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使用一个内侧排锚钉对长度大于1.5厘米的部分关节面冈上肌腱撕脱进行关节镜下双滑轮缝线桥修复术

Arthroscopic Double-Pulley Suture-Bridge Repair of Partial Articular Supraspinatus Tendon Avulsions >1.5 cm Using One Medial-Row Anchor.

作者信息

Huang Peiguan, Wang Xiaoxu, Fu Yong, Li Zhengmao, Peng Bin, He Min, He Chunrong

机构信息

The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, Hunan, China.

出版信息

Arthrosc Tech. 2025 Jan 22;14(5):103435. doi: 10.1016/j.eats.2025.103435. eCollection 2025 May.

DOI:10.1016/j.eats.2025.103435
PMID:40548012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12177505/
Abstract

Currently, transtendon repair with 2 medial-row anchors is a popular treatment for PASTA (partial articular supraspinatus tendon avulsion) lesions with tear sizes greater than 1.5 cm; however, the shortcoming is too much tissue trauma on the bursal layer. In this Technical Note, we present the double-pulley suture bridge mini-incision transtendon (trianchor "mini-incision" transtendon) technique. In treatment of PASTA lesion with tear size greater than 1.5 cm, one medial-row anchor and one "mini-incision" on the tendon can minimize tendon trauma, 6 sets of sutures can offer minimal gap formation and enough ultimate failure strength, and 4 sets of double-pulley suture bridges with crossing suture configuration can perfectly cover the "mini-incision," with surgical difficulty and implant costs being reduced.

摘要

目前，使用2枚内侧排锚钉进行经肌腱修复是治疗撕裂尺寸大于1.5 cm的部分关节面冈上肌腱撕脱（PASTA）损伤的一种常用方法；然而，缺点是滑囊层的组织创伤过大。在本技术说明中，我们介绍双滑轮缝合桥微型切口经肌腱（三锚钉“微型切口”经肌腱）技术。在治疗撕裂尺寸大于1.5 cm的PASTA损伤时，一枚内侧排锚钉和肌腱上的一个“微型切口”可将肌腱创伤降至最低，6组缝线可使间隙形成最小化并提供足够的极限破坏强度，4组交叉缝线构型的双滑轮缝合桥可完美覆盖“微型切口”，同时降低手术难度和植入成本。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/95ca432c3115/gr14.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/747bcfed1e00/gr6.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/dab377459dc2/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/670252c0bab1/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/e51aa4e1114d/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/ddb0cdc58dc6/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/95ca432c3115/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/09edaee8d1dc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/e862ca87f0c1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/468dc89753ab/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/f025f5b2e185/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/edd844243cfa/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/747bcfed1e00/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/fcbc87dc0265/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/55e305ec900b/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/2ab12e90171f/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/dab377459dc2/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/670252c0bab1/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/e51aa4e1114d/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/ddb0cdc58dc6/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/574f/12177505/95ca432c3115/gr14.jpg

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