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关节镜下混合双排肩袖修复术

Arthroscopic hybrid double-row rotator cuff repair.

作者信息

Kim Kyung-Cheon, Rhee Kwang-Jin, Shin Hyun-Dae, Kim Young-Mo

机构信息

Department of Orthopaedic Surgery, Chungnam National University College of Medicine, 640 Daesa-Dong, Jung-Gu, Daejeon 301-040, South Korea.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2007 Jun;15(6):794-9. doi: 10.1007/s00167-006-0230-7. Epub 2006 Dec 6.

DOI:10.1007/s00167-006-0230-7
PMID:17149646
Abstract

A Beath pin is drilled on the greater tuberosity under arthroscopy using an anterior cruciate ligament guide. The suture anchor is inserted in the lateral aspect of the footprint. Sutures are then passed through the margins of the rotator cuff tear and tied with sliding knot. One strand of tied suture anchor is passed into the bony trough. One passed strand and the other strand are then tied with a non-sliding knot on the greater tuberosity. The strength of cuff fixation does not only rely on the quality of the bone, it restores the footprint contact area of rotator cuff, and reduces the use of suture anchors to the minimum in this method.

摘要

在关节镜检查下,使用前交叉韧带导向器在大结节上钻一个Beath针。将缝线锚钉插入足迹的外侧。然后将缝线穿过肩袖撕裂的边缘,用滑动结系紧。将系好的缝线锚钉的一股线穿过骨槽。然后将穿过的一股线和另一股线在大结节上用非滑动结系紧。肩袖固定的强度不仅取决于骨的质量,还能恢复肩袖的足迹接触面积,并在这种方法中将缝线锚钉的使用量降至最低。

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引用本文的文献

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Single versus double-row repair of the rotator cuff: does double-row repair with improved anatomical and biomechanical characteristics lead to better clinical outcome?单排与双排修复肩袖:双排修复具有改善的解剖学和生物力学特性是否会带来更好的临床结果?
Knee Surg Sports Traumatol Arthrosc. 2010 Dec;18(12):1718-29. doi: 10.1007/s00167-010-1245-7. Epub 2010 Aug 25.
2
Arthroscopic fixation for a malunited greater tuberosity fracture using the suture-bridge technique: technical report and literature review.关节镜下缝合桥技术治疗愈合不良的大结节骨折:技术报告及文献复习
Knee Surg Sports Traumatol Arthrosc. 2009 Dec;17(12):1473-6. doi: 10.1007/s00167-009-0797-x. Epub 2009 Apr 28.
3

本文引用的文献

1
Double-row arthroscopic rotator cuff repair: re-establishing the footprint of the rotator cuff.双排关节镜下肩袖修补术:重建肩袖的附着点
Arthroscopy. 2003 Nov;19(9):1035-42. doi: 10.1016/j.arthro.2003.09.036.
2
Sutures and suture anchors: update 2003.缝线与缝线锚钉:2003年更新
Arthroscopy. 2003 Nov;19(9):985-90. doi: 10.1016/j.arthro.2003.09.018.
3
Mini-open rotator cuff repair using a two-row fixation technique: outcomes analysis in patients with small, moderate, and large rotator cuff tears.采用双排固定技术的小切口肩袖修补术:小、中、大型肩袖撕裂患者的疗效分析
Soft tissue tenodesis of the long head of the biceps tendon associated to the Roman Bridge repair.
与罗马桥修复相关的肱二头肌长头肌腱软组织固定术。
BMC Musculoskelet Disord. 2008 Jun 4;9:78. doi: 10.1186/1471-2474-9-78.
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Knot security in simple sliding knots and its relationship to rotator cuff repair: how secure must the knot be?简单滑动结的结安全性及其与肩袖修复的关系:结必须多安全?
Arthroscopy. 2000 Mar;16(2):202-7. doi: 10.1016/s0749-8063(00)90037-9.
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Loop security as a determinant of tissue fixation security.环扎安全性作为组织固定安全性的一个决定因素。
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Complications about the glenohumeral joint related to the use of screws and staples.与使用螺钉和吻合钉相关的盂肱关节并发症。
J Bone Joint Surg Am. 1984 Feb;66(2):175-80.