Thal Raymond, Jennings W Bryan, Heusch Wendy L
Town Center Orthopaedic Associates, Reston, Virginia 20190, USA.
Arthroscopy. 2007 May;23(5):561.e1-4. doi: 10.1016/j.arthro.2006.08.009. Epub 2007 Feb 14.
With the arthroscope in the posterior portal, several suture loops are passed through the rotator cuff via the superior lateral portal before the first anchor is inserted. The suture loop is created by passing both free ends of a No. 2 monofilament (48-inch Prolene, Ethilon, or PDS; Ethicon, Somerville, NJ) suture into an arthroscopic suture passing device. The free ends and the loop of each suture loop are temporarily transferred into the anterior cannula. Anchor insertion and passage of the anchored sutures are performed from posterior to anterior. With standard suture anchors, the loop end of the suture loop must be located on the undersurface of the cuff. The suture anchors are inserted one at a time through the superior lateral portal and are placed into the prepared holes. Anchored sutures are temporarily pulled out through the inferior lateral portal. Next, the free ends of the most posterior suture loop are retrieved through the superior lateral portal. The looped end of this suture loop is retrieved through the inferior lateral portal. The suture loop is used to shuttle a single anchored suture through the rotator cuff and out through the superior lateral portal. Then, the other anchored suture is retrieved through the superior lateral portal with a suture grasper and tied.
将关节镜置于后外侧入路，在插入第一枚锚钉之前，通过上外侧入路将数根缝线环穿过肩袖。缝线环通过将一根2号单丝缝线（48英寸的普理灵、爱惜康或聚对二氧环己酮缝线；Ethicon公司，新泽西州萨默维尔）的两个游离端穿入关节镜缝线导入装置来制成。每个缝线环的游离端和环暂时转移至前侧套管。锚钉的插入及锚定缝线的穿入从后向前进行。使用标准缝线锚钉时，缝线环的环端必须位于肩袖的下表面。缝线锚钉一次一根通过上外侧入路插入并置入准备好的孔中。锚定缝线暂时通过下外侧入路拉出。接下来，最靠后的缝线环的游离端通过上外侧入路取出。该缝线环的环端通过下外侧入路取出。缝线环用于将一根锚定缝线穿梭穿过肩袖并从上外侧入路穿出。然后，另一根锚定缝线用缝线抓取器通过上外侧入路取出并打结。
