Shoulder Service Hospital F. Miulli, Acquaviva delle fonti, BA, Italy.
Knee Surg Sports Traumatol Arthrosc. 2012 Jun;20(6):1031-5. doi: 10.1007/s00167-011-1725-4. Epub 2011 Oct 20.
The traditional open transosseous rotator cuff repair gives excellent results for the fixation of tendon to bone and has represented the gold standard for rotator cuff surgery with excellent long-term results. In the last few years, different arthroscopic techniques using suture anchors have been developed to increase the tendon-bone contact area in an attempt to reconstitute a more anatomic configuration of the rotator cuff footprint while providing a better environment for tendon healing. However, the anchor-based techniques have still not replicated the traditional open transosseous repair. A surgical technique that allows surgeons to perform a standardized arthroscopic transosseous (anchor free) repair of rotator cuff tears using a new disposable device is described. With this system, it is possible to perform a transosseous technique in a reproducible fashion. This novel technique combines the clinical advantages of minimally invasive arthroscopic surgery and the biomechanical advantages of open transosseous procedures.
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传统的开放式经骨缝合修复术在固定肌腱和骨骼方面效果极佳，是肩袖手术的金标准，具有出色的长期效果。在过去的几年中，已经开发出了不同的关节镜技术，使用缝合锚钉来增加肌腱-骨接触面积，试图重建更符合解剖结构的肩袖止点，同时为肌腱愈合提供更好的环境。然而，基于锚钉的技术仍然无法复制传统的开放式经骨缝合修复术。本文描述了一种使用新型一次性装置进行标准化关节镜下经骨（无锚钉）肩袖撕裂修复的手术技术。通过该系统，可以以可重复的方式进行经骨技术。这种新的技术结合了微创关节镜手术的临床优势和开放式经骨手术的生物力学优势。
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