Osaka Medical College.
Arthroscopy. 2019 Aug;35(8):2535-2536. doi: 10.1016/j.arthro.2019.04.019.
To achieve a good functional outcome, including minimal graft tear, after superior capsule reconstruction, surgeons should carefully compare the biomechanical properties of all graft materials under consideration. In particular, graft stiffness affects postoperative stability in the glenohumeral joint, acromiohumeral distance, and graft healing. In my experience, a sufficiently stiff fascia lata graft is 6- to 8-mm thick and includes suture reinforcement and/or an augmentation patch. I believe that augmenting acellular dermal allografts in a similar way will decrease the incidence of graft elongation, persistent superior migration of the humoral head, and other complications after superior capsule reconstruction.
为了实现良好的功能结果，包括最小的移植物撕裂，在上囊重建后，外科医生应仔细比较所有考虑中的移植物材料的生物力学特性。特别是，移植物的刚度会影响肩关节术后的稳定性、肩峰肱骨头间距和移植物愈合。根据我的经验，足够硬的阔筋膜移植物厚度为 6-8mm，并包括缝线加强和/或增强补丁。我相信以类似的方式增强脱细胞真皮同种异体移植物将降低上囊重建后移植物伸长、肱骨头持续向上迁移和其他并发症的发生率。
