Tao Stanley S, Kaltenbach Jeremy
Scott Orthopedic Center, Huntington, West Virginia 25702, USA.
Arthroscopy. 2006 Nov;22(11):1248.e1-3. doi: 10.1016/j.arthro.2006.05.027.
Recent studies have shown all-arthroscopic rotator cuff repairs to have comparable clinical results to mini-open or open repairs. Previous drawbacks to arthroscopic repair have included not being able to place a modified Mason-Allen stitch with a suture anchor technique. We present a technique using the Arthrex Scorpion device (Arthrex, Naples, FL) to place a modified Mason-Allen stitch arthroscopically via a double-loaded FiberWire metal suture anchor (Arthrex). The Scorpion suture passer places a stitch from inferior to superior through the torn rotator cuff. The suture is grabbed and reloaded into the Scorpion device. The device is then turned upside down, and a horizontal stitch is placed from superior to inferior. The stitch is retrieved again and reloaded a third time. The last pass is placed so that the final stitch passes anterior to the inferior suture but beyond the previously placed horizontal mattress stitch. This effectively reproduces the described biomechanically superior modified Mason-Allen stitch.
近期研究表明，全关节镜下肩袖修复术与小切口开放或开放修复术的临床效果相当。以往关节镜修复的缺点包括无法使用缝线锚钉技术放置改良的梅森 - 艾伦缝线。我们介绍一种使用Arthrex Scorpion装置（Arthrex，那不勒斯，佛罗里达州）通过双股FiberWire金属缝线锚钉（Arthrex）在关节镜下放置改良梅森 - 艾伦缝线的技术。Scorpion缝线递送器从下向上穿过撕裂的肩袖放置缝线。抓住缝线并重新装入Scorpion装置。然后将装置翻转，从上向下放置水平缝线。再次取出缝线并第三次重新装入。最后一次穿过使得最终缝线位于下方缝线的前方但超出先前放置的水平褥式缝线。这有效地重现了所述生物力学上更优的改良梅森 - 艾伦缝线。
