Wu Tsung-Mu, Chien Chi-Sheng, Lin Sheng-Hui
Chi-Mei Medical Center, Orthopedic Department, Tainan City, Taiwan, Republic of China.
Arthrosc Tech. 2021 Oct 16;10(11):e2523-e2529. doi: 10.1016/j.eats.2021.07.026. eCollection 2021 Nov.
Open transosseous repair was historically considered the gold-standard surgical solution for rotator cuff tears; however, with advancements in arthroscopic surgery, this procedure was largely replaced by anchor-based techniques. Yet, the ability of anchor-based techniques to achieve similar biomechanical fixation remains uncertain.In this article, we describe a reproducible, economical, arthroscopic anchorless transosseous rotator cuff repair technique that uses an Omega configuration. This technique involves two bone tunnels and four high-strength polyethylene sutures and is suitable for medium-to-large rotator cuff tears that would alternatively need multiple anchors. This procedure not only maximizes the tendon-footprint contact area without using any implanted device but also theoretically lowers the bone laceration rate and is cost effective. In the current Technical Note, the procedure is described in detail along with several tips and tricks.
Level I, shoulder; Level II, rotator cuff.
历史上，开放式经骨修复被认为是肩袖撕裂的金标准手术解决方案；然而，随着关节镜手术的进步，该手术在很大程度上被基于锚钉的技术所取代。然而，基于锚钉的技术能否实现类似的生物力学固定仍不确定。在本文中，我们描述了一种可重复、经济的关节镜下无锚钉经骨肩袖修复技术，该技术采用欧米伽配置。该技术涉及两个骨隧道和四根高强度聚乙烯缝线，适用于中到大的肩袖撕裂，否则可能需要多个锚钉。该手术不仅在不使用任何植入装置的情况下最大化了肌腱-足迹接触面积，而且理论上降低了骨撕裂率，且具有成本效益。在当前的技术说明中，详细描述了该手术以及一些技巧和窍门。
I级，肩部；II级，肩袖。
