Levy David M, Moen Todd C, Ahmad Christopher S
Columbia University College of Physicians, New York, New York, USA.
Am J Orthop (Belle Mead NJ). 2012 Feb;41(2):92-4.
Cystic bony defects of the humeral head greater tuberosity are often encountered during rotator cuff repair. These defects may be idiopathic, related to a patient's rotator cuff disease, or secondary to suture anchor placement from previous repairs. Some cysts are visible on preoperative magnetic resonance imaging, but most are discovered on footprint exploration or implant removal during revision surgery. These osseous defects reduce biological healing capacity and may decrease repair fixation strength. Bone grafting techniques are needed to address these defects. In this article, we present an arthroscopic allograft compaction technique with concomitant suture anchor rotator cuff repair.
在肩袖修复过程中，常常会遇到肱骨头大结节的囊性骨缺损。这些缺损可能是特发性的，与患者的肩袖疾病有关，或者继发于先前修复时缝合锚钉的置入。一些囊肿在术前磁共振成像上可见，但大多数是在翻修手术中的足迹探查或植入物取出时发现的。这些骨缺损会降低生物愈合能力，并可能降低修复固定强度。需要采用骨移植技术来处理这些缺损。在本文中，我们介绍一种关节镜下同种异体骨压实技术并同时进行缝合锚钉肩袖修复。
