新型可调式肩关节镜上肢牵引架的设计及应用

Design and Application of an Innovative Adjustable Upper Limb Traction Device for Shoulder Arthroscopy

摘要: 目的：设计一种新型可调节式个性化肩关节上肢牵引架，能够增加术中肩关节间隙，确保牵引架可以满足不同身材的患者的需求，从而提高手术效率。方法：收集2021年1月至2022年1月应用于30例肩关节镜手术患者资料，其中肩袖损伤15例，冻结肩6例，肩峰撞击症6例，肩关节盂唇损伤3例。所有患者使用本文所设计的肩关节镜上肢牵引架完成手术。结果：本组手术患者全部采用侧卧位进行肩关节镜手术。术中肩关节能够获得稳定、大小适宜的牵引力。所有患者未出现牵引过度导致术野暴露不足及患肢神经血管损伤。结论：本新型可调式肩关节镜上肢牵引架可以实现个性化的肩关节牵引，同时获得良好的手术视野，有效提高了手术效率，减少手术时间，避免手术并发症，值得临床推广及应用。

Abstract: Objective: To design an innovative and personalized shoulder traction device, which can increase intraoperative shoulder joint clearance and ensure that the traction device can be adapted to the needs of patients with different body sizes, thus improving surgical efficiency. Methods: From January 2021to January 2022, 30 cases of shoulder arthroscopy were performed, including 15 cases of rotator cuff injury, 6 cases of frozen shoulder, 6 cases of acromioclavicular impingement syndrome and 3 cases of glenoid labrum injury. All patients used the shoulder arthroscopic upper limb traction device designed in the present study. Results: All the patients underwent shoulder arthroscopy in lateral position. The shoulder joint can obtain stable and appropriate traction force intraoperatively. In all patients, there was no inadequate field exposure or neurovascular injury to the affected limb due to excessive traction. Conclusion: The innovative and adjustable upper limb traction device has achieved a good surgical vision, which can effectively improve the operation efficiency, reduce surgical time and avoid surgical complications, which is worthy of clinical promotion and application.