Chillemi Claudio, Mantovani Matteo, Osimani Marcello, Castagna Alessandro
Department of Orthopaedic Surgery, Istituto Chirurgico Ortopedico Traumatologico (ICOT), Via F. Faggiana, 1668, Latina, Italy.
NCS Lab Srl, Carpi, Italy.
Eur J Orthop Surg Traumatol. 2017 Apr;27(3):399-404. doi: 10.1007/s00590-017-1906-z. Epub 2017 Jan 25.
All-arthroscopic anchorless transosseous suture techniques combine the advantages of the open transosseous repair with the benefits of arthroscopic technique. However, all the techniques described until now are very complex, difficult to reproduce and associated with an increased surgical time. The authors developed a novel all-arthroscopic anchorless transosseous suture technique easy to perform and to reproduce. This procedure maximizes the tendon-footprint contact area obtaining both medial and lateral fixation without using any device, employing only 1 suture tape so to avoiding the risk of suture twist. The preparation of two transosseous tunnels is very easily and safely performed thanks to a dedicated instrument. The procedure is described in details. Moreover, the preliminary favorable results after a minimum follow-up of 12 months are reported.
全关节镜下无锚钉经骨缝合技术结合了开放经骨修复的优点与关节镜技术的优势。然而，迄今为止所描述的所有技术都非常复杂，难以重现，且手术时间会增加。作者开发了一种新颖的、易于操作和重现的全关节镜下无锚钉经骨缝合技术。该手术最大限度地增加了肌腱与骨床的接触面积，无需使用任何器械即可实现内侧和外侧固定，仅使用1根缝合带，从而避免了缝线扭转的风险。借助一种专用器械，非常容易且安全地制备两个经骨隧道。详细描述了该手术过程。此外，还报告了至少随访12个月后的初步良好结果。
