Mirzayan Raffy, Otarodifard Karimdad A, Singh Anshuman
Department of Orthopaedics, Kaiser Permanente Southern California, Baldwin Park.
Department of Orthopaedics, Kaiser Permanente Southern California, San Diego, California, U.S.A.
Arthrosc Tech. 2021 Jan 21;10(2):e525-e530. doi: 10.1016/j.eats.2020.10.035. eCollection 2021 Feb.
Superior capsule reconstruction has gained popularity as a treatment option for massive rotator cuff tears. The initial graft described was a tensor fascia lata. In the United States, acellular dermal matrix or dermal allograft has gained popularity. The results from published reports have been promising, but graft tear on postoperative imaging has been reported in several studies. Strives are being made to reduce the graft tear rate. One such way is to increase the thickness of the graft. Biomechanical studies have shown that thicker and stiffer grafts perform better in restoring superior stability. We present a technique of doubling a commercially available 3 mm dermal allograft and making it into a 6 mm graft for superior capsule reconstruction.
上盂唇重建术作为治疗巨大肩袖撕裂的一种选择已越来越受欢迎。最初描述的移植物是阔筋膜张肌。在美国，脱细胞真皮基质或同种异体真皮已越来越受欢迎。已发表报告的结果很有前景，但多项研究报告了术后影像学检查中移植物撕裂的情况。人们正在努力降低移植物撕裂率。一种方法是增加移植物的厚度。生物力学研究表明，更厚、更硬的移植物在恢复上稳定性方面表现更好。我们介绍一种技术，将市售的3毫米同种异体真皮加倍，制成6毫米的移植物用于上盂唇重建。
