Lichtenberg Sven, Siebold Rainer, Habermeyer Peter
Department of Shoulder and Elbow Surgery, ATOS-Klinik Heidelberg, Heidelberg, Germany.
Arthroscopy. 2004 Nov;20(9):1007-11. doi: 10.1016/j.arthro.2004.07.004.
Abstract Arthroscopic repair of supraspinatus tendon tears has had clinical results comparable to those of open procedures. The arthroscopic subacromial approach is well described in the literature but is still limited to skilled arthroscopic surgeons owing to the technical difficulties of the method. We present an intra-articular approach for supraspinatus tendon repair using suture anchors and a modified Mason-Allen technique. A major advantage of this technique is an excellent visualization of the procedure that optimizes the preparation of the lesion, positioning of the suture anchors, and, especially, grasping of the tendon with suture devices. The easy and exact positioning of the sutures allows creation of a modified arthroscopic Mason-Allen stitch. The result is a very stable initial tendon-to-bone fixation, which is necessary for a sufficient osteofibroblastic integration.
肩袖肌腱撕裂的关节镜修复术已取得与开放手术相当的临床效果。关节镜下肩峰下入路在文献中有详细描述，但由于该方法的技术难度，仍仅限于技术熟练的关节镜外科医生。我们介绍一种使用缝线锚钉和改良梅森-艾伦技术的关节内入路进行肩袖肌腱修复。该技术的一个主要优点是手术视野极佳，能优化损伤的处理、缝线锚钉的定位，尤其是用缝线装置抓取肌腱。缝线的轻松精确放置可形成改良的关节镜梅森-艾伦缝合。结果是实现了非常稳定的初始肌腱-骨固定，这对于充分的骨纤维母细胞整合是必要的。
