Chodza Mehmet, Koyuncu Ozgur, Birsel Olgar, Eren Ilker, Demirhan Mehmet
Department of Orthopaedics and Traumatology, VKV American Hospital, Istanbul, Turkey.
Department of Orthopaedics and Traumatology, Koc University School of Medicine, Istanbul, Turkey.
Arthrosc Tech. 2024 Oct 22;14(2):103239. doi: 10.1016/j.eats.2024.103239. eCollection 2025 Feb.
The importance of repairing the subscapularis tendon to facilitate restoration of the rotator cuff force couple is obvious. However, identifying and repairing subscapularis tears can be challenging for surgeons. In this technical note, we present our preferred surgical method for Lafosse type 1, 2, and 3 and Yoo and Rhee type 1-2A and 2B subscapularis tears, providing a 3-point suture contact achieved with FiberTape (Arthrex) and knotless anchors. In this technique, fiber suture is placed into the superolateral edge of the subscapularis tendon as a traction stitch (cow hitch knot). Second, the FiberTape is passed through the medial upper and lower parts of the tendon, just perpendicular to the fibers, using a suture passer. The FiberTape's free ends remain on the tendon's anterior side, shaping a U form. The U-shaped FiberTape and traction suture are loaded to a knotless anchor and placed on the footprint area. This creates a 3-point contact between the FiberTape U-suture and the cow hitch knot on the area. We believe that this technique provides fast and reliable fixation due to its 3-point contact application and simplicity.
修复肩胛下肌腱以促进肩袖力偶恢复的重要性不言而喻。然而，对于外科医生来说，识别和修复肩胛下肌撕裂可能具有挑战性。在本技术说明中，我们介绍了针对Lafosse 1型、2型和3型以及Yoo和Rhee 1 - 2A和2B型肩胛下肌撕裂的首选手术方法，该方法使用FiberTape（Arthrex）和无结锚钉实现三点缝合接触。在该技术中，将纤维缝线作为牵引缝线（双套结）置于肩胛下肌腱的上外侧边缘。其次，使用缝线推送器将FiberTape穿过肌腱的内侧上部和下部，与纤维垂直。FiberTape的自由端留在肌腱前侧，形成U形。将U形FiberTape和牵引缝线装入无结锚钉并置于足迹区域。这在该区域的FiberTape U形缝线和双套结之间形成三点接触。我们认为，由于其三点接触应用和简单性，该技术可提供快速可靠的固定。
