摘要
目的综述关节镜下肱二头肌长头肌腱(long head of biceps tendon,LHBT)转位治疗不可修复巨大肩袖撕裂的研究进展。方法查阅近年来国内外关节镜下不同方式LHBT转位治疗不可修复巨大肩袖撕裂的相关文献,并进行总结分析。结果关节镜下LHBT转位是一种治疗不可修复巨大肩袖撕裂的有效方法,目前主要采用"断近端"、"两头断"、"断远端"及"不切断"4种方式。临床研究表明上述方式均能取得良好疗效,但远期疗效有待进一步随访明确。结论关节镜下LHBT转位治疗不可修复巨大肩袖撕裂手术简便、有效,患者损伤小、术后恢复快,但对术者技术要求较高,需严格把握手术适应证。
Objective To review the research progress of arthroscopic long head of biceps tendon(LHBT transposition in treatment of irreparable massive rotator cuff tears. Methods The domestic and foreign related literature in recent years on the treatment of irreparable massive rotator cuff tears with different LHBT transposition methods under arthroscopy was reviewed and analyzed. Results Arthroscopic LHBT transposition is an effective method for irreparable massive rotator cuff tears, which mainly includes “proximal cut”, “both two cuts”, “distal cut”, and “no cut”.Different methods of LHBT transposition can achieve good effectiveness, but its long-term effectiveness needs further follow-up. Conclusion Arthroscopic LHBT transposition in treatment of irreparable massive rotator cuff tears is simple and effective. The patients can recover quickly after operation with less injury. But the technique has higher requirements for surgeons, and the indications must be strictly controlled.
作者
邓斌斌
邓雪强
刘帅刚
郝亮
DENG Binbin;DENG Xueqiang;LIU Shuaigang;HAO Liang(Department of Orthopedics,the Second Affiliated Hospital of Nanchang University,Nanchang Jiangxi,330000,P.R.China)
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2022年第2期249-253,共5页
Chinese Journal of Reparative and Reconstructive Surgery
基金
国家自然科学基金资助项目(82060492)
江西省自然科学基金资助项目(20192ACBL20035)
江西省卫生健康委科技计划资助项目(20204350)。
关键词
不可修复巨大肩袖撕裂
肱二头肌长头肌腱
转位
关节镜
Irreparable massive rotator cuff tears
long head of biceps tendon
transposition
arthroscopy
