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关节镜下肩袖修补的“双排防撕裂”技术

"Double-Row Rip-Stop" Technique for Arthroscopic Rotator Cuff Repair.

作者信息

Bills Collin C, Field Eric D, Field Larry D

机构信息

Mississippi Sports Medicine & Orthopaedic Center, Jackson, Mississippi, U.S.A.

出版信息

Arthrosc Tech. 2017 Oct 30;6(5):e2053-e2059. doi: 10.1016/j.eats.2017.08.003. eCollection 2017 Oct.

DOI:10.1016/j.eats.2017.08.003
PMID:29430400
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5799086/
Abstract

Rotator cuff repair depends on both the fixation strength of the chosen repair construct and the local healing response of the repaired tissue. Among a growing discussion surrounding the superiority of one surgical technique over another, the surgeon's ability to complete a rotator cuff repair with technical acuity in a timely manner remains paramount. Double-row repairs as well as rip-stop configurations have been proposed to limit failures found after arthroscopic rotator cuff repairs. Implementation of both techniques during arthroscopic shoulder surgery may represent a technical challenge for the average orthopaedist. The purpose of this article is to give simple instructions for reproduction of an arthroscopic double-row rip-stop repair for rotator cuff fixation.

摘要

肩袖修复取决于所选修复结构的固定强度以及修复组织的局部愈合反应。在围绕一种手术技术优于另一种手术技术的讨论日益增多的情况下,外科医生及时以精湛技术完成肩袖修复的能力仍然至关重要。双排修复以及防撕裂构型已被提出以减少关节镜下肩袖修复后出现的失败情况。在关节镜下肩部手术中实施这两种技术可能对普通骨科医生来说是一项技术挑战。本文的目的是给出关于关节镜下双排防撕裂修复肩袖固定的简单重现说明。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/156d/5799086/e8896bdc22c6/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/156d/5799086/d130030355f1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/156d/5799086/452a227ff698/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/156d/5799086/d006f7335f23/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/156d/5799086/5c2b94d23b89/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/156d/5799086/ded8a4fd812c/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/156d/5799086/d4a905014ed4/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/156d/5799086/e8896bdc22c6/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/156d/5799086/d130030355f1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/156d/5799086/452a227ff698/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/156d/5799086/d006f7335f23/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/156d/5799086/5c2b94d23b89/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/156d/5799086/ded8a4fd812c/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/156d/5799086/d4a905014ed4/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/156d/5799086/e8896bdc22c6/gr7.jpg

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Supraspinatus rupture at the musclotendinous junction: an uncommonly recognized phenomenon.
H _loop 在关节镜下无结双排肩袖修复中的应用。
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