Nassos Jonathan T, Chudik Steven C
G & T Orthopaedics, Chicago, IL 60659, USA.
Am J Orthop (Belle Mead NJ). 2009 Jun;38(6):279-81.
Arthroscopic rotator cuff repair has become an increasingly popular treatment for rotator cuff tears. For orthopedic surgeons, treating large to massive rotator cuff tears is challenging in many ways. Patients with this pathology do not have the same healing rates and clinical outcomes as patients with smaller tears. Some surgeons have augmented repair with collagen-based grafts, but the success of this method has been limited. The same patient population may have concomitant biceps tendon pathology. Biceps tenotomy and biceps tenodesis are procedures in the surgeon's treatment armamentarium. Rotator cuff repair and biceps tenodesis or tenotomy are commonly performed simultaneously. In this article, we describe a technique that incorporates biceps tenodesis into double-row rotator cuff repair with the goal of providing more collagen and, ultimately, more healing potential.
关节镜下肩袖修复术已成为治疗肩袖撕裂越来越常用的方法。对于骨科医生来说，治疗大面积至巨大肩袖撕裂在很多方面都具有挑战性。患有这种病症的患者与较小撕裂伤患者的愈合率和临床结果不同。一些外科医生使用基于胶原蛋白的移植物加强修复，但这种方法的成功率有限。同一类患者群体可能同时存在肱二头肌肌腱病变。肱二头肌切断术和肱二头肌固定术是外科医生治疗手段中的操作方法。肩袖修复术和肱二头肌固定术或切断术通常同时进行。在本文中，我们描述了一种将肱二头肌固定术纳入双排肩袖修复术的技术，目的是提供更多胶原蛋白，并最终获得更大的愈合潜力。
