Rush University Medical Center.
Arthroscopy. 2020 Jun;36(6):1552-1554. doi: 10.1016/j.arthro.2020.03.004.
Recurrent rotator cuff tears are a frequent cause of shoulder disability. To repair a rotator cuff, the surgeon faces both mechanical and biological challenges. Patch use as a scaffold for rotator cuff repair is well-described, as is biological augmentation, with clinical indications and efficacy being the subjects of ongoing study. However, a clinical report of dermal allograft patch augmentation combined with attempts at supercharging the biology is novel. This technique would benefit from controlled, prospective studies, with tight inclusion criteria.
复发性肩袖撕裂是导致肩部残疾的常见原因。修复肩袖撕裂,外科医生既面临机械挑战,也面临生物挑战。使用补片作为肩袖修复的支架已有充分描述,生物增强也是如此,其临床适应证和疗效仍在不断研究中。然而,真皮移植物补片增强联合尝试增强生物学活性的临床报告尚属新颖。该技术需要严格的纳入标准,受益于对照的前瞻性研究。