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使用可吸收压力消散覆盖缝合盘植入物优化无柄肩关节置换术中肩胛下肌腱修复

Optimization of Subscapularis Tendon Repair in Stemless Shoulder Arthroplasty Using a Resorbable Pressure-Dissipating Onlay Suture Disk Implant.

作者信息

Ruiz Suárez Michell, Torres Rangel José Eduardo, Gamba Galeazzi Rafael, Miguel Lara Antonio César, Cobaleda Aristizabal Andrés Felipe, Calderón Hernández Daniel

机构信息

Traumatología Deportiva de México, Hospital Ángeles Metropolitano, Mexico City, Mexico.

出版信息

Arthrosc Tech. 2024 Jul 2;13(11):103094. doi: 10.1016/j.eats.2024.103094. eCollection 2024 Nov.

DOI:10.1016/j.eats.2024.103094
PMID:39711903
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11662875/
Abstract

Successful subscapularis repair in stemless shoulder arthroplasty is crucial to reduce complications and improve postoperative function. As stemless shoulder arthroplasty continues to grow in popularity, several subscapularis tendon repair techniques are being developed, with a current trend toward knotless devices and double-row anchor-based constructs. In this article, we present our technique for repair of a subscapularis tendon peel using a suture-capture construct that aids in compression of the tendon onto its footprint and then gradually releases the tension as the capture resorbs and tendon healing occurs. The suture-capture tissue repair technology uses a disk or button that pushes down a larger area of tissue onto the bone, eliminating gap formation between the bone and tendon; as the button's material degrades, compressive, shearing, and tensile forces are transferred to the tendon tissue to achieve complete remodeling of the repair.

摘要

在无柄肩关节置换术中成功修复肩胛下肌对于减少并发症和改善术后功能至关重要。随着无柄肩关节置换术越来越受欢迎，几种肩胛下肌腱修复技术正在不断发展，目前的趋势是采用无结装置和基于双排锚钉的结构。在本文中，我们介绍了一种使用缝线捕捉结构修复肩胛下肌腱剥离的技术，该结构有助于将肌腱压缩到其附着点上，然后随着捕捉装置吸收和肌腱愈合逐渐释放张力。缝线捕捉组织修复技术使用圆盘或纽扣将更大面积的组织压在骨头上，消除骨与肌腱之间的间隙形成；随着纽扣材料降解，压缩力、剪切力和拉力传递到肌腱组织，以实现修复的完全重塑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c48/11662875/3c6b2923c2f2/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c48/11662875/13fc7c3c3632/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c48/11662875/cae158f3b964/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c48/11662875/9fb371f56dcf/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c48/11662875/d2028a68aa85/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c48/11662875/e0421c720c84/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c48/11662875/464fb543b7ac/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c48/11662875/3c6b2923c2f2/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c48/11662875/13fc7c3c3632/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c48/11662875/cae158f3b964/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c48/11662875/9fb371f56dcf/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c48/11662875/d2028a68aa85/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c48/11662875/e0421c720c84/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c48/11662875/464fb543b7ac/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c48/11662875/3c6b2923c2f2/gr7.jpg

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Rotator cuff repair with biodegradable high-purity magnesium suture anchor in sheep model.在绵羊模型中使用可生物降解的高纯度镁缝线锚钉进行肩袖修复。
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Stress Shielding of Ligaments Using Nonabsorbable Suture Augmentation May Influence the Biology of Ligament Healing.
使用不可吸收缝线增强来减轻韧带的压力可能会影响韧带愈合的生物学特性。
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J Shoulder Elbow Surg. 2021 Oct;30(10):2240-2246. doi: 10.1016/j.jse.2021.01.037. Epub 2021 Mar 3.
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