Lee Benjamin D, Gilmer Brian B, Lang Sarah D, Guttmann Dan
Mammoth Orthopedic Institute, Mammoth Hospital, Mammoth Lakes, California, U.S.A.
Taos Orthopedic Institute, Taos, New Mexico, U.S.A.
Arthrosc Tech. 2019 Oct 25;8(11):e1373-e1378. doi: 10.1016/j.eats.2019.07.015. eCollection 2019 Nov.
Treatment of full-thickness rotator cuff tears vary in surgical technique dependent on the amount of retraction of the rotator cuff and/or delamination of the soft tissue. The described technique addresses both of those concerns. We present a modification of the SpeedBridge technique used to address retracted or delaminated repairs and effectively expand the indications for use of the double-row knotless technique. In this modification, the reduction is performed by an initial anchor with several stay sutures providing provisional reduction of the tissue in a controlled fashion. This is followed by compression through a standard double-row technique.
全层肩袖撕裂的治疗在手术技术上因肩袖回缩量和/或软组织分层情况而异。所描述的技术解决了这两个问题。我们提出了一种对SpeedBridge技术的改良方法，用于处理回缩或分层修复，并有效地扩大了双排无结技术的应用指征。在这种改良方法中，首先通过一个带有几根定位缝线的锚钉进行复位，以可控的方式对组织进行临时复位。随后通过标准的双排技术进行加压。
