一种用于关节镜下肩袖修复的负载分担防撕裂固定结构。
A load-sharing rip-stop fixation construct for arthroscopic rotator cuff repair.
作者信息
Denard Patrick J, Burkhart Stephen S
机构信息
Southern Oregon Orthopedics, Medford, Oregon, U.S.A. ; Department of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, Oregon, U.S.A.
出版信息
Arthrosc Tech. 2012 Mar 15;1(1):e37-42. doi: 10.1016/j.eats.2011.12.005. Print 2012 Sep.
Abstract
Despite advancements in arthroscopic rotator cuff repair techniques, achieving tendon-to-bone healing can be difficult in the setting of poor-quality tendon. Moreover, medial tendon tears or tears with lateral tendon loss may preclude standard techniques. Rip-stop suture configurations have been shown to improve load to failure compared with simple or mattress stitch patterns and may be particularly valuable in these settings. The purpose of this report is to describe a technical modification of a rip-stop rotator cuff repair that combines the advantages of a rip-stop suture (by providing resistance to tissue cutout) and a double row of load-sharing suture anchors (minimizing the load per anchor and therefore the load per suture within each anchor).
摘要
尽管关节镜下肩袖修复技术取得了进展，但在肌腱质量较差的情况下，实现肌腱与骨的愈合可能具有挑战性。此外，内侧肌腱撕裂或伴有外侧肌腱缺失的撕裂可能使标准技术无法应用。与简单或褥式缝合模式相比，防撕裂缝合结构已被证明可提高失效负荷，在这些情况下可能特别有价值。本报告的目的是描述一种防撕裂肩袖修复技术的改良方法，该方法结合了防撕裂缝合（通过提供对组织穿出的抵抗力）和双排负荷分担缝合锚钉（最小化每个锚钉的负荷，从而最小化每个锚钉内每条缝线的负荷）的优点。
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3
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J Shoulder Elbow Surg. 2009 Jan-Feb;18(1):13-20. doi: 10.1016/j.jse.2008.05.045. Epub 2008 Sep 16.
7
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9
Part I: Footprint contact characteristics for a transosseous-equivalent rotator cuff repair technique compared with a double-row repair technique.第一部分：与双排修复技术相比，一种经骨等效肩袖修复技术的足迹接触特征。
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Part II: Biomechanical assessment for a footprint-restoring transosseous-equivalent rotator cuff repair technique compared with a double-row repair technique.第二部分：与双排修复技术相比，用于恢复足迹的经骨等效肩袖修复技术的生物力学评估。
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