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使用切碎的自体肩峰下滑囊对关节镜下肩袖修复进行生物增强。

Biologic Augmentation of Arthroscopic Rotator Cuff Repair Using Minced Autologous Subacromial Bursa.

作者信息

Pancholi Neel, Gregory James M

机构信息

McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas, U.S.A.

出版信息

Arthrosc Tech. 2020 Oct 22;9(10):e1519-e1524. doi: 10.1016/j.eats.2020.06.013. eCollection 2020 Oct.


DOI:10.1016/j.eats.2020.06.013
PMID:33134054
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7587230/
Abstract

Failure of rotator cuff repair surgery can be attributed to a variety of factors, including insufficient biologic environment to support healing. The subacromial bursal tissue has been shown to have a reservoir of mesenchymal stem cells and is a potential source for biologic augmentation during rotator cuff repair. We have developed a technique to capture the subacromial bursal tissue during subacromial bursectomy and then reimplant the tissue on the bursal surface of the rotator cuff tendon after rotator cuff repair. Our goal is to describe our technique of subacromial tissue collection and reimplantation that obviates the need of suturing a whole sleeve of bursal tissue while improving cell yield for rotator cuff healing.

摘要

肩袖修复手术失败可归因于多种因素,包括支持愈合的生物环境不足。肩峰下滑囊组织已被证明含有间充质干细胞库,是肩袖修复期间生物增强的潜在来源。我们已经开发出一种技术,在肩峰下滑囊切除术期间采集肩峰下滑囊组织,然后在肩袖修复后将该组织重新植入肩袖肌腱的滑囊表面。我们的目标是描述我们的肩峰下组织采集和重新植入技术,该技术无需缝合一整个滑囊组织袖套,同时提高肩袖愈合的细胞产量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/a8e5d54d2bdd/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/8a6144368ed7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/15ca57a5140c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/638a9ae8a916/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/d18aa01602b5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/423eb9dd5b90/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/cedf8e064c1c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/75d51369547e/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/963852a3cf81/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/522a4e436ea7/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/4a6f0846948e/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/7f480e931ab9/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/a8e5d54d2bdd/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/8a6144368ed7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/15ca57a5140c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/638a9ae8a916/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/d18aa01602b5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/423eb9dd5b90/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/cedf8e064c1c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/75d51369547e/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/963852a3cf81/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/522a4e436ea7/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/4a6f0846948e/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/7f480e931ab9/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5529/7587230/a8e5d54d2bdd/gr12.jpg

相似文献

[1]
Biologic Augmentation of Arthroscopic Rotator Cuff Repair Using Minced Autologous Subacromial Bursa.

Arthrosc Tech. 2020-10-22

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Partial-Thickness Bursal-Site Rotator Cuff Repair With Autologous Bursa Augmentation.

Arthrosc Tech. 2025-5-7

[2]
Bursal Tissue Harvested During Rotator Cuff Repair Contains Viable Mesenchymal Stem Cells.

Arthrosc Sports Med Rehabil. 2024-4-16

[3]
Biologic augmentation of rotator cuff repair with microfragmented autologous subacromial bursal tissue enveloped in a patch of compressed autologous long head of biceps tendon tissue: the technique.

JSES Int. 2024-5-6

[4]
The effect of augmenting suture material with magnesium and platelet-rich plasma on the adhesion and proliferation potential of subacromial bursa-derived progenitor cells.

JSES Int. 2023-7-26

[5]
Clinical outcomes of rotator cuff repair with subacromial bursa reimplantation: a retrospective cohort study.

JSES Int. 2023-6-3

[6]
Arthroscopic Biological Augmentation With Subacromial Bursa for Bursal-Sided Partial-Thickness Rotator Cuff Tears.

Orthop J Sports Med. 2023-8-29

[7]
Irreparable Massive Rotator Cuff Tears: Subacromial Balloon Surgical Technique.

Arthrosc Tech. 2022-11-18

[8]
Subacromial Bursa: A Neglected Tissue Is Gaining More and More Attention in Clinical and Experimental Research.

Cells. 2022-2-14

[9]
Histological and molecular features of the subacromial bursa of rotator cuff tears compared to non-tendon defects: a pilot study.

BMC Musculoskelet Disord. 2021-10-14

本文引用的文献

[1]
Identification of differentially expressed genes by single-cell transcriptional profiling of umbilical cord and synovial fluid mesenchymal stem cells.

J Cell Mol Med. 2020-1

[2]
Comparison of Preparation Techniques for Isolating Subacromial Bursa-Derived Cells as a Potential Augment for Rotator Cuff Repair.

Arthroscopy. 2019-11-7

[3]
Examining the Potency of Subacromial Bursal Cells as a Potential Augmentation for Rotator Cuff Healing: An In Vitro Study.

Arthroscopy. 2019-10-16

[4]
Biological Augmentation With Subacromial Bursa in Arthroscopic Rotator Cuff Repair.

Arthrosc Tech. 2019-7-4

[5]
Evaluating strategies and outcomes following rotator cuff tears.

Shoulder Elbow. 2019-5

[6]
Biologics for Rotator Cuff Repair: A Critical Analysis Review.

JBJS Rev. 2018-10

[7]
The Role of Platelet Rich Plasma (PRP) and Other Biologics for Rotator Cuff Repair.

Open Orthop J. 2016-7-21

[8]
Characterization of bursa subacromialis-derived mesenchymal stem cells.

Stem Cell Res Ther. 2015-6-3

[9]
Advances in biology and mechanics of rotator cuff repair.

Knee Surg Sports Traumatol Arthrosc. 2015-2

[10]
Novel supplier of mesenchymal stem cell: subacromial bursa.

Transplant Proc. 2013-10

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