摘要
目的对弹性固定喙突移位手术,尤其是改良嵌入式喙突移位手术(Cuistow手术)的研究进展进行综述。方法广泛查阅相关文献,对弹性固定Cuistow手术研究进展进行总结分析,比较其与传统螺钉固定在生物力学和临床效果方面的差异。结果在喙突移位手术中使用弹性固定能够避免传统螺钉固定引起的金属内植物相关并发症,其生物力学稳定性和临床效果已初步得到证实;但与传统螺钉固定相比,弹性固定在骨愈合率和术后复发率方面仍存在争议。基于嵌入式结构的Cuistow手术是提升弹性固定移植骨愈合率的一种解决方案。结论弹性固定作为喙突移位手术中的一种新固定方式,与传统螺钉固定的优劣尚未完全阐明,需要更深入的临床和基础研究。Cuistow手术是喙突移位手术的中国经验,其生物力学稳定性和临床优势已得到初步证实。
Objective To explore the research progress of the coracoid transfer surgery using suture button fixation,particularly focusing on the technique known as Chinese unique Inlay Bristow(Cuistow surgery).Methods Extensive literature review was conducted to summarize and analyze the utilization of suture button fixation in the Cuistow surgery,comparing its biomechanical and clinical outcomes with those of traditional screw fixation.Results Utilizing suture button fixation in coracoid transfer surgery helps circumvent certain metal-related complications associated with traditional screw fixation.While its biomechanical stability and effectiveness have been preliminarily confirmed,debates persist regarding its graft healing rate and postoperative recurrence rate compared to traditional screw fixation.The Cuistow surgery based on the Inlay structure is a solution to improve the healing rate of graft after suture button fixation.Conclusion Suture button fixation,as a novel approach in coracoid transfer surgery,remains to have its advantages and disadvantages compared to traditional screw fixation not entirely elucidated,underscoring the need for further in-depth clinical and fundamental research.Cuistow surgery is the Chinese experience of coracoid transfer surgery,and its biomechanical stability and clinical advantages have been preliminarily confirmed.
作者
宋庆法
邵振兴
崔国庆
SONG Qingfa;SHAO Zhenxing;CUI Guoqing(Department of Sports Medicine,Peking University Third Hospital,Institute of Sports Medicine of Peking University,Beijing Key Laboratory of Sports Injuries,Engineering Research Center of Sports Trauma Treatment Technology and Devices,Ministry of Education,Beijing,100191,P.R.China)
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2024年第6期641-645,共5页
Chinese Journal of Reparative and Reconstructive Surgery
基金
国家自然科学基金资助项目(82172423)
北京市自然科学基金资助项目(7222209)。
