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用于肱二头肌肌腱固定术的经骨原位环扎技术

The Transosseous Cerclage In Situ Technique for Biceps Tenodesis.

作者信息

Sanders Brett

机构信息

Center for Sports Medicine and Orthopaedics, Chattanooga, Tennessee, U.S.A.

出版信息

Arthrosc Tech. 2022 Jun 14;11(7):e1247-e1250. doi: 10.1016/j.eats.2022.03.006. eCollection 2022 Jul.

DOI:10.1016/j.eats.2022.03.006
PMID:35936865
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9353272/
Abstract

There are many techniques described for biceps tenodesis that vary by fixation type, location, and open or arthroscopic method. Clinical outcomes are similar regardless of repair technique; therefore, the cost and time of procedures are increasingly points of improvement to practice value-based medicine and deliver cost-effective care. The technique described in this article builds on previous arthroscopic transosseous technical knowledge to yield a cost-effective and efficient clinical method to perform biceps tenodesis in the suprapectoral location without the cost and complications of an implant. In addition, this technique provides 4 methods of tenodesis in series, which serves to decrease the risk of mechanical failure and leverages the robust method of suture cerclage for capture of the biceps.

摘要

针对肱二头肌固定术描述了许多技术，这些技术因固定类型、位置以及开放或关节镜手术方法的不同而有所差异。无论采用何种修复技术，临床结果都相似；因此，手术的成本和时间日益成为改善基于价值的医疗实践和提供具有成本效益的护理的关键点。本文所描述的技术是在先前关节镜下经骨技术知识的基础上发展而来的，旨在提供一种经济高效的临床方法，用于在胸上位置进行肱二头肌固定术，而无需植入物的成本和并发症。此外，该技术提供了4种连续的固定方法，有助于降低机械故障风险，并利用可靠的缝线环扎方法来固定肱二头肌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12db/9353272/9614f3927773/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12db/9353272/164b2f0a26c7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12db/9353272/9b362388c5c7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12db/9353272/e5bd2b0f06a7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12db/9353272/9614f3927773/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12db/9353272/164b2f0a26c7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12db/9353272/9b362388c5c7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12db/9353272/e5bd2b0f06a7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12db/9353272/9614f3927773/gr4.jpg

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本文引用的文献

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Failure rates and clinical outcomes after treatment for long-head biceps brachii tendon pathology: a comparison of three treatment types.肱二头肌长头肌腱病变治疗后的失败率和临床结果：三种治疗类型的比较
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Transosseous Suture-Based Arthroscopic Suprapectoral Biceps Tenodesis.
基于经骨缝线的关节镜下胸大肌上肱二头肌固定术
Arthrosc Tech. 2020 Jun 18;9(7):e947-e951. doi: 10.1016/j.eats.2020.03.010. eCollection 2020 Jul.
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True Transosseous Hybrid Rotator Cuff Repair.真正的经骨混合性肩袖修复术。
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Editorial Commentary: How Can I Tenodese the Biceps Tendon of the Shoulder? Let Me Count the Ways.述评：我该如何修复肩袖二头肌肌腱？且听我娓娓道来。
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A Systematic Review and Meta-analysis Comparing Clinical Outcomes After Concurrent Rotator Cuff Repair and Long Head Biceps Tenodesis or Tenotomy.一项比较同时进行肩袖修复与肱二头肌长头腱固定术或腱切断术后临床结果的系统评价和荟萃分析。
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Factors affecting dropped biceps deformity after tenotomy of the long head of the biceps tendon.肱二头肌长头肌腱切断术后影响肱二头肌下垂畸形的因素。
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