Mostello Andrew J, Caldwell Paul E, Pearson Sara E
Orthopaedic Research of Virginia, Richmond, Virginia, U.S.A.
Tuckahoe Orthopaedic Associates, Richmond, Virginia, U.S.A.
Arthrosc Tech. 2020 Sep 18;9(10):e1505-e1509. doi: 10.1016/j.eats.2020.06.010. eCollection 2020 Oct.
SLAP tears have been a controversial topic in shoulder surgery for decades. The indications for repair of SLAP tears, as well as the methods of repair, have undergone a recent evolution. The use of intra-articular knots for SLAP repair has fallen out of favor because of potential abrasive damage to the rotator cuff and glenohumeral articular cartilage due to knot migration and prominence. In response to this potential iatrogenic injury, arthroscopic techniques have undergone an evolution using advanced techniques with low-profile knotless repairs. We describe our preferred low-profile knotless technique for SLAP repair using LabralTape (Arthrex) in a horizontal mattress configuration.
几十年来,肩袖上盂唇(SLAP)损伤一直是肩部手术中颇具争议的话题。SLAP损伤的修复指征以及修复方法最近都有所发展。由于结的迁移和突出可能对肩袖和肱盂关节软骨造成潜在的磨损损伤,关节内打结用于SLAP修复已不再受青睐。针对这种潜在的医源性损伤,关节镜技术已发展为采用先进技术进行低轮廓无结修复。我们描述了一种使用LabralTape(Arthrex)以水平褥式缝合方式进行SLAP修复的首选低轮廓无结技术。