巨大不可修复性肩袖损伤治疗的现状与展望

Treatment strategies and update of irreparable rotator cuff tears

随着人口老龄化趋势日益增快,肩袖病损呈明显增加的趋势[1-2],各种原因造成的巨大不可修复性肩袖损伤（irreparable rotator cuff tears,IRCTs）也越来越多[2]。近年来,尽管在治疗巨大及IRCTs的方法,不断有新的治疗新方法出现[3-5],但尚没有一种理性的治疗方案。

Irreparable rotator cuff tears（ IRCTs）,due to fatty infiltration and tendon retraction of the rotator cuff,is a challenge for orthropaedic surgeons,especially surgeons of sports medicine.It also has a huge influence on shoulder range of motion（ ROM） loss and life quality.Currently,the treatment strategies of IRCTs still remain controversial,including conservative procedures,arthroscopic acromioplasty,partial repair,rotator cuff reconstruction and shoulder preserving athroplasty.With the popularity of new biomaterial application,there is another option to IRCTs surgery.However,healing effects of the new material with bone and tendon,mechanical strength,rotator cuff functions are still in need to be explored.