Yamaguchi K, Ball C M, Galatz L M
Department of Orthopaedic Surgery, Barnes-Jewish Hospital, Washington University School of Medicine, St Louis, MO 63110, USA.
Clin Orthop Relat Res. 2001 Sep(390):83-94.
Rotator cuff repair is one of the most common surgical procedures done in the shoulder. Traditionally, repair has required an open incision with release of a portion of the deltoid from the acromion. In the past decade, an arthroscopically-assisted, mini-open approach has gained popularity. This has been facilitated by advances in the use of arthroscopy. This trend toward a more minimally invasive approach has continued as arthroscopic techniques continue to improve and advance. An all-arthroscopic approach recently has been used for rotator cuff repairs. The arthroscopic approach offers several advantages including smaller incisions, easy access to the glenohumeral joint for treatment of intraarticular diseases, less soft tissue dissection, and less potential harm to the deltoid. The purpose of the current study is to discuss recent advances in arthroscopic and mini-open rotator cuff repair techniques and to highlight the technical aspects of the mini-open procedures that are important in making the transition to an allarthroscopic rotator cuff repair.
肩袖修复是肩部最常见的外科手术之一。传统上，修复需要一个开放切口，将三角肌的一部分从肩峰上松解下来。在过去十年中，关节镜辅助的小切口开放手术方法越来越受欢迎。关节镜使用的进展推动了这一趋势。随着关节镜技术不断改进和发展，这种向更微创方法的趋势仍在继续。最近，全关节镜手术方法已用于肩袖修复。关节镜手术方法具有几个优点，包括切口更小、便于进入盂肱关节治疗关节内疾病、软组织分离更少以及对三角肌的潜在损伤更小。本研究的目的是讨论关节镜和小切口开放肩袖修复技术的最新进展，并强调在向全关节镜肩袖修复过渡中重要的小切口开放手术的技术要点。
