Endell David, Rüttershoff Katja, Scheibel Markus
Shoulder and Elbow Surgery, Schulthess Clinic, Zurich, Switzerland.
Center for Musculoskeletal Surgery, Charité-Universitaetsmedizin Berlin, Berlin, Germany.
Arthrosc Tech. 2023 Feb 22;12(3):e383-e386. doi: 10.1016/j.eats.2022.11.020. eCollection 2023 Mar.
The proportion of postoperative retears after arthroscopic rotator cuff reconstruction remains constant despite advancement of suture techniques and improved anchor implants. The commonly degenerative nature of rotator cuff tears can carry the risk of compromised tissue. Several techniques have been developed to biologically enhance rotator cuff repair, and a considerable number of autologous, allogeneic, and xenogenous augmentation methods have been described. This article introduces the biceps smash technique, an arthroscopic augmentation procedure for posterosuperior rotator cuff reconstruction using an autograft patch of the long head of the biceps tendon.
尽管缝合技术有所进步且锚钉植入物有所改进，但关节镜下肩袖重建术后再撕裂的比例仍保持不变。肩袖撕裂通常具有退变性质，可能存在组织受损的风险。已经开发了几种技术来从生物学角度增强肩袖修复，并且已经描述了大量自体、异体和异种增强方法。本文介绍了二头肌粉碎技术，这是一种关节镜下增强手术，用于使用肱二头肌长头的自体移植补片进行后上肩袖重建。
