Vienna, Austria; Dublin, Ireland.
Dublin, Ireland; Royal College of Surgeons Ireland.
Arthroscopy. 2018 Sep;34(9):2601-2603. doi: 10.1016/j.arthro.2018.06.039.
Massive irreparable rotator cuff tears without glenohumeral degeneration in young and active patients remain a challenging clinical problem for shoulder surgeons. Superior capsular reconstruction with fascia lata autograft or dermal allograft has recently become a popular treatment option. The long head of the biceps tendon, which has otherwise widely fallen into disfavor with shoulder surgeons, has recently emerged as an interesting alternative graft choice for superior capsular reconstruction because of its local availability. However, the literature on techniques using the biceps tendon for this purpose is currently limited to a handful of technical, biomechanical, and clinical studies.
对于肩部外科医生来说，年轻且活跃的患者中存在巨大的、无法修复的肩袖撕裂而无肩盂肱关节炎仍然是一个具有挑战性的临床问题。使用阔筋膜或真皮异体移植物进行的上盂唇复合体重建术最近已成为一种流行的治疗选择。肱二头肌长头肌腱在肩部外科医生中已经不再受欢迎，但由于其局部可用性，最近已成为上盂唇复合体重建术的一种有趣的替代移植物选择。但是，目前有关使用肱二头肌肌腱进行此操作的技术文献仅限于少数技术、生物力学和临床研究。
