生物诱导植入物增强的内镜下臀中肌修复术
Endoscopic Gluteus Medius Repair Augmented With Bioinductive Implant.
作者信息
Kaplan Daniel J, Dold Andrew P, Fralinger David J, Meislin Robert J
机构信息
NYU Hospital for Joint Diseases, New York, New York, U.S.A.
出版信息
Arthrosc Tech. 2016 Aug 1;5(4):e821-e825. doi: 10.1016/j.eats.2016.03.011. eCollection 2016 Aug.
Abstract
Patients with gluteus minimus and medius tears that fail nonoperative management may be indicated for surgical repair; however, structural failure after gluteal tendon repair remains unacceptably high. This is likely related to the limited healing potential of tendinous tissue, which is poorly vascular and heals by formation of fibrocartilaginous scar tissue rather than histologically normal tendon. An emerging option to augment tendon healing is the use of a bioinductive implant that is designed to amplify the host healing response and induce the formation of healthy tendon tissue. Though it is rapidly being adopted for partial- and full-thickness rotator cuff tears, this implant has not yet been used in the hip. A detailed technical description and a discussion of the advantages and disadvantages of the technique are provided.
摘要
非手术治疗失败的臀小肌和臀中肌撕裂患者可能需要进行手术修复；然而，臀肌腱修复后的结构失败率仍然高得令人无法接受。这可能与腱组织有限的愈合潜力有关，腱组织血管较少，通过形成纤维软骨瘢痕组织而非组织学上正常的肌腱来愈合。一种增强肌腱愈合的新选择是使用生物诱导植入物，该植入物旨在放大宿主的愈合反应并诱导健康肌腱组织的形成。尽管这种植入物正在迅速被用于治疗部分和全层肩袖撕裂，但尚未用于髋关节。本文提供了该技术的详细技术描述以及对其优缺点的讨论。
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