关节镜辅助下使用跟腱-骨同种异体移植物进行下斜方肌腱转移治疗巨大不可修复的肩袖后上部分撕裂

Arthroscopic-Assisted Lower Trapezius Tendon Transfer for Massive Irreparable Posterosuperior Rotator Cuff Tears Using an Achilles Tendon-Bone Allograft.

作者信息

Ek Eugene T, Lording Timothy, McBride Andrew P

机构信息

Melbourne Orthopaedic Group, Windsor, Melbourne, Victoria, Australia.

Department of Surgery, Monash Medical Centre, Monash University, Melbourne, Australia.

出版信息

Arthrosc Tech. 2020 Nov 20;9(11):e1759-e1766. doi: 10.1016/j.eats.2020.07.018. eCollection 2020 Nov.

The lower trapezius tendon (LTT) transfer has been described for the management of irreparable posterosuperior rotator cuff tears. Here we describe our technique of an arthroscopic-assisted LTT transfer using an Achilles tendon-bone allograft. This technique allows for augmentation of the tendon transfer using an Achilles tendon allograft while also keeping the calcaneal bone insertion, which allows for added bony fixation into the humerus and also minimizing the risk of the "killer turn" phenomenon at the aperture of fixation.