Dey Hazra Rony-Orijit, Ernat Justin J, Rakowski Dylan R, Boykin Robert E, Millett Peter J
Steadman Philippon Research Institute, Vail, Colorado, USA.
The Steadman Clinic, Vail, Colorado, USA.
Orthop J Sports Med. 2021 Dec 6;9(12):23259671211050899. doi: 10.1177/23259671211050899. eCollection 2021 Dec.
Over the past 30 years, arthroscopic rotator cuff repair (ARCR) has evolved to become the gold standard in treating rotator cuff pathology. As procedural concepts of ARCR continue to improve, it is also continually compared with the open rotator cuff repair as the historical standard of care. This review highlights the evolution of ARCR, including a historical perspective; the anatomic, clinical, and surgical implications of the development of an arthroscopic approach; how arthroscopy improved some of the problems of the open approach; adaptations in techniques and technologies associated with ARCR; future perspectives in orthobiologics as they pertain to ARCR; and lastly, the clinical improvements, or lack of improvements, with all of these adaptations.
在过去30年里，关节镜下肩袖修复术（ARCR）已发展成为治疗肩袖病变的金标准。随着ARCR手术理念的不断完善，它也不断与作为历史治疗标准的开放肩袖修复术进行比较。本综述重点介绍了ARCR的发展历程，包括历史背景；关节镜手术方法发展的解剖学、临床和手术意义；关节镜如何改善开放手术方法的一些问题；与ARCR相关的技术和工艺的改进；与ARCR相关的骨生物制剂的未来前景；最后，所有这些改进所带来的临床改善情况或缺乏改善的情况。
