Morsy Mohamed Gamal, Gawish Hesham Mohamed
Department of Orthopedic Surgery and Traumatology, Arthroscopy and Sports Injury Unit, Alexandria University, Alexandria, Egypt.
Department of Orthopedic Surgery and Traumatology, Kafr el-sheik University, Kafr Elsheikh, Egypt.
Arthrosc Tech. 2023 Nov 13;12(12):e2187-e2195. doi: 10.1016/j.eats.2023.07.044. eCollection 2023 Dec.
Arthroscopic repair of massive retracted rotator cuff tears is very challenging with a high incidence of retears. Many techniques have been described to improve the outcomes of arthroscopic repair. In this technique, a superior capsular reconstruction using the long head of the biceps is combined with margin convergence repair aimed at improving the mechanical strength of the repair. The long head of the biceps is used as a superior capsular reconstruction to stabilize the humeral head and prevent proximal migration. Moreover, margin convergence provides an efficient gap filling between remnants of the supraspinatus and infraspinatus tendons to restore an efficient rotator repair in anatomical, biological, and tension-free fashion.
关节镜下修复巨大回缩性肩袖撕裂极具挑战性，再撕裂发生率很高。已描述了许多技术来改善关节镜下修复的效果。在本技术中，使用肱二头肌长头进行上关节囊重建，并结合边缘汇聚修复，旨在提高修复的机械强度。肱二头肌长头用作上关节囊重建以稳定肱骨头并防止近端移位。此外，边缘汇聚可在冈上肌和冈下肌腱残端之间有效地填充间隙，以解剖学、生物学和无张力方式恢复有效的肩袖修复。
