Murthi Anand M, Lankachandra Manesha
Department of Orthopaedics, MedStar Union Memorial Hospital, 3333 North Calvert Street, Suite 400, Baltimore, MD 21218, USA.
Department of Orthopaedics, MedStar Union Memorial Hospital, 3333 North Calvert Street, Suite 400, Baltimore, MD 21218, USA.
Orthop Clin North Am. 2019 Jan;50(1):103-108. doi: 10.1016/j.ocl.2018.08.005.
Healing rates after rotator cuff repair vary widely. New technologies seek to improve tendon to bone healing with the addition of platelet-rich plasma, stem cells, and biological and synthetic grafts. Platelet-rich plasma and mesenchymal stem cells are used to help create a favorable environment for tendon to bone healing, and grafts and scaffolds provide structural support for repair. The efficacy of platelet-rich plasma and stem cell products seems to be variable, with different products offering different levels of cytokine and growth factors. Scaffold material is also variable with a wide range of synthetic and biological grafts.
肩袖修复后的愈合率差异很大。新技术试图通过添加富含血小板的血浆、干细胞以及生物和合成移植物来改善肌腱与骨的愈合。富含血小板的血浆和间充质干细胞用于帮助为肌腱与骨的愈合创造有利环境,而移植物和支架为修复提供结构支撑。富含血小板的血浆和干细胞产品的疗效似乎各不相同,不同产品提供不同水平的细胞因子和生长因子。支架材料也各不相同,有多种合成和生物移植物。