Nebelung W, Reichwein F
Marienkrankenhaus Düsseldorf-Kaiserswerth, Düsseldorf, Deutschland.
Orthopade. 2011 Jan;40(1):13-6, 18-20. doi: 10.1007/s00132-010-1674-5.
The treatment of rotator cuff tears is affected by numerous factors. In addition to the patient's age, quality of blood supply, age and size of the tear and fatty infiltration, the refixation technique is important to ensure successful treatment. In recent years a trend towards arthroscopic operation techniques has been observed due to new developments in the field.The most important principles of arthroscopic refixation techniques currently used are presented. Special attention is paid to the type of suture, suture anchors and anchor arrangements used. Biomechanics and footprint coverage of double row constructions are superior to single row but clinical results do not show any clear advantages. If feasible, double row rotator cuff repair with lateral suture bridging seems to represent presently a useful technique with a superior rate of tendon healing.
肩袖撕裂的治疗受多种因素影响。除了患者的年龄、血供质量、撕裂的年龄和大小以及脂肪浸润外，固定技术对于确保治疗成功也很重要。近年来，由于该领域的新发展，出现了一种向关节镜手术技术发展的趋势。本文介绍了目前使用的关节镜固定技术的最重要原则。特别关注所使用的缝线类型、缝线锚钉和锚钉排列。双排结构的生物力学和足迹覆盖优于单排，但临床结果并未显示出明显优势。如果可行，外侧缝线桥接的双排肩袖修复目前似乎是一种有用的技术，肌腱愈合率更高。
