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首页> 外文期刊>Revista Brasileira de Ortopedia >Concept of healing of recurrent shoulder dislocation
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Concept of healing of recurrent shoulder dislocation

机译:复发性肩关节脱位的治疗概念

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This paper presents the main surgical techniques applied in the treatment of anterior recurrent shoulder dislocation, aiming the achievement of the normality of articulate movements. This was obtained by combining distinct surgical procedures, which allowed the recovery of a complete functional capacity of the shoulder, without jeopardizing the normality of movement, something that has not been recorded in the case of the tense sutures of the surgical procedures of Putti-Platt, Bankart, Latarjet, Dickson-O'Dell and others.The careful review of the methods applied supports the conclusion that recurrent shoulder dislocation can be cured, since cure has been obtained in 97% of the treated cases. However, some degree of limitation in the shoulder movement has been observed in most of the treated cases.Our main goal was to achieve a complete shoulder functional recovery, by treating simultaneously all of the anatomical–pathological lesions, without considering the so-called essential lesions.The period of post-operatory immobilization only last for the healing of soft parts; this takes place in a position of neutral shoulder rotation, since the use of vascular bone graft eliminates the need for long time immobilization, due to the shoulder stabilization provided by rigid fixation of the coracoid at the glenoid edge, as in the Latarjet's technique.Our procedure, used since 1959, comprises the association of several techniques, which has permitted shoulder healing without movement limitation. That was because of the tension reduction in the sutures of the subescapularis, capsule, and coracobraquialis muscles.
机译:本文介绍了用于治疗复发性肩关节前脱位的主要外科技术,旨在实现关节运动的正常性。这是通过结合不同的外科手术程序而获得的,该手术程序可以恢复肩部的全部功能,而又不损害运动的正常性,而在普蒂-普拉特外科手术的紧张缝合法中,这还没有记录到。 ,Bankart,Latarjet,Dickson-O'Dell等人对此进行了仔细的审查,得出结论认为,可以治愈复发性肩关节脱位,因为已经治愈了97%的病例。但是,在大多数接受治疗的病例中,都观察到了一定程度的肩部运动受限。我们的主要目标是通过同时治疗所有解剖学-病理学损伤,而不考虑所谓的实质性损伤,实现完全的肩部功能恢复手术后固定期仅持续于软部分的愈合;这是在肩部旋转中性的位置进行的,因为使用血管骨移植物消除了长时间固定的需要,这是由于将喙突固定在盂盂边​​缘而使肩部稳定,就像Latarjet的技术一样。自1959年以来使用的外科手术包括多种技术的结合,这些技术已使肩部愈合而没有运动受限。这是因为肩cap下,囊状和胸腔壁肌肉的缝合线张力降低。

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