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骨质疏松导致肱骨近端骨缺损时，关节镜下肩袖修复术中缝线锚钉的骨水泥强化

Cement Augmentation of Suture Anchor During Arthroscopic Rotator Cuff Repair in Case of Proximal Humeral Bone Deficiency Due to Osteoporosis.

作者信息

AlThani Saeed, Meshram Prashant

机构信息

Mediclinic City Hospital, Dubai Healthcare City, Dubai, United Arab Emirates.

Orthocure Medical Center, Mirdiff, Dubai, United Arab Emirates.

出版信息

Arthrosc Tech. 2023 May 15;12(6):e897-e902. doi: 10.1016/j.eats.2023.02.025. eCollection 2023 Jun.

DOI:10.1016/j.eats.2023.02.025
PMID:37424634
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10323824/
Abstract

One of the technical challenges during arthroscopic rotator cuff repair is bone deficiency in proximal humerus to get adequate fixation of suture anchors. The typical scenarios that result in bone deficiency at rotator cuff footprint are older individuals, females, osteoporosis, and revision rotator cuff repairs with failed anchors from previous surgery. One of the ways to secure fixation of suture anchors in deficient bone is augmentation with polymethyl methacrylate cement. We present a stepwise technique of cement augmentation of suture anchor during arthroscopic rotator cuff repair to achieve secure fixation of suture anchor and avoid spillage of cement in the subacromial space.

摘要

关节镜下肩袖修复术中的技术挑战之一是肱骨近端骨量不足，难以实现缝线锚钉的充分固定。导致肩袖附着点骨量不足的典型情况包括老年人、女性、骨质疏松症患者以及既往手术中锚钉失败的肩袖翻修手术患者。在骨量不足的情况下确保缝线锚钉固定的方法之一是使用聚甲基丙烯酸甲酯骨水泥进行增强。我们介绍一种在关节镜下肩袖修复术中对缝线锚钉进行骨水泥增强的分步技术，以实现缝线锚钉的牢固固定，并避免骨水泥溢出到肩峰下间隙。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/ad259a734208/figs1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/55079689cbdd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/aa2de2be6798/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/d1eb15bd5e8c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/90cb9fa8cbdf/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/d706687d084b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/80462cc79330/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/7274ce0f21a2/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/19fbfea12ce7/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/e5e65c3f416c/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/7cc08f181048/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/9ac820f9b7ee/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/55405d827011/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/ab4420721476/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/ad259a734208/figs1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/55079689cbdd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/aa2de2be6798/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/d1eb15bd5e8c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/90cb9fa8cbdf/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/d706687d084b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/80462cc79330/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/7274ce0f21a2/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/19fbfea12ce7/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/e5e65c3f416c/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/7cc08f181048/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/9ac820f9b7ee/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/55405d827011/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/ab4420721476/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/10323824/ad259a734208/figs1.jpg

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Cement augmentation of suture anchors in the proximal humerus during rotator cuff repair improves pullout strength: a systematic review.在肩袖修复过程中，使用骨水泥增强缝合锚钉可提高肱骨近端的拔出强度：一项系统评价。
J ISAKOS. 2021 Nov;6(6):349-355. doi: 10.1136/jisakos-2020-000603. Epub 2021 Jun 21.
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Greater Tuberosity Bone Mineral Density and Rotator Cuff Tear Size Are Independent Factors Associated With Cutting-Through in Arthroscopic Suture-Bridge Rotator Cuff Repair.
大结节骨密度和肩袖撕裂大小是与关节镜下缝合桥肩袖修复中“切通”相关的独立因素。
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