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[1]李寧,秦立武,王佩,等.關(guān)節(jié)鏡下單排改良Mason-Allen縫合技術(shù)修復(fù)老年中型肩袖撕裂[J].中醫(yī)正骨,2020,32(11):52-54.
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關(guān)節(jié)鏡下單排改良Mason-Allen縫合技術(shù)修復(fù)老年中型肩袖撕裂()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期數(shù):
2020年11期
頁(yè)碼:
52-54
欄目:
臨床報(bào)道
出版日期:
2020-11-20

文章信息/Info

作者:
李寧秦立武王佩王友強(qiáng)
(山東省文登整骨醫(yī)院,山東 威海 264400)
關(guān)鍵詞:
肩關(guān)節(jié) 肩袖撕裂 關(guān)節(jié)鏡檢查 縫合技術(shù) 縫合錨 老年人
摘要:
目的:觀(guān)察關(guān)節(jié)鏡下單排改良Mason-Allen縫合技術(shù)修復(fù)老年中型肩袖撕裂的臨床療效和安全性。方法:2017年3月至2018年10月,采用關(guān)節(jié)鏡下單排改良Mason-Allen縫合技術(shù)修復(fù)老年中型肩袖撕裂患者16例,男9例、女7例; 年齡60~71歲,中位數(shù)64歲; 左肩6例,右肩10例; 外傷性損傷3例,退行性損傷13例; 按照Cofield肩袖撕裂分類(lèi)法,均為中型肩袖撕裂(1~3 cm)。病程1~6個(gè)月,中位數(shù)3個(gè)月。隨訪(fǎng)觀(guān)察腱-骨愈合、肩部疼痛改善、肩關(guān)節(jié)功能恢復(fù)及并發(fā)癥發(fā)生情況。結(jié)果:所有患者均獲隨訪(fǎng),隨訪(fǎng)時(shí)間10~14個(gè)月,中位數(shù)12個(gè)月。末次隨訪(fǎng)時(shí),所有患者M(jìn)RI顯示腱-骨愈合良好。肩部疼痛視覺(jué)模擬量表評(píng)分,術(shù)前(5.88±1.31)分、末次隨訪(fǎng)時(shí)(1.06±0.68)分; 美國(guó)肩肘外科評(píng)分,術(shù)前(31.81±6.18)分、末次隨訪(fǎng)時(shí)(80.81±17.57)分; 加州大學(xué)洛杉磯分校肩關(guān)節(jié)評(píng)分,術(shù)前(10.63±3.26)分、末次隨訪(fǎng)時(shí)(31.50±5.96)分。2例患者因術(shù)后康復(fù)鍛煉不規(guī)范出現(xiàn)凍結(jié)肩癥狀,經(jīng)規(guī)范的康復(fù)鍛煉后癥狀消失。所有患者均未出現(xiàn)肩袖再撕裂、錨釘退出等并發(fā)癥。結(jié)論:采用關(guān)節(jié)鏡下單排改良Mason-Allen縫合技術(shù)修復(fù)老年中型肩袖撕裂,腱-骨愈合率高,可有效緩解肩關(guān)節(jié)疼痛、改善肩關(guān)節(jié)功能,且并發(fā)癥少。

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備注/Memo

備注/Memo:
通訊作者:秦立武 E-mail:[email protected]
更新日期/Last Update: 2020-11-20