Martinho Tiago, Zbinden Jeanni, Ono Yohei, Amiri Arash, Collin Philippe, Lädermann Alexandre
Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland.
Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Arthrosc Tech. 2023 Jul 24;12(8):e1391-e1398. doi: 10.1016/j.eats.2023.04.008. eCollection 2023 Aug.
Subscapularis (SSc) repairs are not free of failure and continues to pose a challenging problem. Although various biological and structural augmentation methods are available for the posterosuperior rotator cuff, few options have been explored for the anterior one. In the Technical Note, we describe an all-arthroscopic technique in which we use the long head of the biceps tendon (LHBT) as a pediculated autograft to reinforce an SSc repair. After SSc repair and LHBT tenodesis, the intra-articular portion of the LHBT is placed on the upper part of the SSc tendon at the rotator interval. Repurposing the otherwise-discarded tendon brings several biological and mechanical advantages at a lower cost without donor-site morbidity.
肩胛下肌（SSc）修复并非毫无失败风险，仍然是一个具有挑战性的问题。尽管有多种生物学和结构增强方法可用于后上肩袖，但针对前肩袖的探索却很少。在本技术说明中，我们描述了一种全关节镜技术，即使用肱二头肌长头肌腱（LHBT）作为带蒂自体移植物来加强SSc修复。在进行SSc修复和LHBT固定术后，将LHBT的关节内部分置于肩袖间隙处的SSc肌腱上部。重新利用原本会被丢弃的肌腱具有多种生物学和力学优势，成本较低且无供区并发症。
