Bangura Abdulai T, Oladeji Lasun O, Nuelle Clayton W, DeFroda Steven F
Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri, USA.
Arthrosc Tech. 2024 Jul 26;13(12):103134. doi: 10.1016/j.eats.2024.103134. eCollection 2024 Dec.
Rotator cuff tears are a common cause of shoulder pain and dysfunction. Recent and historical reports suggest that a sizable percentage of patients may experience a retear of the rotator cuff despite surgical intervention. Multiple biological and mechanical factors can influence outcomes after rotator cuff surgery, including patient age, rotator cuff tear size, chronicity, and rotator cuff tissue quality. Given this, there remains significant interest in modalities that can minimize surgical failure and improve patient outcomes after this procedure. Allograft augmentation is one option for rotator cuff augmentation in patients with large complex tears or impaired tissue quality. This technical note describes our surgical technique for arthroscopic dermal allograft augmentation of a massive rotator cuff repair with the shoulder kite technique.
肩袖撕裂是肩部疼痛和功能障碍的常见原因。近期和既往报告表明，尽管进行了手术干预，但仍有相当比例的患者可能会出现肩袖再次撕裂。多种生物学和力学因素会影响肩袖手术后的结果，包括患者年龄、肩袖撕裂大小、病程以及肩袖组织质量。鉴于此，人们对能够将手术失败率降至最低并改善该手术后患者预后的方法仍有浓厚兴趣。同种异体移植物增强是治疗大型复杂撕裂或组织质量受损患者肩袖增强的一种选择。本技术说明描述了我们使用肩部风筝技术对巨大肩袖修复进行关节镜下真皮同种异体移植物增强的手术技术。
