Ding Shaohua, Ge Yunshen, Zheng Minzhe, Ding Wei, Jin Wenhe, Li Jin, Chen Shiyi
Ningbo Medical Center Lihuili Hospital, Ningbo, China.
Huashan Hospital, Fudan University, Shanghai, China.
Arthrosc Tech. 2019 Aug 23;8(9):e953-e959. doi: 10.1016/j.eats.2019.05.004. eCollection 2019 Sep.
The technique of superior capsular reconstruction (SCR) using fascia lata autograft, described by Mihata et al. in 2012, has been an acceptable and effective method for treating irreparable massive rotator cuff tears, especially in cases with severe fatty infiltration and tendon retraction. After the SCR procedure of Mihata et al., it was found that some graft failure occurred with thinning and elongation during the follow-up time, which was called graft "creep." To avoid graft creep and reduce graft failure rates after SCR, we created an arthroscopic SCR technique with a "sandwich" patch augmented with polyethylene terephthalate scaffold interspaced between 2 folded layers of fascia lata autograft.
2012年，Mihata等人描述了使用自体阔筋膜进行上盂唇重建（SCR）的技术，这是一种治疗不可修复的巨大肩袖撕裂的可接受且有效的方法，特别是在严重脂肪浸润和肌腱回缩的病例中。在Mihata等人的SCR手术后，发现一些移植物在随访期间出现变薄和伸长的移植物失败情况，这被称为移植物“蠕变”。为了避免移植物蠕变并降低SCR后的移植物失败率，我们创建了一种关节镜下SCR技术，即在两层折叠的自体阔筋膜之间夹入聚对苯二甲酸乙二酯支架增强的“三明治”补片。
