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纳米纤维移植疗法预防肩袖肌腱修复术后肩部僵硬和粘连:一项综述

Nanofiber Graft Therapy to Prevent Shoulder Stiffness and Adhesions after Rotator Cuff Tendon Repair: A Comprehensive Review.

作者信息

Yoon Jong Pil, Kim Hyunjin, Park Sung-Jin, Kim Dong-Hyun, Kim Jun-Young, Kim Du Han, Chung Seok Won

机构信息

Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.

Department of Orthopedic Surgery, School of Medicine, Catholic University, Daegu 38430, Republic of Korea.

出版信息

Biomedicines. 2024 Jul 19;12(7):1613. doi: 10.3390/biomedicines12071613.

DOI:10.3390/biomedicines12071613
PMID:39062186
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11274509/
Abstract

Stiffness and adhesions following rotator cuff tears (RCTs) are common complications that negatively affect surgical outcomes and impede healing, thereby increasing the risk of morbidity and failure of surgical interventions. Tissue engineering, particularly through the use of nanofiber scaffolds, has emerged as a promising regenerative medicine strategy to address these complications. This review critically assesses the efficacy and limitations of nanofiber-based methods in promoting rotator cuff (RC) regeneration and managing postrepair stiffness and adhesions. It also discusses the need for a multidisciplinary approach to advance this field and highlights important considerations for future clinical trials.

摘要

肩袖撕裂(RCTs)后的僵硬和粘连是常见并发症,会对手术结果产生负面影响并阻碍愈合,从而增加手术干预的发病率和失败风险。组织工程,特别是通过使用纳米纤维支架,已成为一种有前途的再生医学策略来解决这些并发症。本综述批判性地评估了基于纳米纤维的方法在促进肩袖(RC)再生以及处理修复后僵硬和粘连方面的疗效和局限性。它还讨论了采用多学科方法推进该领域的必要性,并强调了未来临床试验的重要注意事项。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b0/11274509/25dac4148668/biomedicines-12-01613-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b0/11274509/65d676a7a941/biomedicines-12-01613-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b0/11274509/c0d0da8c5554/biomedicines-12-01613-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b0/11274509/a0b1794021ed/biomedicines-12-01613-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b0/11274509/25dac4148668/biomedicines-12-01613-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b0/11274509/65d676a7a941/biomedicines-12-01613-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b0/11274509/c0d0da8c5554/biomedicines-12-01613-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b0/11274509/a0b1794021ed/biomedicines-12-01613-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b0/11274509/25dac4148668/biomedicines-12-01613-g004.jpg

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本文引用的文献

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Long head biceps tendon as a graft material.肱二头肌长头肌腱作为一种移植材料。
Clin Shoulder Elb. 2024 Jun;27(2):138-140. doi: 10.5397/cise.2024.00325. Epub 2024 May 14.
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Basic to advanced elbow arthroscopy: the history, basic set up, and indications.从基础到进阶的肘关节关节镜检查:历史、基本设备及适应症
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Better short-term outcomes of mini-open rotator cuff repair compared to full arthroscopic repair.与全关节镜修复相比,小切口肩袖修复的短期疗效更佳。
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Long-term clinical and radiographic outcomes of arthroscopic acromioclavicular stabilization for acute acromioclavicular joint dislocation.关节镜下肩锁关节稳定术治疗急性肩锁关节脱位的长期临床及影像学结果
Clin Shoulder Elb. 2024 Jun;27(2):219-228. doi: 10.5397/cise.2023.01060. Epub 2024 May 10.
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Fracture Management in Chronic Kidney Disease: Challenges and Considerations for Orthopedic Surgeons.慢性肾脏病骨折管理:骨科医生面临的挑战与考虑。
Clin Orthop Surg. 2024 Apr;16(2):173-183. doi: 10.4055/cios23244. Epub 2024 Mar 15.
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Eponymous terms in acromioclavicular joint surgery.肩锁关节手术中的命名术语。
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Arthroscopic remplissage: history, indications, and clinical outcomes.关节镜下填充术:历史、适应证及临床疗效
Clin Shoulder Elb. 2024 Jun;27(2):254-262. doi: 10.5397/cise.2023.00325. Epub 2023 Dec 4.
8
Patient-reported allergies are associated with increased rate of postoperative stiffness after arthroscopic rotator cuff repair.患者自述的过敏与关节镜肩袖修复术后僵硬的发生率增加有关。
J Shoulder Elbow Surg. 2024 May;33(5):1050-1057. doi: 10.1016/j.jse.2023.09.006. Epub 2023 Oct 13.
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Nanofibers: A current era in drug delivery system.纳米纤维:药物递送系统的当前时代。
Heliyon. 2023 Aug 9;9(9):e18917. doi: 10.1016/j.heliyon.2023.e18917. eCollection 2023 Sep.
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A Biomimetic Adhesive and Robust Janus Patch with Anti-Oxidative, Anti-Inflammatory, and Anti-Bacterial Activities for Tendon Repair.一种具有抗氧化、抗炎和抗菌活性的仿生粘合剂和坚固的双面贴片,用于肌腱修复。
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