Bozkurt Murat, Akkaya Mustafa, Gursoy Safa, Isik Cetin
Department of Orthopedics and Traumatology, Ankara Atatürk Training and Research Hospital, Ankara, Turkey.
Arthrosc Tech. 2015 Sep 24;4(5):e471-4. doi: 10.1016/j.eats.2015.04.007. eCollection 2015 Oct.
Unsuccessful outcomes after repair of massive rotator cuff ruptures accompanied by muscle atrophy and fatty degeneration are frequently associated with inadequate management and secondary tears. We report the functional differences after rotator cuff rupture repair with a biodegradable spacer application. In these patients, rotator cuff rupture repair should provide coverage of the humeral head. Subsequently, acromioplasty should be performed to allow adequate space for the subacromial spacer. Thereafter measurement of the intra-articular space required for application of the biodegradable spacer is performed. Using this method can decrease the rate of tears by providing a safe subacromial space in cases of massive rotator cuff rupture.
伴有肌肉萎缩和脂肪变性的巨大肩袖撕裂修复术后的不良结果，通常与处理不当和继发性撕裂有关。我们报告了应用可生物降解间隔物进行肩袖撕裂修复后的功能差异。对于这些患者，肩袖撕裂修复应覆盖肱骨头。随后，应进行肩峰成形术，以便为肩峰下间隔物留出足够空间。此后，测量应用可生物降解间隔物所需的关节内空间。使用这种方法可以通过在巨大肩袖撕裂的情况下提供安全的肩峰下空间来降低撕裂率。
