Matsuda Dean K
Premier Hip Arthroscopy, Marina del Rey, California, U.S.A.
Arthrosc Tech. 2021 May 24;10(6):e1553-e1557. doi: 10.1016/j.eats.2021.02.024. eCollection 2021 Jun.
Optimal treatment of complete grade 3 tears of the adductor longus tendon from the pubic body has support for both nonsurgical management and surgical reattachment. We demonstrate the feasibility of endoscopic reattachment of an adductor avulsion with >3 cm of retraction. Using our previously described anterior pubic symphyseal portal and an anteromedial adductor portal, initial diagnostic endoscopy is followed by debridement of adhesions, preparation of the pubic body bony footprint, secure passage of suture tape through the avulsed tendon, reduction of the avulsed tendon, and knotless suture anchor reattachment. Endoscopic primary repair is a technically feasible, minimally invasive option in the treatment of retracted grade 3 adductor tears.
耻骨体处内收长肌肌腱完全性3级撕裂的最佳治疗方法既有非手术治疗的依据，也有手术重新附着的依据。我们证明了内镜下重新附着回缩超过3 cm的内收肌撕脱伤的可行性。使用我们之前描述的耻骨联合前入路和内收肌前内侧入路，先进行初步诊断性内镜检查，随后进行粘连清创、耻骨体骨足迹准备、缝线带安全穿过撕脱肌腱、撕脱肌腱复位以及无结缝线锚钉重新附着。内镜下一期修复是治疗回缩性3级内收肌撕裂的一种技术上可行的微创选择。
