Pellegrini Andrea, Lunini Enricomaria, Rebuzzi Manuela, Verdano Michele, Baudi Paolo, Ceccarelli Francesco
Orthopaedic and Traumatologic Department, University of Parma, Parma, Italy.
Orthopaedic and Traumatologic Department, University of Modena, Modena, Italy.
Arthrosc Tech. 2015 May 11;4(3):e201-e205. doi: 10.1016/j.eats.2015.01.005. eCollection 2015 Jun.
Transosseous rotator cuff tear repair was first described in 1944. Over the years, it has represented the gold standard for such lesions. Through open and mini-open approaches, as well as the arthroscopic approach, the transosseous repair system represents one of the most reliable surgical techniques from a biological and mechanical perspective. Nevertheless, further improvements are required. This article describes an arthroscopic rotator cuff tear transosseous repair system, developed in collaboration with NCS Lab (Carpi, Italy): the Sharc-FT using the Taylor Stitcher. Our first experience in the clinical application of the arthroscopic technique using the transosseous suture system has shown encouraging clinical outcomes, confirming its efficacy. The patient satisfaction rate was high, and no patient expressed concern about the implant. The complication rate was very low. By improving the suture technique in the treatment of rotator cuff tears, a remarkable increase in the success rate in the treatment of this pathology could be reached; nevertheless, complications such as retears of the rotator cuff still occur.
经骨肩袖撕裂修复术最早于1944年被描述。多年来,它一直是此类损伤的金标准。通过开放和微创开放入路以及关节镜入路,经骨修复系统从生物学和力学角度来看是最可靠的手术技术之一。然而,仍需要进一步改进。本文介绍了一种与NCS实验室(意大利卡尔皮)合作开发的关节镜下肩袖撕裂经骨修复系统:使用泰勒缝合器的Sharc-FT。我们首次使用经骨缝合系统进行关节镜技术临床应用的经验显示出令人鼓舞的临床结果,证实了其有效性。患者满意度很高,没有患者对植入物表示担忧。并发症发生率非常低。通过改进肩袖撕裂治疗中的缝合技术,可以显著提高这种病理状况的治疗成功率;然而,肩袖再次撕裂等并发症仍然会发生。