肩袖修复后促进腱骨界面软骨再生的研究进展Recent progress in augmentation of tendon-to-bone healing after rotator cuff repair
张颉鸿;吴海山;
摘要(Abstract):
肩袖损伤是造成肩关节功能障碍最常见的原因,尽管手术技术不断进步,但肩袖修复术后再撕裂发生率依然高达20%~94%。从组织病理学角度看,传统肩袖重建术后正常腱骨界面组织结构无法重演,主要问题是肌腱插入骨部位的软骨过渡层不能再生,腱骨之间仅为瘢痕愈合,有研究证实修复后肩袖止点的抗拉强度大幅减弱,推测这可能是已修复肩袖容易发生再撕裂的原因之一。近年来,越来越多的国内外研究致力于利用生物学技术促进肩袖修复后腱骨界面软骨再生,尝试恢复正常腱骨连接部的组织形态,已成为目前研究的热点。本文就这方面的基础研究进展作一综述。
关键词(KeyWords): 肩袖损伤;腱骨愈合;软骨再生
基金项目(Foundation):
作者(Author): 张颉鸿;吴海山;
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DOI:
参考文献(References):
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