中国骨伤2023，Vol.36Issue(12)：1153-1158,6.DOI:10.12200/j.issn.1003-0034.2023.12.009
关节镜辅助下背阔肌肌腱转位治疗不可修复肩袖撕裂
Arthroscopic assistance of latissimus dorsi tendon transposition for the treatment of unrepairable rotator cuff tear
摘要
Abstract
Objective To explore clinical effect of arthroscopy-assisted rotator cuff tendon transfer in treating irreparable rotator cuff tears(IRCT).Methods From May 2015 to May 2018,23 patients with unrepairable rotator cuff tears were treated with arthroscopy-assisted rotator cuff tendon transfer,and 21 patients were followed up finally,including 8 males and 13 fe-males,aged from 48 to 82 years old with an average of(64.3±9.1)years old;the courses of disease ranged from 6 to 36 months with an average of(14.0±6.4)months.American Rotator and Elbow Surgeons Score(ASES)and Constant-Murley score were used to evaluate clinical efficacy before surgery and at the latest follow-up.Results All 21 patients were followed up for 36 to 54 months with an average of(39.4±4.4)months.Axillary incision of 1 patient was redness,swelling and exudation after surgery,which healed after 3 weeks of dressing change,and exudate culture was negative.At the latest follow-up,MRI showed partial tear-ing of the metastatic tendon in 2 patients,but pain and movement of the affected shoulder were still better than before surgery.AS-ES increased from preoperative(41.0±9.6)scores to the latest follow-up(75.6±14.0)scores,and had statistical difference(t=10.50,P＜0.01).Constant-Murley score increased from(49.8±7.1)scores before operation to(67.5±11.6)scores at the latest follow-up(t=11.27,P＜0.01).Conclusion Arthroscopic assisted latissimus dorsalis tendon transposition restores physiological and anatomical structure of glenohumeral joint by reconstructing balance of horizontal and vertical couples of shoulder joint,thus achieving the stability of the shoulder joint,relieving shoulder pain and improving shoulder joint function.关键词
不可修复肩袖撕裂/关节镜下手术/背阔肌肌腱转位/手术技术Key words
Irreparable rotator cuff tears/Arthroscopic surgery/Latissimus dorsi tendon transposition/Surgical technique分类
医药卫生引用本文复制引用
徐广,孙雪武,陈剑,顾倍好,周志杰,施培华..关节镜辅助下背阔肌肌腱转位治疗不可修复肩袖撕裂[J].中国骨伤,2023,36(12):1153-1158,6.基金项目
国家自然科学基金(编号:81902232 （）
81874015)National Natural Science Foundation of China(No.81902232 （）
81874015) （）
