Department of Orthopedic Surgery, Konkuk University School of Medicine, Seoul, Korea.
Knee Surg Sports Traumatol Arthrosc. 2011 Feb;19(2):303-6. doi: 10.1007/s00167-010-1268-0. Epub 2010 Oct 2.
A suture-bridge technique has been introduced to facilitate fixation procedures and to achieve increased holding strength in posterosuperior rotator cuff. Based on biomechanical studies, this technique has been suggested as an effective method that could optimize rotator cuff tendon-footprint contact area and mean pressure, as well as holding strength. In this technique, the suture-bridge creation is adapted for arthroscopic subscapularis repair to attain the ideal cuff integrity and footprint restoration. To obtain enough working portals and space, two accessory portals were made on the anterior aspect of the shoulder and use an elevator to retract the conjoined tendons and deltoid muscle. This technique could be useful for the repair of subscapularis tears, which are not easily approached using other arthroscopic techniques. From a biomechanical point of view, the subscapularis tendon could be restored more ideally using the suture-bridge technique.
一种缝线桥技术已被引入，以方便固定程序，并在后上肩袖中实现更大的保持力。基于生物力学研究，该技术已被认为是一种有效的方法，可以优化肩袖肌腱-足印接触面积和平均压力以及保持力。在该技术中，缝线桥的创建适用于关节镜下肩胛下肌修复，以达到理想的肩袖完整性和足印恢复。为了获得足够的工作端口和空间，在肩部的前侧做了两个辅助端口，并使用一个牵开器来牵拉联合肌腱和三角肌。该技术对于肩胛下肌撕裂的修复很有用，而这些撕裂用其他关节镜技术很难接近。从生物力学的角度来看，使用缝线桥技术可以更理想地恢复肩胛下肌腱。
