Mease Samuel J, Moontasri Nancy J, Kurowicki Jennifer, Long Charles L, Simone Erica S, Scillia Anthony J
Department of Orthopaedic Surgery, St. Joseph's University Medical Center, Paterson, New Jersey, U.S.A.
New Jersey Orthopaedic Institute, Wayne, New Jersey, U.S.A.
Arthrosc Tech. 2020 Mar 24;9(4):e527-e533. doi: 10.1016/j.eats.2019.12.007. eCollection 2020 Apr.
Superior capsular reconstruction (SCR) has become an increasingly popular choice in the treatment of massive, irreparable rotator cuff tears, pseudoparalysis, and in cases in which revision of previous rotator cuff repair is indicated. The SCR procedure is intended to restore the superior stabilizing forces of a deficient rotator cuff. This technique is accomplished by substituting an autograft or allograft between the superior glenoid and the greater tuberosity of the humerus, thus keeping the humeral head centered in the glenoid during shoulder forward flexion and abduction. Since its advent, numerous techniques have been described for this procedure. A fascia lata autograft was initially described; however, many surgeons in the United States have advocated for the use of a humeral dermal allograft. Yet, biomechanical studies have demonstrated elongation and thinning of this material. Thus, the Achilles tendon allograft may be an attractive choice for SCR, given its previous success with ligamentous and tendinous reconstructions. In this article, we present our technique of SCR using an Achilles tendon allograft.
肩胛下肌上囊重建术（SCR）在治疗巨大、无法修复的肩袖撕裂、假性麻痹以及需要翻修先前肩袖修复术的病例中已成为越来越受欢迎的选择。SCR手术旨在恢复肩袖缺损的上方稳定力。该技术通过在肩胛盂上方和肱骨头大结节之间植入自体移植物或同种异体移植物来完成，从而在肩部前屈和外展时使肱骨头保持在肩胛盂中心。自该手术出现以来，已有多种技术被描述。最初描述的是阔筋膜自体移植；然而，美国的许多外科医生主张使用肱部真皮同种异体移植物。然而，生物力学研究表明这种材料会伸长和变薄。因此，鉴于跟腱同种异体移植物在韧带和肌腱重建方面先前的成功，它可能是SCR的一个有吸引力的选择。在本文中，我们介绍使用跟腱同种异体移植物进行SCR的技术。
