Hoffmann F, Schiller M, Reif G
Klinik fur Orthopadie und Sportorthopadie im Klinikum|| Rosenheim, Pettenkoferstrasse 10, 83022 Rosenheim.||
Orthopade. 2000 Oct;29(10):888-94.
Although most subacromial decompressions are performed||| arthroscopically, rotator cuff repair is still performed using an open or||| mini-open procedure. Arthroscopic techniques have improved in the last decade,||| however, so that rotator cuff repair can also be performed arthroscopically.||| The potential complications of open repair are thus reduced and the superior||| functional results of cuff repair in comparison to debridement alone are||| maintained. The proposed advantages of the arthroscopic method are that it||| provides access to the glenohumeral joint for inspection and treatment of||| intra-articular lesions. The skin incisions are smaller, detachment of the||| deltoid muscle is not necessary, and there is less soft tissue dissection. By||| inspecting the bursal and articular side of the ruptured cuff, it is possible||| to measure the size of the tear and assess the quality of the tendon and||| whether it can be repaired. We present our arthroscopic technique of rotator||| cuff repair using bioabsorbable suture anchors and demonstrate our 1- to||| 6-years results with various suture anchors.
尽管大多数肩峰下减压术是通过关节镜进行的，但肩袖修复仍采用开放或小切口开放手术。然而，在过去十年中关节镜技术有所改进，因此肩袖修复也可以通过关节镜进行。这样就减少了开放修复的潜在并发症，并且与单纯清创相比，肩袖修复的功能效果更好得以维持。关节镜方法的潜在优势在于它能够进入盂肱关节以检查和治疗关节内病变。皮肤切口更小，无需分离三角肌，软组织解剖也更少。通过检查破裂肩袖的滑囊侧和关节侧，可以测量撕裂的大小，评估肌腱的质量以及是否可以修复。我们展示了使用可吸收缝合锚钉进行肩袖修复的关节镜技术，并展示了我们使用各种缝合锚钉的1至6年的结果。
