Laskovski Jovan, Renner Derek, Taliwal Neal, Clark Elliott
Crystal Clinic Orthopedic Center, Crystal Clinic Orthopedic Center Hospital, Akron, Ohio, U.S.A.
Department of Orthopedic Surgery, Western Reserve Hospital, Cuyahoga Falls, Ohio, U.S.A.
Arthrosc Tech. 2024 Nov 2;14(4):103312. doi: 10.1016/j.eats.2024.103312. eCollection 2025 Apr.
Lateral hip pain, also known as greater trochanteric pain syndrome, encompasses a spectrum of pathology, including trochanteric bursitis, gluteus medius and minimus tears, and iliotibial band pathology. Patients with greater trochanteric pain syndrome can have tearing of the hip abductors, leading to refractory pain that may necessitate surgical repair. Compared to an open approach, endoscopic gluteus tendon repair is becoming more popular and has been shown to decrease morbidity. Similar to rotator cuff repairs, hip abductor repairs are subject to failure secondary to many factors. These include poor biology, tear size, tissue quality, and deficiency of tendon-to-bone healing. Previous work included the use of acellular dermal allograft to augment at-risk gluteus medius and minimus repairs and improve repair strength. The following technique utilizes a rotium bioresorbable wick scaffold at the bone-tendon interface in addition to an acellular dermal allograft covering the repair in a "biological sandwich" to further augment repair. This technique focuses on the addition of rotium augment implementation and fixation in a safe and reproducible manner.
髋部外侧疼痛，也称为大转子疼痛综合征，涵盖一系列病理情况，包括转子滑囊炎、臀中肌和臀小肌撕裂以及髂胫束病变。患有大转子疼痛综合征的患者可能会出现髋外展肌撕裂，导致顽固性疼痛，可能需要手术修复。与开放手术相比，关节镜下臀肌肌腱修复越来越受欢迎，并且已被证明可降低发病率。与肩袖修复类似，髋外展肌修复也会因多种因素继发失败。这些因素包括生物学特性差、撕裂大小、组织质量以及肌腱与骨愈合不足。先前的研究包括使用脱细胞真皮同种异体移植物来增强有风险的臀中肌和臀小肌修复，并提高修复强度。以下技术除了使用脱细胞真皮同种异体移植物以“生物三明治”形式覆盖修复部位外，还在骨 - 肌腱界面使用罗替姆生物可吸收芯支架，以进一步增强修复。该技术着重于以安全且可重复的方式添加罗替姆增强材料并进行固定。
