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用于三田技术（Mihata Technique）的阔筋膜自体移植片制备：关节囊上重建术

Preparation of Fascia Lata Autograft for Mihata Technique Superior Capsule Reconstruction.

作者信息

Roache Paul B, Dunbar Arati Mallik

机构信息

UCSF Health, Saint Francis Hospital, San Francisco, California, U.S.A.

出版信息

Arthrosc Tech. 2024 Oct 28;14(4):103289. doi: 10.1016/j.eats.2024.103289. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103289
PMID:40452997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126049/
Abstract

The great success of fascia lata autograft for superior capsule reconstruction (SCR) as described by Mihata for massive and irreparable rotator cuff tears is the direct result of creating a thick and stiff autograft. This requires proper harvesting of the graft and correct preparation of the graft. A graft of 6 to 8 mm thick is fashioned by folding and compressing the fascia, resulting in a stiff, rubbery consistency. The healing biology and biomechanical restoration of superior stability of a properly fashioned fascia lata autograft are well documented. The clinical success of the Mihata SCR with fascia lata autograft is directly related to the extremely high healing rates of this specific graft. We present our technique for preparing the fascia lata autograft for performing the SCR per the Mihata technique.

摘要

如三幡田所描述的，阔筋膜自体移植用于巨大且无法修复的肩袖撕裂的上盂唇重建（SCR）取得了巨大成功，这直接得益于制备出厚实且坚韧的自体移植物。这需要正确获取移植物并对其进行恰当处理。通过折叠和压缩阔筋膜制作出6至8毫米厚的移植物，使其具有坚韧、类似橡胶的质地。恰当制作的阔筋膜自体移植物的愈合生物学过程以及上稳定性的生物力学恢复已有充分记录。三幡田阔筋膜自体移植SCR的临床成功直接归因于这种特定移植物极高的愈合率。我们展示了按照三幡田技术制备用于进行SCR的阔筋膜自体移植物的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/d32e9d0fb0be/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/9e4929a89ee0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/8a4abe71f15b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/c801dfb87732/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/ebe6b62eb0d5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/9fe3cf4ab4c4/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/1ffb09b7b9c6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/c6c933b6984e/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/fb705970cfba/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/d32e9d0fb0be/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/9e4929a89ee0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/8a4abe71f15b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/c801dfb87732/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/ebe6b62eb0d5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/9fe3cf4ab4c4/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/1ffb09b7b9c6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/c6c933b6984e/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/fb705970cfba/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef4c/12126049/d32e9d0fb0be/gr9.jpg

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