Open Capsular Shift: There Still Is A Role!

Open Capsular Shift: There Still Is A Role!
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DOI:
10.1016/j.ocl.2010.03.002
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发表时间:
2010-07-01
影响因子:
1.8
通讯作者:
Bigliani, Louis U.
Bigliani, Louis U.
中科院分区:
医学3区
文献类型:
--
作者:
Boselli, Karen J.;Cody, Elizabeth A.;Bigliani, Louis U.

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随着我们对盂肱关节不稳定的病理解剖学理解的提高,治疗前不稳定的手术技术也取得了进展。许多稳定手术现在都可以在关节镜下成功完成;然而,开放性关节囊移位在某些患者的不稳定管理中仍然发挥着重要作用,提供了一种准确和选择性的关节囊折叠方法。当采用适当的手术技术时,肩关节的活动范围可以保持,复发率低,主观满意度高,使开放关节囊移位成为肩关节不稳定的现代管理中持久有效的选择。
As our understanding of the pathoanatomy of glenohumeral instability has improved, surgical techniques for the treatment of anterior instability have progressed. Many stabilization procedures are now successfully performed arthroscopically; open capsular shift, however, continues to play an important role in the management of instability in certain patients, providing an accurate and selective means of capsular plication. When performed with proper surgical technique, shoulder range of motion can be preserved with low recurrence rates and high subjective satisfaction, making the open capsular shift a durable and effective option in the modern management of shoulder instability.