Hsu Jim C
Polyclinic, Seattle, Washington, U.S.A.
Arthrosc Tech. 2022 Nov 17;11(12):e2177-e2183. doi: 10.1016/j.eats.2022.08.019. eCollection 2022 Dec.
Distal biceps tendon rupture is commonly repaired via bicortical drilling, extramedullary cortical button placement, and inlay tendon fixation. A retensionable technique with unicortical drilling, intramedullary knotless all-suture anchors placement, and onlay tendon fixation is presented, incorporating up-to-date advances in tendon-bone healing basic science, biceps tendon/radial tuberosity biomechanics, and knotless all-suture implant technology to facilitate radial tuberosity bone preservation, anatomic footprint restoration, improved suture-tendon connection security, and avoidance of drilling and implant-related injury to the posterior interosseous nerve.
肱二头肌远端肌腱断裂通常通过双皮质钻孔、髓外皮质纽扣放置和嵌体肌腱固定来修复。本文介绍了一种采用单皮质钻孔、髓内无结全缝线锚钉放置和覆盖肌腱固定的可重新张紧技术,该技术融合了肌腱-骨愈合基础科学、肱二头肌肌腱/桡骨粗隆生物力学以及无结全缝线植入技术的最新进展,以促进桡骨粗隆骨的保留、解剖足迹的恢复、改善缝线-肌腱连接的安全性,并避免钻孔和植入相关的骨间后神经损伤。