Bruns J, Henning R, Behrens P
Department of Orthopaedic Surgery, University of Hamburg, Germany.
Int Orthop. 1997;21(3):157-60. doi: 10.1007/s002640050140.
Complete repair of tears of the rotator cuff may be difficult, but with superior arthrolysis by the Apoil-Dautry technique the lesion in the cuff is not treated. We report 17 patients who had this procedure for large cuff defects. The outcome is directly related to the duration of symptoms, and we only had good results in a few patients, although intensive physiotherapy improves function. A wide debridement is needed, followed by intensive physiotherapy for the deltoid and shoulder stabilising muscles. We recommended that this technique should be used in elderly patients who will put less demand on their shoulders.
肩袖撕裂的完全修复可能很困难，但采用阿普瓦-多特里技术进行的高级关节松解术并不治疗肩袖损伤。我们报告了17例因肩袖大缺损接受该手术的患者。结果与症状持续时间直接相关，尽管进行了强化物理治疗可改善功能，但我们仅在少数患者中取得了良好效果。需要进行广泛的清创术，随后对三角肌和肩部稳定肌进行强化物理治疗。我们建议该技术应用于对肩部需求较小的老年患者。
