University of Utah.
Arthroscopy. 2019 Oct;35(10):2814-2816. doi: 10.1016/j.arthro.2019.06.010.
The optimal surgical technique for arthroscopic rotator cuff repair remains controversial, with advantages and disadvantages to each of the most commonly used methods. The pattern as well as number of suture anchors relative to the footprint has been one of the most common sources of debate, with proponents and arguments for both single- and double-row arrangements. Although double-row techniques have been shown to be biomechanically superior and to improve footprint coverage, evidence has been mixed as to whether they are clinically superior, especially in small- and medium-sized tears. Whereas historically, single-row repairs have aimed to restore pre-tear tendon tension, there recently has been interest in a medialized single-row technique to reduce repair tension. Advantages of this technique include a reduced number of anchors and thus a reduced cost, an efficient technique, and a potential reduction in tension, which could improve healing rates. Disadvantages of this technique include a reduced tendon-to-bone area of contact, which may lead to higher rates of incomplete healing.
关节镜下肩袖修复的最佳手术技术仍存在争议，每种最常用的方法都有其优缺点。相对于足迹，缝线锚钉的模式和数量一直是最常见的争论来源之一，支持者和论点都有单排和双排排列。虽然双排技术已被证明在生物力学上更优越，并能改善足迹的覆盖范围，但关于它们在临床上是否更优越的证据却参差不齐，尤其是在小到中等大小的撕裂中。虽然历史上，单排修复旨在恢复撕裂前的肌腱张力，但最近人们对内侧单排技术感兴趣，以降低修复张力。该技术的优点包括减少了锚钉的数量，从而降低了成本，提高了效率，并且可能降低了张力，从而提高了愈合率。该技术的缺点包括接触面积减少，这可能导致愈合不完全的发生率增加。
