Reda Bashar, Coady Catherine, Wong Ivan
Division of Orthopaedic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Arthrosc Tech. 2017 Oct 30;6(5):e2023-e2030. doi: 10.1016/j.eats.2017.07.024. eCollection 2017 Oct.
A revision rotator cuff repair is a technically challenging surgical procedure. This can be further complicated by the presence of poor quality of the cuff tissue, as well as a large greater tuberosity cyst, typically located at the rotator cuff footprint. This Technical Note discusses the surgical approach to deal with a revision rotator cuff tear with a large humeral head cyst. This described arthroscopic technique is performed in a single-stage procedure using a human dermal allograft (GraftJacket) for augmentation. This technique was specifically designed to (1) address the limited area for anchor placement, (2) use a bone graft, demineralized bone matrix, for repairing the bone cyst, and (3) optimize the biology for healing by augmenting the reconstruction with GraftJacket.
翻修性肩袖修复术是一项技术上具有挑战性的外科手术。由于肩袖组织质量差以及通常位于肩袖附着点处的较大的大结节囊肿,情况可能会进一步复杂化。本技术说明讨论了处理伴有大的肱骨头囊肿的翻修性肩袖撕裂的手术方法。所描述的关节镜技术在单阶段手术中进行,使用人真皮同种异体移植物(GraftJacket)进行增强。该技术专门设计用于:(1)解决锚钉放置的有限区域问题;(2)使用骨移植、脱矿骨基质修复骨囊肿;(3)通过使用GraftJacket增强重建来优化愈合生物学过程。