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中华肩肘外科电子杂志 ›› 2024, Vol. 12 ›› Issue (02) : 177 -183. doi: 10.3877/cma.j.issn.2095-5790.2024.02.014

综述

反式肩关节置换治疗巨大肩袖损伤与其手术进展
吴念儒1, 王蕾1,()   
  1. 1. 200025 上海市交通大学医学院附属瑞金医院骨科
  • 收稿日期:2024-02-18 出版日期:2024-05-05
  • 通信作者: 王蕾
  • 基金资助:
    上海市体育局"备战攻关计划项目"(24J010)

Progress in reverse total shoulder arthroplasty (RTSA) treatment of massive rotator cuff tears: a review

Nianru Wu, Lei Wang()   

  • Received:2024-02-18 Published:2024-05-05
  • Corresponding author: Lei Wang
引用本文:

吴念儒, 王蕾. 反式肩关节置换治疗巨大肩袖损伤与其手术进展[J]. 中华肩肘外科电子杂志, 2024, 12(02): 177-183.

Nianru Wu, Lei Wang. Progress in reverse total shoulder arthroplasty (RTSA) treatment of massive rotator cuff tears: a review[J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2024, 12(02): 177-183.

巨大肩袖损伤(massive rotator cuff tear, MRCT)是一种导致疼痛、活动受限和力量减退的严重肩关节疾病。在传统治疗无效时,反式全肩关节置换术(reverse total shoulder arthroplasty, RTSA)作为一种创新手术,近年来证实对MRCT具有显着疗效。RTSA通过改变肩关节的生物力学,使三角肌代偿肩袖肌群参与活动。这种手术方法与传统重建肩袖解剖结构以恢复生物力学的肩袖修补术(rotator cuff reapair, RCR)手术理念截然不同,也因此使MRCT术式选择的议题逐渐受到重视。近年的技术和材料改进显着提高了RTSA的成功率和患者满意度,同时降低了术中失败率、术后并发症的风险。与其他技术相比,RTSA特别适用于老年MRCT患者,能显著缓解疼痛、改善活动范围。本综述回顾目前MRCT定义上的难题、RCR与RTSA术式治疗MRCT的疗效比较、RTSA手术技术的改进、人工关节的材料选择,并引用最新的研究文献深入探讨RTSA治疗MRCT的进展。

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