Fletcher Matt D A
Department of Orthopaedics, Dawson Creek & District Hospital, 11100-13th Street, Dawson Creek, BC, Canada V1G 3W8.
ISRN Orthop. 2013 Oct 30;2013:646598. doi: 10.1155/2013/646598. eCollection 2013.
Massive rotator cuff tears may not be primarily repairable with salvage options not necessarily providing acceptable results. Extrinsic tendon transfer is a significant undertaking with prolonged rehabilitation and variable outcome. A novel technique for the reconstruction of massive tears, not amenable to primary repair, by performing a transfer of the intrinsic posterior rotator cuff onto an intact, tenodesed long head of biceps tendon acting as a scaffold for the intrinsic transfer is described. The clinical results at short to medium term in 17 initial patients are presented. Encouraging results from this study suggest that this is a viable option for the management of massive rotator cuff tears with an intact posterior cuff with results equal or superior to other reconstructive techniques.
巨大的肩袖撕裂可能无法通过主要修复方法修复，补救方案也不一定能带来可接受的结果。外在肌腱转移是一项重大手术，康复期长且效果不一。本文描述了一种用于重建巨大撕裂（不适于一期修复）的新技术，即通过将肱二头肌长头肌腱完整地固定并转移至肱二头肌长头肌腱，作为内在转移的支架，将内在的后肩袖转移至该支架上。本文展示了17例初治患者的短期至中期临床结果。本研究令人鼓舞的结果表明，对于后肩袖完整的巨大肩袖撕裂，这是一种可行的治疗选择，其结果与其他重建技术相当或更优。
