University of Rochester Medical Center.
Arthroscopy. 2021 Sep;37(9):2768. doi: 10.1016/j.arthro.2021.05.041.
Recent literature supports the concept of superior capsular reconstruction (SCR) in patients with irreparable massive rotator cuff tears. Tensor fascia lata autograft and dermal allograft have been used with reported improvement of clinical outcomes. Long head biceps (LHB) tendon autograft has been proposed as an alternative autograft source for SCR. The advantage of LHB autograft is its anatomic proximity, robust graft strength, and cost-effectiveness. The biomechanical data, as well as short-term clinical outcomes, support the use of LHB autograft for SCR.
最近的文献支持在无法修复的巨大肩袖撕裂患者中进行肩袖上囊重建（SCR）的概念。已经使用阔筋膜张肌自体移植物和真皮异体移植物，并报告了临床结果的改善。长头肱二头肌（LHB）肌腱自体移植物已被提议作为 SCR 的另一种自体移植物来源。LHB 自体移植物的优点是其解剖位置接近、移植物强度强且具有成本效益。生物力学数据以及短期临床结果均支持使用 LHB 自体移植物进行 SCR。
