Avanzi Paolo, Cardoni Gaia, Zorzi Claudio
Department of Orthopaedics, Sacro Cuore-Don Calabria Hospital, Negrar, Verona, Italy.
Arthrosc Tech. 2023 Feb 13;12(3):e343-e348. doi: 10.1016/j.eats.2022.11.013. eCollection 2023 Mar.
Rotator cuff tears are among the most common orthopaedic injuries. If not treated, they can result in a massive irreparable tear because of tendon retraction and muscle atrophy. Mihata et al. in 2012 described the technique of superior capsular reconstruction (SCR) using fascia lata autograft. This has been considered an acceptable and effective method for treating irreparable massive rotator cuff tears. We describe an arthroscopically assisted superior capsular reconstruction (ASCR) technique using all soft anchors to preserve the bone stock and reduce possible hardware complications. Moreover, knotless anchors for the lateral fixation make the technique easier to reproduce.
肩袖撕裂是最常见的骨科损伤之一。如果不进行治疗,由于肌腱回缩和肌肉萎缩,可能会导致大面积不可修复的撕裂。2012年,三幡等人描述了使用自体阔筋膜进行上盂唇重建(SCR)的技术。这被认为是治疗不可修复的大面积肩袖撕裂的一种可接受且有效的方法。我们描述了一种关节镜辅助下的上盂唇重建(ASCR)技术,该技术使用全软锚钉来保留骨量并减少可能的内植物并发症。此外,用于外侧固定的无结锚钉使该技术更易于重复操作。