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关节镜下经骨上盂唇重建术

Arthroscopic Transosseous Superior Capsular Reconstruction.

作者信息

Hsieh Chi-Kun, Chien Chi-Sheng, Lin Sheng-Hui

机构信息

Orthopedics Department, Chi Mei Medical Center, Tainan City, Taiwan, Republic of China.

出版信息

Arthrosc Tech. 2023 Jul 3;12(8):e1259-e1263. doi: 10.1016/j.eats.2023.03.022. eCollection 2023 Aug.

Abstract

Superior capsular reconstruction is a common treatment option for irreparable rotator cuffs. Arthroscopic surgery procedures mostly use anchor-based methods. However, difficulty in preoperative graft measurement and intra-articular knot-tying present an obstacle for most sport surgeons. Complementing the known advantages of the transosseous technique in rotator cuff repair, a feasible, economical arthroscopic transosseous superior capsular reconstruction technique is described in this Technical Note. This procedure results not only in similar fixation strength and stability and greater bone stock but also in greater cost effectiveness due to using fewer anchors. This Technical Note describes the procedure in detail and compares it with conventional procedures.

摘要

肩峰上囊重建术是治疗不可修复性肩袖损伤的常用方法。关节镜手术大多采用基于锚钉的方法。然而,术前移植物测量和关节内打结困难对大多数运动外科医生来说是一个障碍。为补充经骨技术在肩袖修复中的已知优势,本技术说明介绍了一种可行、经济的关节镜下经骨肩峰上囊重建技术。该手术不仅能产生相似的固定强度和稳定性,保留更多骨量,还因使用更少的锚钉而具有更高的成本效益。本技术说明详细描述了该手术,并将其与传统手术进行了比较。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990f/10466137/8b14b1d9f69d/gr1.jpg

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