Srimongkolpitak Surasak, Chernchujit Bancha
Department of Orthopedics, Faculty of Medicine, Queen Savang Vadhana Memorial Hospital, Si Racha District, Chon Buri Province, Thailand.
Department of Orthopedics, Faculty of Medicine, Thammasat University, Klongluang, Pathumthani, Thailand.
Arthrosc Tech. 2022 Jul 14;11(8):e1453-e1461. doi: 10.1016/j.eats.2022.03.036. eCollection 2022 Aug.
Our technique repaired the posterosuperior rotator cuff tear in the full-thickness type. The key successful of the arthroscopic full-thickness rotator cuff repair has several suture techniques. First, it will distribute a tensile force throughout the entire tendon. Second, it will improve tendon healing by getting it closer to the medial anatomical footprint. Third, the suture bridge compression technique has been used to compress all layers of the repaired tendon against the bone with the total contact area. Fourth, it reduces the risk of cut through the rotator cuff and the rate of rotator cuff retear with a tension free repair. We used three suture limbs in one hole to reduce rotator cuff damage and the rate of retear and also only tie three medial row knots. The reasons are to compress anatomically the medial footprint. The configuration suture pattern consists of suture bridges that distribute pressure-tension over a larger contact surface area on the tendon-bone interface, allowing for robust tendon-bone stabilization, better tendon-bone healing, and less retear after repair.
我们的技术修复了全层型的肩袖后上部撕裂。关节镜下全层肩袖修复成功的关键有几种缝合技术。首先，它能在整个肌腱中分散张力。其次，通过使肌腱更靠近内侧解剖足迹，它能促进肌腱愈合。第三，缝线桥加压技术已被用于将修复肌腱的所有层与骨紧密贴合，形成全接触面积。第四，它通过无张力修复降低了肩袖被切断的风险以及肩袖再撕裂率。我们在一个孔中使用三根缝线肢来减少肩袖损伤和再撕裂率，并且仅在内侧排打三个结。原因是在解剖学上压缩内侧足迹。构型缝合模式由缝线桥组成，其在肌腱-骨界面的更大接触表面积上分布压力-张力，从而实现稳固的肌腱-骨稳定、更好的肌腱-骨愈合以及修复后更少的再撕裂。
