Thangarajah Tanujan, Lo Ian K, Sabo Marlis T
University of Calgary, Department of Trauma and Orthopaedic Surgery, 2500 University Drive NW, Calgary, Alberta, 2N 1N4, Canada.
SCRUBS Research Unit, Cumming School of Medicine, University of Calgary, Canada.
J Clin Orthop Trauma. 2021 Mar 17;17:149-156. doi: 10.1016/j.jcot.2021.03.006. eCollection 2021 Jun.
Arthroscopic rotator cuff repair is being performed by an ever-increasing number of surgeons. With an ageing population and growing patient expectations it is crucial that clinical outcomes are optimised. Anatomical reduction of the tendon back to its footprint with minimal tension contributes to this, but this can only be achieved if key biomechanical factors are taken into consideration. In this review of the technical aspects of a rotator cuff repair, we focus on: (1) patient positioning, (2) biomechanical principles, (3) optimal visualisation, and (4) repair techniques for both anterior and postero-superior tears.
越来越多的外科医生正在进行关节镜下肩袖修复术。随着人口老龄化和患者期望的提高，优化临床结果至关重要。将肌腱以最小张力解剖复位至其附着点有助于实现这一目标，但只有考虑到关键的生物力学因素才能做到这一点。在这篇关于肩袖修复技术方面的综述中，我们关注以下几点：（1）患者体位，（2）生物力学原理，（3）最佳可视化，以及（4）前后上侧撕裂的修复技术。
