关节镜治疗肩部疾病的技术与材料：巴西肩肘外科学会成员的一项调查
TECHNIQUES AND MATERIALS TO TREAT SHOULDER PATHOLOGIES BY ARTHROSCOPY: A SURVEY IN MEMBERS OF THE BRAZILIAN SOCIETY OF SHOULDER AND ELBOW SURGERY.
作者信息
Correia Guilherme Macillo, Pinto Gustavo DE Mello Ribeiro, Rezende Rodrigo Chauke, Dantas Cristiano Nabuco, Campos Marcelo Costa DE Oliveira, Schütz Gilberto Zinn
机构信息
Universidade do Estado do Rio de Janeiro. Hospital Universitário Pedro Ernesto, Rio de Janeiro, RJ, Brazil.
出版信息
Acta Ortop Bras. 2025 Apr 7;33(spe1):e283711. doi: 10.1590/1413-785220243201e283711. eCollection 2025.
OBJECTIVE
To evaluate the preferences of shoulder and elbow surgeons from the Brazilian Society of Shoulder and Elbow Surgery to treat rotator cuff injuries, glenohumeral instability, and acromioclavicular dislocations considering a current and an ideal scenarios.
METHODS
A nationwide survey included 314 specialists who answered a 20-question questionnaire on treating shoulder pathologies.
RESULTS
This study included 314 specialists. Most (96%) perform rotator cuff repair arthroscopically and 74% use metallic anchors as a fixation method. In open surgery, most specialists reported using anchors (75%) instead of transosseous sutures. In treating glenohumeral instability via arthroscopic Bankart repair, 86% used three or more fixation anchors and 87%, bioabsorbable anchors. In Latarjet cases, 57% used cannulated screws. In treating acute acromioclavicular dislocations, 88% used the open route. Regarding fixation, 70% chose high-resistance wires; 65%, anchors; and 61%, Kirschner wires.
CONCLUSION
The current Brazilian scenario has limited availability of ideal instruments and materials so specialists can treat shoulder pathologies. However, specialists' preferences agree with the latest medical literature.
目的
考虑当前和理想情况，评估巴西肩肘外科学会的肩肘外科医生对治疗肩袖损伤、盂肱关节不稳和肩锁关节脱位的偏好。
方法
一项全国性调查纳入了314名专家，他们回答了一份关于治疗肩部疾病的20个问题的问卷。
结果
本研究纳入了314名专家。大多数（96%）通过关节镜进行肩袖修复，74%使用金属锚钉作为固定方法。在开放手术中，大多数专家报告使用锚钉（75%）而非经骨缝线。在通过关节镜下Bankart修复治疗盂肱关节不稳时，86%使用三个或更多固定锚钉，87%使用生物可吸收锚钉。在Latarjet手术病例中，57%使用空心螺钉。在治疗急性肩锁关节脱位时，88%采用开放手术途径。关于固定方式，70%选择高强度钢丝；65%选择锚钉；61%选择克氏针。
结论
巴西目前的情况是理想的器械和材料供应有限，因此专家们在治疗肩部疾病时受到限制。然而，专家们的偏好与最新的医学文献一致。
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