肩袖补片在巨大肩袖损伤治疗中的研究进展

Research progress of rotator cuff patch in treatment of massive rotator cuff injury

巨大肩袖撕裂可引起关节疼痛、僵硬和活动范围限制。目前巨大肩袖撕裂以手术治疗为主,但术后再撕裂率很高,其原因与撕裂大小、血液供应、脂肪浸润、年龄、肌肉萎缩等因素相关。同时,张力是导致肩袖修补手术失败的一项重要原因,肩袖补片则被认为是进行无张力或微张力修复的极佳治疗选择。为降低再撕裂率、改善手术效果,各种类型肩袖补片应运而生,为大面积肩袖损伤提供了更多选择。本文综述了应用肩袖补片治疗巨大肩袖撕裂的治疗机制、材料分类、应用进展以及肩袖补片相关动物实验研究进展,从而为临床工作提供更多治疗方案指导。

Massive rotator cuff tears can cause joint pain,stiffness and limited range of motion.The main treatment of rotator cuff is surgery,but the postoperative re-tear rate is very high,which is related to tear size,blood supply,fatty infiltration,age,and muscle atrophy,etc.Tension is another important factor of the surgery failure,so the rotator cuff patch is considered as an excellent treatment option for tension-free or micro-tension repair.In order to reduce the rate of re-tear and improve the effect of surgery,various types of rotator cuff patches have emerged,providing more options for massive rotator cuff injury.In order to provide more treatment guidance for clinical work,this paper reviewed the treatment mechanism,material classification,application and animal research progress of rotator cuff patch in the treatment of large rotator cuff tear.