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关节镜下V形双滑车缝合桥修复巨大肩袖撕裂

Arthroscopic V-Shaped Double-Pulley Suture-Bridge Repair of Massive Rotator Cuff Tear.

作者信息

Huang Peiguan, Wang Xiaoxu, Fu Yong, Tang Xiaojun, Xiao Zhihong, Li Zhengmao, Peng Bin, He Min, He Chunrong

机构信息

The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, China.

出版信息

Arthrosc Tech. 2024 Jul 6;13(11):103112. doi: 10.1016/j.eats.2024.103112. eCollection 2024 Nov.

DOI:10.1016/j.eats.2024.103112
PMID:39711909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11662884/
Abstract

At present, suture bridge is a feasible choice in the treatment of massive rotator cuff tears (MRCTs). However, high tension on the repair site and medial tension during suture tightening and after medial knotting are unavoidable problems in MRCT repair with a suture bridge. Arthroscopic V-shaped double-pulley suture-bridge repair is a pragmatic surgical technique for the repair of MRCTs. The unique parallel design of medial- and lateral-row anchors can minimize tendon tension on the apex portion; 6 sets of double-pulley suture bridges can not only provide sufficient tendon-bone contact area but also reduce the tendon retear rate. Moreover, medial knotless techniques can reduce tendon tension.

摘要

目前，缝合桥技术是治疗巨大肩袖撕裂（MRCTs）的一种可行选择。然而，在使用缝合桥技术修复MRCT时，修复部位的高张力以及缝合收紧过程中和内侧打结后的内侧张力是不可避免的问题。关节镜下V形双滑车缝合桥修复术是一种用于修复MRCT的实用手术技术。内侧和外侧排锚钉的独特平行设计可将肌腱在顶点部分的张力降至最低；6组双滑车缝合桥不仅能提供足够的肌腱-骨接触面积，还能降低肌腱再撕裂率。此外，内侧免打结技术可降低肌腱张力。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb5/11662884/eeb9c3e7ae37/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb5/11662884/0abab09bbfaf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb5/11662884/1791142f91d4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb5/11662884/cb5186620675/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb5/11662884/6a8c1312e783/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb5/11662884/6cbfc6cb4879/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb5/11662884/7632b5b5e168/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb5/11662884/58841a1df776/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb5/11662884/7f142cc424e1/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb5/11662884/b8fd98104d14/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb5/11662884/4e5d00851a91/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb5/11662884/6ae751aa270c/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb5/11662884/eeb9c3e7ae37/gr12.jpg

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本文引用的文献

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Knot impingement after arthroscopic rotator cuff repair mimicking infection: A case report.关节镜下肩袖修补术后模仿感染的结撞击：一例报告。
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Long-term outcomes after arthroscopic transosseous-equivalent repair: clinical and magnetic resonance imaging results of rotator cuff tears at a minimum follow-up of 10 years.
关节镜下经骨等效修复后的长期结果：至少随访 10 年的肩袖撕裂的临床和磁共振成像结果。
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