Biomechanical research progress on subacromial balloon spacer for irreparable rotator cuff tears

doi:10.3877/cma.j.issn.1674-134X.2020.06.014

Abstract

Abstract:

Irreparable rotator cuff tears(IRCTs)could result in cuff tear arthropathy (CTA). Currently, there is no gold standard treatment for IRCTs. The subacromial balloon spacer (InSpace Balloon - ISB) can serve as an effectiveoption to treat IRCTs by reporting beneficial effects on shoulder kinematics and short-term clinical outcomes. However, the biomechanical mechanisms involved in ISB treating IRCTs are still not clear. In addition, the rapid degradation and thereby continuous loss of acromion interval may affects the long-term clinical outcomes. This article aimed to review the latest biomechanical researches of ISB, which might provides the cutting-edge informations of ISB for treating IRCTs.

Key words: Rotator Cuff Injuries, Prosthesis Implantation, Shoulder Joint, Biomechanical Phenomena

Chang Liu, Shihai Jiang, Fei Zhang, Yu Wu, Kun Wang. Biomechanical research progress on subacromial balloon spacer for irreparable rotator cuff tears[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2020, 14(06): 729-736.

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References 91

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治疗方式	生物力学改善	适应症	优点	缺点
保守治疗	否	疼痛为主诉	对症处理、缓解症状和改善部分功能	无生物力学改善长期效果不佳
关节镜清理、长头肌腱切除	否	疼痛、保守治疗无效、功能要求不高的老年患者	/	/
TF	是	年轻、肌腱质量差的患者	重建盂肱关节前后方力偶	移植肌腱再断裂、感染、神经麻痹等
GP	是	对肩关节功能要求高、盂肱关节炎轻微患者	降低肌腱与骨之间的张力	生物相容性问题
PR	是	无盂肱关节炎患者	重建肩袖的力偶	修复再失败率高，肩关节运动异常
SCR	是	无盂肱关节炎的年轻患者	恢复肩关节上方稳定性	手术技术复杂手术时间长，缝合器械价格高昂
ISB	是	无盂肱关节炎患者	限制肱骨头上移	降解速度快，前移位
RSA	是	IRCTs发展成为CTA	内移旋转中心、降低剪切力，增加三角肌力矩	并发症率、翻修率高

治疗方式	生物力学改善	适应症	优点	缺点
保守治疗	否	疼痛为主诉	对症处理、缓解症状和改善部分功能	无生物力学改善长期效果不佳
关节镜清理、长头肌腱切除	否	疼痛、保守治疗无效、功能要求不高的老年患者	/	/
TF	是	年轻、肌腱质量差的患者	重建盂肱关节前后方力偶	移植肌腱再断裂、感染、神经麻痹等
GP	是	对肩关节功能要求高、盂肱关节炎轻微患者	降低肌腱与骨之间的张力	生物相容性问题
PR	是	无盂肱关节炎患者	重建肩袖的力偶	修复再失败率高，肩关节运动异常
SCR	是	无盂肱关节炎的年轻患者	恢复肩关节上方稳定性	手术技术复杂手术时间长，缝合器械价格高昂
ISB	是	无盂肱关节炎患者	限制肱骨头上移	降解速度快，前移位
RSA	是	IRCTs发展成为CTA	内移旋转中心、降低剪切力，增加三角肌力矩	并发症率、翻修率高

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