Capsular Plication: An Overview of the Procedure and Its Benefits
Capsular plication is a surgical procedure that involves the repair or replacement of the flexible capsule surrounding the shoulder joint. This capsule is responsible for maintaining the stability and movement of the shoulder. When the capsule becomes excessively lax or stretched, it can lead to shoulder instability, a condition characterized by the shoulder joint feeling loose or protruding outward.
The goal of capular plication is to tighten the capsule and restore its normal shape and tension, which in turn可以提高 shoulder stability and improve movement. This procedure is typically performed arthroscopically, meaning that it is performed through a small incision with the help of an endoscope, a small camera. During the procedure, the surgeon identifies the specific areas of the capsules that need to be reinforced and stimulates these areas with无线电波或RF探针, causing the capsule to contract.
There are several different methods and techniques that can be used during a capular plication procedure. Some of the most common include:
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Simple plication: This involves directly closing the capsular laxity with一个小切口 and using a nonautologous (from a different person) orautologous (from the same person) sutures to approximate the capsular edges.
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Double-plication: This technique involves creating a larger incision and performing a double layer of plication. Two sutures are placed in different layers of the capsule to provide additional support.
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Triple-plication: This is similar to double-plication but involves adding a third layer of sutures for added stability.
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Capsular shift: This technique involves shifting the capsule walls outward to correct for a loss of normal capsule tension. A partial thickness approach can be used, where only the anterior or posterior capsule is shifted, or a full thickness approach where the entire anterior and posterior capsule is shifted outward.
After the procedure, the incisions are closed with sutures or surgical staples, and the shoulder is bandaged. Most patients are able to return to their normal activities within a few weeks of the surgery. However, complete recovery may take several months, depending on the severity of the condition and the individual patient.
Capsular plication is a safe and effective treatment option for patients with loose shoulders caused by inflammation, injury, or chronic strain. It can help reduce pain, improve range of motion, and increase shoulder stability. Patients should consult with their healthcare provider to discuss the risks and benefits of capular plication and determine if the procedure is right for them.
Capsule plication is also known as shoulder capsulorrhaphy in some literature, which refers specifically to the缝合 of the torn capsule and the adjacent connective tissue to reduce shoulder volume and improve stability.