摘要
作者用胸小肌骨瓣移位到肱骨上端的方法治疗１０例习惯性肩关节前脱位病例。术后平均随访２．７年，无一例发生再脱位。作者认为将胸小肌骨瓣移位到肩关节前下方薄弱区，起到了“张力带挡板”保护作用，增加了肩关节外展上举的动力，符合力学原理，同时紧缩松弛的关节囊，修补前下方薄弱区，可以更好地防止肱骨头再脱位。
Wetreated10patientswithrecurrentanteriordislocationoftheshoulderbytransplanta-tionofpectoralisminormuscle-boneflaptransplatedtotheupperpartofthehumerus.Alpatientswerefolowed-upforanaverage31monthsandnorecurrentwasfound.Weconsiderthatthemusclebeilyex-ertsaprotectiveeffectlikeabarrierontheweakanterioinferiorregionoftheshoulderandincreasestheforceforextendingtheshoulderandliftingthearm.Theoperationisbasedonbiomechanics.Mean-while,suturingthelaxativejointcapsuleandrepairingtheweakanteroinfeiorregionoftheshoulderismorebeneficialtopreventfromredislocationofthehumerushead.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1996年第7期438-439,共2页
Chinese Journal of Surgery
