Hirahara Alan M, Andersen Wyatt J, Dooney Tom
Private Practice Sacramento, California, U.S.A.
Arthrex, Naples, Florida, U.S.A.
Arthrosc Tech. 2020 Oct 21;9(11):e1797-e1803. doi: 10.1016/j.eats.2020.08.003. eCollection 2020 Nov.
Repairability and clinical outcomes of full-thickness rotator cuff tears rely on tendon mobility, tissue quality, and subsequent tension on a repair. While repair of rotator cuff tears tend to yield excellent clinical results, poor tissue quality has been an important factor that has hampered successful outcomes. This Technical Note describes a double-row rotator cuff repair using a SpeedBridge configuration with dermal allograft "canopy" augmentation to bolster the repairable but thinned rotator cuff tissue. This technique employs a unique graft fixation strategy to simplify the procedure. This approach could provide surgeons with a great option when faced with mobile but thinned rotator cuff tissue.
全层肩袖撕裂的可修复性和临床结果取决于肌腱的活动度、组织质量以及修复后的张力。虽然肩袖撕裂的修复往往能产生优异的临床效果，但组织质量差一直是阻碍成功结果的重要因素。本技术说明描述了一种使用带真皮同种异体移植物“覆盖物”增强的SpeedBridge构型进行双排肩袖修复，以加强可修复但变薄的肩袖组织。该技术采用独特的移植物固定策略来简化手术过程。当面对活动但变薄的肩袖组织时，这种方法可为外科医生提供一个很好的选择。
