Moroder Philipp, Akgün Doruk, Siegert Paul, Thiele Kathi, Plachel Fabian
Department for Shoulder and Elbow Surgery, Center for Musculoskeletal Surgery, Charité - Universitaetsmedizin, Berlin, Germany.
Arthrosc Tech. 2020 Mar 10;9(4):e459-e467. doi: 10.1016/j.eats.2019.11.018. eCollection 2020 Apr.
Irreparable rotator cuff tears are challenging to treat. Especially in younger patients without concomitant osteoarthritic changes, joint-preserving procedures are warranted. To date, no treatment guideline exists because none of the available techniques has shown superiority over the others, and long-term survivorship data are missing. The aim of the "Strings" is to provide an arthroscopic solution to anatomically reconstruct presumably irreparable rotator cuff tears by bridging the gap with multiple string-like tendon interposition autografts.
不可修复的肩袖撕裂治疗颇具挑战性。尤其是在没有合并骨关节炎改变的年轻患者中,保留关节的手术是必要的。迄今为止,尚无治疗指南,因为现有的技术均未显示出比其他技术更具优势,而且缺乏长期生存率数据。“Strings”技术的目的是提供一种关节镜解决方案,通过使用多根绳状肌腱间置自体移植物来桥接间隙,从而在解剖学上重建可能无法修复的肩袖撕裂。