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关节镜下使用脱细胞真皮基质同种异体移植物补片增强修复不完全性肩袖损伤

Arthroscopic Incomplete Rotator Cuff Repair With Patch Augmentation Using Acellular Dermal Matrix Allograft.

作者信息

Kim Jae Soo, Kim Su Cheol, Park Jong Hun, Kim Hyun Gon, Kim Bo Taek, Kim Dae Yeung, Yoo Jae Chul

机构信息

Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

出版信息

Arthrosc Tech. 2023 Nov 13;12(12):e2203-e2209. doi: 10.1016/j.eats.2023.07.050. eCollection 2023 Dec.

Abstract

Arthroscopic rotator cuff repair has been shown promising clinical outcomes. However, large to massive rotator cuff tears are difficult to completely repair with appropriate tension because of their size or poor tissue quality. An incomplete repair using the "hybrid technique" is one of way to solve this problem by maximizing the contact area between the tendon and the footprint of greater tuberosity. Additionally, the acellular dermal matrix patch augmentation has emerged as an adjuvant technique to enhance the biomechanical properties to promote healing of the repaired construct. This Technical Note describes arthroscopic incomplete rotator cuff repair using the "hybrid technique" with acellular dermal matrix patch augmentation.

摘要

关节镜下肩袖修复已显示出良好的临床效果。然而,由于肩袖撕裂面积大或组织质量差,巨大至 massive 肩袖撕裂难以在适当张力下完全修复。采用“混合技术”进行不完全修复是解决这一问题的方法之一,可通过最大化肌腱与大结节附着点之间的接触面积来实现。此外,脱细胞真皮基质补片增强术已成为一种辅助技术,可增强生物力学性能,促进修复结构的愈合。本技术说明描述了使用“混合技术”并结合脱细胞真皮基质补片增强术进行关节镜下不完全肩袖修复。 (注:原文中“massive”直译为“巨大的”,这里保留英文是因为不清楚其在该医学语境下是否有特定专业含义,若有专业释义可替换。)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3309/10772997/22da9d2b663c/gr1.jpg

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