Kelley Tim, Walthall Joel, Lyman Kade, Lang Sarah D, Gilmer Brian B, Guttmann Dan
Taos Orthopaedic Institute, Taos, New Mexico.
Mammoth Orthopedic Institute, Mammoth Hospital, Mammoth Lakes, California, U.S.A.
Arthrosc Tech. 2023 Jan 18;12(2):e279-e284. doi: 10.1016/j.eats.2022.11.003. eCollection 2023 Feb.
Treatment of full-thickness rotator cuff repairs vary in surgical technique depending on many factors including tear geometry, delamination of soft tissue, tissue quality, and rotator cuff retraction. The described technique presents a reproducible method of addressing tear patterns where the tear may be larger laterally, but the medial footprint exposure is small. This can be addressed with a single medial anchor combined with a knotless lateral-row technique to provide compression for small tears or two medial row anchors for moderate to large tears. In this modification of the standard knotless double row (SpeedBridge) technique, 2 medial row anchors are used, with 1 augmented with additional fiber tape and an additional lateral row anchor to create a triangular repair construct, increasing the size and stability of the footprint of the lateral row.
全层肩袖修复的治疗在手术技术上因多种因素而异，这些因素包括撕裂的形态、软组织分层、组织质量以及肩袖回缩情况。所描述的技术提供了一种可重复的方法来处理撕裂模式，即撕裂在外侧可能较大，但内侧足迹暴露较小的情况。对于小撕裂，可以通过单个内侧锚钉结合无结外侧排技术来提供压缩力；对于中到大撕裂，则可使用两个内侧排锚钉。在这种对标准无结双排（SpeedBridge）技术的改良中，使用了2个内侧排锚钉，其中1个用额外的纤维带加强，并增加1个外侧排锚钉，以形成三角形修复结构，增加外侧排足迹的大小和稳定性。
