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关节镜辅助下使用股四头肌肌腱同种异体移植物和双排结构进行下斜方肌肌腱转移治疗不可修复的肩袖后上撕裂

Arthroscopic-Assisted Lower Trapezius Tendon Transfer for Irreparable Posterosuperior Rotator Cuff Tears Using a Quadricipital Tendon Allograft and a Double-Row Construct.

作者信息

Checchia Caio Santos, Miyadahira Renato, Malavolta Eduardo Angeli, Assunção Jorge Henrique, Checchia Sergio Luiz, de Castro Pochini Alberto, Andreoli Carlos Vicente, Ejnisman Benno

机构信息

Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil.

Hospital Sírio-Libanês, Sao Paulo, Brazil.

出版信息

Arthrosc Tech. 2024 Aug 23;14(2):103188. doi: 10.1016/j.eats.2024.103188. eCollection 2025 Feb.

DOI:10.1016/j.eats.2024.103188
PMID:40041352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11873500/
Abstract

Lower trapezius transfer is a joint salvage treatment option for irreparable posterosuperior rotator cuff tears in relatively young patients. It requires the use of a tendinous graft to bridge the gap between the lower trapezius and the greater tuberosity. Inlay fixation of hamstring autografts and onlay single-row fixation of Achilles allografts have been described in the literature. This technical note describes an arthroscopic-assisted lower trapezius transfer using a quadricipital tendon allograft fixed with an onlay knotless double-row construct.

摘要

下斜方肌转移术是相对年轻患者不可修复的肩袖后上部分撕裂的一种联合挽救治疗选择。它需要使用肌腱移植物来桥接下斜方肌和大结节之间的间隙。文献中已描述了腘绳肌自体移植物的嵌体固定和跟腱异体移植物的覆盖单排固定。本技术说明描述了一种关节镜辅助下的下斜方肌转移术，该手术使用四头肌肌腱异体移植物，通过覆盖无结双排结构进行固定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/6d59d8ef2f59/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/324bf7850fc9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/f9457c85bcde/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/c4aa8ef6abaf/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/0d2279f940c8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/26dc7971018f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/53959bb4875f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/374bac8212a2/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/ddd529e4fbbe/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/d50eb2cf1813/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/6d59d8ef2f59/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/324bf7850fc9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/f9457c85bcde/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/c4aa8ef6abaf/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/0d2279f940c8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/26dc7971018f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/53959bb4875f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/374bac8212a2/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/ddd529e4fbbe/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/d50eb2cf1813/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/11873500/6d59d8ef2f59/gr10.jpg

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本文引用的文献

1
Mid- to long-term outcomes of latissimus dorsi tendon transfer for massive irreparable posterosuperior rotator cuff tears: a systematic review and meta-analysis.Latissimus dorsi 肌腱转移术治疗巨大不可修复的肩袖后上侧撕裂的中期至长期疗效：系统评价和荟萃分析。
J Shoulder Elbow Surg. 2024 Apr;33(4):959-974. doi: 10.1016/j.jse.2023.10.002. Epub 2023 Nov 21.
2
Combined Arthroscopic-Assisted Lower Trapezius Tendon Transfer and Superior Capsule Reconstruction for Massive Irreparable Posterior-Superior Rotator Cuff Tears: Surgical Technique.关节镜辅助下联合下斜方肌腱转移与上盂唇重建治疗巨大不可修复的后上肩袖撕裂：手术技术
Arthrosc Tech. 2023 May 1;12(6):e823-e830. doi: 10.1016/j.eats.2023.02.014. eCollection 2023 Jun.
3
Allograft-enhanced latissimus dorsi transfer is better than the conventional technique for irreparable posterosuperior rotator cuff tears. A retrospective matched cohort.
同种异体增强背阔肌转移优于传统技术治疗不可修复的后上肩袖撕裂。一项回顾性匹配队列研究。
Int Orthop. 2023 Jun;47(6):1527-1534. doi: 10.1007/s00264-023-05775-0. Epub 2023 Mar 23.
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Autograft Demonstrates Superior Outcomes for Revision Anterior Cruciate Ligament Reconstruction When Compared With Allograft: A Systematic Review.自体移植物在与同种异体移植物相比时，在翻修前交叉韧带重建中显示出更好的结果：系统评价。
Am J Sports Med. 2024 Mar;52(3):859-867. doi: 10.1177/03635465231152232. Epub 2023 Mar 3.
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Biomechanical comparison of lower trapezius and latissimus dorsi transfer for irreparable posterosuperior rotator cuff tears using a dynamic shoulder model.使用动态肩部模型比较下斜方肌和Latissimus dorsi 转移治疗不可修复的后上方肩袖撕裂的生物力学。
J Shoulder Elbow Surg. 2022 Nov;31(11):2392-2401. doi: 10.1016/j.jse.2022.05.003. Epub 2022 Jun 4.
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Latissimus dorsi transfer vs. lower trapezius transfer for posterosuperior irreparable rotator cuff tears.背阔肌转移与下斜方肌转移治疗后上方不可修复性肩袖撕裂。
J Shoulder Elbow Surg. 2022 Sep;31(9):1810-1822. doi: 10.1016/j.jse.2022.02.020. Epub 2022 Mar 23.
7
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BMC Musculoskelet Disord. 2021 Apr 30;22(1):404. doi: 10.1186/s12891-021-04296-4.
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The lower trapezius transfer: a systematic review of biomechanical data, techniques, and clinical outcomes.下斜方肌转移术：生物力学数据、技术和临床结果的系统评价。
J Shoulder Elbow Surg. 2020 Jul;29(7):1505-1512. doi: 10.1016/j.jse.2019.12.019. Epub 2020 Mar 10.
10
Risk of latissimus dorsi tendon rupture after arthroscopic transfer for posterior superior rotator cuff tear: a comparative analysis of 3 humeral head fixation techniques.关节镜下后上肩袖撕裂修补术后Latissimus dorsi 肌腱断裂的风险：3 种肱骨头固定技术的对比分析。
J Shoulder Elbow Surg. 2020 Feb;29(2):282-290. doi: 10.1016/j.jse.2019.06.019. Epub 2019 Aug 28.