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使用脱细胞真皮基质同种异体移植物联合残余肌腱增强术进行上盂唇重建治疗不可修复的肩袖撕裂

Superior Capsule Reconstruction Using an Acellular Dermal Matrix Allograft Combined With Remnant Tendon Augmentation for Irreparable Rotator Cuff Tear.

作者信息

Lee Sanghyeon, Koh Kyoung Hwan, Shin Sang-Jin

机构信息

Department of Orthopaedic Surgery, Seoul Medical Center, Seoul, Republic of Korea.

Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

出版信息

Arthrosc Tech. 2023 Jan 31;12(2):e241-e246. doi: 10.1016/j.eats.2022.10.013. eCollection 2023 Feb.

DOI:10.1016/j.eats.2022.10.013
PMID:36879872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9984778/
Abstract

Graft fixation sites on the greater tuberosity and the superior glenoid for superior capsule reconstruction (SCR) are prone to graft failure. The graft fixation procedure on the superior glenoid is challenging due to the limited working space, narrow graft attachment site, and difficulties in suture management. This technical note introduces the surgical technique of SCR using an acellular dermal matrix allograft combined with remnant tendon augmentation to enhance graft healing and the suture management technique to prevent suture tangling for the treatment of irreparable rotator cuff tear.

摘要

用于上盂唇重建（SCR）的大结节和肩胛盂上方的移植物固定部位容易出现移植物失败。由于工作空间有限、移植物附着部位狭窄以及缝线管理困难，肩胛盂上方的移植物固定操作具有挑战性。本技术说明介绍了使用脱细胞真皮基质同种异体移植物联合残余肌腱增强术进行SCR的手术技术，以促进移植物愈合，以及防止缝线缠绕的缝线管理技术，用于治疗不可修复的肩袖撕裂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/007d/9984778/aad7f64cb860/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/007d/9984778/34176a416c50/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/007d/9984778/7ecd65aab493/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/007d/9984778/cb9b9d6b3e2d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/007d/9984778/33376caa63e6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/007d/9984778/9a651b81d53d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/007d/9984778/19e2fc9cee92/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/007d/9984778/aad7f64cb860/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/007d/9984778/34176a416c50/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/007d/9984778/7ecd65aab493/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/007d/9984778/cb9b9d6b3e2d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/007d/9984778/33376caa63e6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/007d/9984778/9a651b81d53d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/007d/9984778/19e2fc9cee92/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/007d/9984778/aad7f64cb860/gr7.jpg

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