rotator cuff tears: a systematic review and meta-analysis of patient-reported outcomes, reoperation rates, and treatment response.不可修复性巨大肩袖撕裂的治疗管理:患者报告结局、再次手术率和治疗反应的系统评价和荟萃分析。
J Shoulder Elbow Surg. 2020 Dec;29(12):2459-2475. doi: 10.1016/j.jse.2020.07.030. Epub 2020 Aug 4.
6
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Orthop J Sports Med. 2020 May 13;8(5):2325967120917121. doi: 10.1177/2325967120917121. eCollection 2020 May.
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