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X抓取法:一种用于高效准确地追踪打结部位的关节镜操作方法。

X-Grab: An Arthroscopic Maneuver to Efficiently and Accurately Track the Post for Knot Tying.

作者信息

Harris W Taylor, Jimenez Andrew E, Owens Jade S, Delgado-Arellanes Irving, Lall Ajay C, Domb Benjamin G

机构信息

American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.

American Hip Institute, Chicago, Illinois, U.S.A.

出版信息

Arthrosc Tech. 2022 May 11;11(6):e947-e950. doi: 10.1016/j.eats.2022.01.014. eCollection 2022 Jun.

DOI:10.1016/j.eats.2022.01.014
PMID:35782850
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9243617/
Abstract

Numerous studies have analyzed techniques for producing reliable and efficient arthroscopic knots. All aspects have been explored, from the biomechanics and strength to the ability to teach and replicate at all levels of training. This technique article describes an additional maneuver (X-grab) for efficiently marking the post side of the arthroscopic knot without having to do this separately outside of the joint. This is most useful for procedures such as rotator cuff repair and capsular repair or plication in hip arthroscopy in which the location of the knot (i.e., the post) is critical. The aim of this Technical Note is to describe the X-grab maneuver, which shortens this process to a single step, limiting the see-sawing of sutures and over-instrumentation of the joint seen with other techniques.

摘要

众多研究分析了用于制作可靠且高效的关节镜结的技术。从生物力学、强度到在各级训练中的教学和复制能力,各个方面都已得到探索。这篇技术文章描述了一种额外的操作(X抓持法),用于在关节镜结的后侧高效标记,而无需在关节外单独进行此操作。这对于诸如肩袖修复、髋关节镜检查中的关节囊修复或折叠等手术最为有用,在这些手术中结(即结的后侧)的位置至关重要。本技术说明的目的是描述X抓持法,该方法将此过程缩短为单个步骤,限制了与其他技术相关的缝线摆动和关节过度操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a683/9243617/82c1b70b79ef/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a683/9243617/449bf9327e6c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a683/9243617/82c1b70b79ef/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a683/9243617/449bf9327e6c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a683/9243617/82c1b70b79ef/gr2.jpg

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本文引用的文献

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J Shoulder Elbow Surg. 2022 Mar;31(3):e120-e129. doi: 10.1016/j.jse.2021.11.002. Epub 2021 Dec 11.
2
Hip Capsular Management in Patients With Femoroacetabular Impingement or Microinstability: A Systematic Review of Biomechanical Studies.髋关节囊管理在股骨髋臼撞击症或微不稳定患者:生物力学研究的系统评价。
Arthroscopy. 2021 Aug;37(8):2642-2654. doi: 10.1016/j.arthro.2021.04.004. Epub 2021 May 1.
3
Capsular Repair May Improve Outcomes in Patients Undergoing Hip Arthroscopy for Femoroacetabular Impingement: A Systematic Review of Comparative Outcome Studies.
髋关节镜治疗股骨髋臼撞击症患者行囊袋修复术可能改善其结局:一项比较结局研究的系统评价。
Arthroscopy. 2021 Sep;37(9):2975-2990. doi: 10.1016/j.arthro.2021.03.063. Epub 2021 Apr 19.
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Over-pointing technique: an approach to past-pointing arthroscopic knots on alternating suture posts without alternating the knot pusher.过指技术:一种在不交替使用打结器的情况下,在交替的缝线柱上打过去结的关节镜打结方法。
Arthroscopy. 2007 Dec;23(12):1358.e1-3. doi: 10.1016/j.arthro.2007.03.011. Epub 2007 Jun 18.
5
Optimizing arthroscopic knots.优化关节镜结。
Arthroscopy. 1995 Apr;11(2):199-206. doi: 10.1016/0749-8063(95)90067-5.