Ostrander Roger V, Smith Jarrod, Saper Michael
Andrews Institute for Orthopaedics and Sports Medicine, Gulf Breeze, Florida, U.S.A.
Arthrosc Tech. 2016 Sep 5;5(5):e1007-e1013. doi: 10.1016/j.eats.2016.05.004. eCollection 2016 Oct.
Recent advances to improve outcomes in rotator cuff repair include using arthroscopic double-row suture-bridge techniques in an effort to reconstruct the rotator cuff footprint and improve fixation. However, when using this technique for larger tears, it can be difficult to get the lateral portion of the rotator cuff into an anatomic position. This report describes a triple-row modification of the suture-bridge technique that results in significantly more footprint contact area and contact pressure compared with the double-row and standard suture-bridge techniques. Maximizing the rotator cuff footprint contact area exposes more of the tendon to bone and may improve the healing potential.
近期为改善肩袖修复效果所取得的进展包括采用关节镜下双排缝线桥技术，以重建肩袖附着点并改善固定效果。然而，在将该技术用于较大撕裂时，可能难以将肩袖的外侧部分置于解剖位置。本报告描述了一种缝线桥技术的三排改良法，与双排和标准缝线桥技术相比，该改良法可显著增加附着点接触面积和接触压力。最大化肩袖附着点接触面积可使更多肌腱暴露于骨骼，可能会提高愈合潜力。
