Brusalis Christopher M, Fenn Thomas W, Larson Jordan H, Hapa Onur, Nho Shane J
Department of Sports Medicine and Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
Department of Orthopaedic Surgery, Dokuz Eylul University, Izmir, Turkey.
Arthrosc Tech. 2023 Jul 31;12(8):e1473-e1478. doi: 10.1016/j.eats.2023.04.018. eCollection 2023 Aug.
Surgical repair of proximal hamstring injuries can relieve pain and restore lower extremity function in active individuals. Whereas traditional surgical techniques are performed via an open approach, more recent endoscopic proximal hamstring repair techniques have proven safe, effective, and potentially associated with fewer complications than open repair. One theorized disadvantage of existing endoscopic techniques is reduced security at the suture-tendon interface, as compared to open surgery, during which a running suture technique, such as a Krackow stitch, may be employed. In this article, we present a technique for increasing suture purchase by performing an all-endoscopic, running, locking stitch during proximal hamstring repair.
对活跃个体的腘绳肌近端损伤进行手术修复可缓解疼痛并恢复下肢功能。传统手术技术通过开放入路进行，而最近的内镜下腘绳肌近端修复技术已被证明是安全、有效的，并且与开放修复相比可能并发症更少。现有内镜技术的一个理论上的缺点是与开放手术相比，在缝合线与肌腱界面处的安全性降低，开放手术期间可采用连续缝合技术，如Krackow缝合法。在本文中，我们介绍了一种在腘绳肌近端修复过程中通过全内镜连续锁定缝合来增加缝线抓持力的技术。
