经肌腱、双排、类经骨关节镜修复部分厚度的关节面肩袖撕裂。
Transtendon, double-row, transosseous-equivalent arthroscopic repair of partial-thickness, articular-surface rotator cuff tears.
作者信息
Dilisio Matthew F, Miller Lindsay R, Higgins Laurence D
机构信息
Boston Shoulder Institute, Boston, Massachusetts, U.S.A. ; Harvard Medical School, Boston, Massachusetts, U.S.A. ; Department of Orthopedics, Brigham and Women's Hospital, Boston, Massachusetts, U.S.A.
Department of Orthopedics, Brigham and Women's Hospital, Boston, Massachusetts, U.S.A.
出版信息
Arthrosc Tech. 2014 Sep 8;3(5):e559-63. doi: 10.1016/j.eats.2014.06.007. eCollection 2014 Oct.
Arthroscopic transtendinous techniques for the arthroscopic repair of partial-thickness, articular-surface rotator cuff tears offer the advantage of minimizing the disruption of the patient's remaining rotator cuff tendon fibers. In addition, double-row fixation of full-thickness rotator cuff tears has shown biomechanical advantages. We present a novel method combining these 2 techniques for transtendon, double-row, transosseous-equivalent arthroscopic repair of partial-thickness, articular-surface rotator cuff tears. Direct visualization of the reduction of the retracted articular tendon layer to its insertion on the greater tuberosity is the key to the procedure. Linking the medial-row anchors and using a double-row construct provide a stable repair that allows early shoulder motion to minimize the risk of postoperative stiffness.
关节镜下经肌腱技术用于关节镜修复部分厚度的关节面肩袖撕裂，具有将患者剩余肩袖肌腱纤维的破坏降至最低的优点。此外，全层肩袖撕裂的双排固定已显示出生物力学优势。我们提出一种新方法，将这两种技术结合用于部分厚度的关节面肩袖撕裂的经肌腱、双排、等效骨隧道关节镜修复。直接观察回缩的关节肌腱层复位至其在大结节上的附着点是该手术的关键。连接内侧排锚钉并使用双排结构可提供稳定的修复，允许早期进行肩部活动，以将术后僵硬的风险降至最低。
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