Yang Wenbo, Wang Hong, Shao Zengu, Huang Wei
Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Arthrosc Tech. 2024 Jan 1;13(2):102868. doi: 10.1016/j.eats.2023.10.010. eCollection 2024 Feb.
Rotator cuff injury is a common shoulder injury. Arthroscopic repair of rotator cuff tears has become a common way. Suture anchor is a commonly used fixation device. Threading the suture through the rotator cuff tendon is a key step in arthroscopic repair of rotator cuff tears. Common methods of passing suture through the rotator cuff tendon include using a suture hook or rotator cuff suture passer device. However, the suture using suture hook is a kind of reverse suture, and the operation is more troublesome. The rotator cuff suture passer device shows poor economy, which cannot be ignored at the risk of needle core breakage. We combined the advantages of the two suture passing methods to design an improved method by using a suture hook with the Lasso loop for forward suture passing. The key step of our improved technique is to deliver the end of the anchor suture 2-3 cm into the tip opening of suture hook, and ejecting the suture through pushing the Lasso loop after suture forward passing through the tendon. Our technique has achieved economy, safety, and simplicity, and has good clinical application value.
肩袖损伤是一种常见的肩部损伤。关节镜下修复肩袖撕裂已成为一种常用的方法。缝合锚是一种常用的固定装置。将缝线穿过肩袖肌腱是关节镜下修复肩袖撕裂的关键步骤。将缝线穿过肩袖肌腱的常用方法包括使用缝线钩或肩袖缝线穿引器装置。然而，使用缝线钩进行缝线是一种反向缝线，操作较为麻烦。肩袖缝线穿引器装置经济性较差，针芯断裂风险不容忽视。我们结合了两种缝线穿过方法的优点，设计了一种改进方法，即使用带有套索环的缝线钩进行正向缝线穿过。我们改进技术的关键步骤是将锚定缝线的末端送入缝线钩尖端开口2-3厘米，在缝线向前穿过肌腱后通过推动套索环弹出缝线。我们的技术实现了经济性、安全性和简便性，具有良好的临床应用价值。
