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用于三羽田上盂唇重建技术的阔筋膜自体移植片的放置与固定

Placement and Fixation of Fascia Lata Autograft for Mihata Superior Capsule Reconstruction Technique.

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. 2025 Jan 7;14(5):103412. doi: 10.1016/j.eats.2024.103412. eCollection 2025 May.

DOI:10.1016/j.eats.2024.103412
PMID:40548017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12177381/
Abstract

The clinical success of Mihata superior capsule reconstruction with fascia lata autograft is directly related to the very high healing rate and very low retear rate of the procedure. These are the result of executing the 3 key components of the procedure correctly. The first key component is the harvesting of the graft including the intermuscular septum. The second component is the preparation of the autograft using the intermuscular septum to create a thick and stiff graft construct. The third component is the placement and fixation of the graft in a properly prepared shoulder. We describe our technique for preparing the shoulder and passing, placing, and fixing the autograft for superior capsule reconstruction per the Mihata technique.

摘要

采用阔筋膜自体移植进行三田上盂唇重建的临床成功与该手术非常高的愈合率和非常低的再撕裂率直接相关。这些是正确执行该手术的三个关键组成部分的结果。第一个关键组成部分是获取包括肌间隔在内的移植物。第二个组成部分是使用肌间隔制备自体移植物,以创建一个厚实且坚硬的移植物结构。第三个组成部分是将移植物放置并固定在适当准备好的肩部。我们描述了根据三田技术准备肩部以及传递、放置和固定用于上盂唇重建的自体移植物的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/1f6736503d12/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/abcae8d9f8bb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/ae44c765e095/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/8fd6f3cae222/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/230966f14885/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/e375cb287f83/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/29d29807dd52/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/2685ced2ebf5/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/8eafe7aa74c0/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/5942b09f4f58/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/232d9cb90022/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/1f6736503d12/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/abcae8d9f8bb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/ae44c765e095/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/8fd6f3cae222/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/230966f14885/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/e375cb287f83/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/29d29807dd52/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/2685ced2ebf5/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/8eafe7aa74c0/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/5942b09f4f58/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/232d9cb90022/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed82/12177381/1f6736503d12/gr11.jpg

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本文引用的文献

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Fascia Lata Autograft Harvest Technique for Superior Capsule Reconstruction With Fascia Lata Using the Mihata Technique.采用三波田技术利用阔筋膜自体移植进行上盂唇重建的阔筋膜自体移植获取技术。
Arthrosc Tech. 2024 Nov 16;14(4):103314. doi: 10.1016/j.eats.2024.103314. eCollection 2025 Apr.
2
Preparation of Fascia Lata Autograft for Mihata Technique Superior Capsule Reconstruction.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
Arthrosc Tech. 2024 Oct 28;14(4):103289. doi: 10.1016/j.eats.2024.103289. eCollection 2025 Apr.
3
Mid-Term Outcome of Superior Capsular Reconstruction Using Fascia Lata Autograft (At Least 6 mm in Thickness) Results in High Retear Rate and No Improvement in Muscle Strength.
阔筋膜移植物(厚度至少 6 毫米)重建肩袖上盂唇的中期结果显示高再撕裂率且肌肉力量无改善。
Arthroscopy. 2024 Jul;40(7):1961-1971. doi: 10.1016/j.arthro.2024.01.020. Epub 2024 Feb 3.
4
Postoperative graft integrity affects clinical outcomes after superior capsule reconstruction using fascia lata autograft in posterior-superior rotator cuff tears: a multicenter study.阔筋膜移植物重建肩袖后上盂唇复合体撕裂术后移植物完整性影响临床结局:一项多中心研究。
J Shoulder Elbow Surg. 2023 Jul;32(7):1476-1485. doi: 10.1016/j.jse.2022.12.010. Epub 2023 Jan 18.
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Structural and clinical outcomes after superior capsule reconstruction using an at least 6-mm-thick fascia lata autograft including the intermuscular septum.采用至少 6 毫米厚的阔筋膜移植物(包括肌间隔)重建上关节囊后的结构和临床结果。
J Shoulder Elbow Surg. 2023 Feb;32(2):e48-e59. doi: 10.1016/j.jse.2022.07.010. Epub 2022 Aug 23.
6
Histologic changes during healing with autologous fascia lata graft after superior capsule reconstruction in rabbit model.兔模型中自体阔筋膜移植物重建上囊后愈合过程中的组织学变化。
J Shoulder Elbow Surg. 2021 Oct;30(10):2247-2259. doi: 10.1016/j.jse.2021.02.019. Epub 2021 Mar 12.
7
Evaluating the role of graft integrity on outcomes: clinical and imaging results following superior capsular reconstruction.评估移植物完整性对结果的作用:肩袖上盂唇前后部复合体重建术后的临床和影像学结果。
J Shoulder Elbow Surg. 2021 Sep;30(9):2041-2047. doi: 10.1016/j.jse.2020.12.016. Epub 2021 Feb 3.
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Superior Capsule Reconstruction Using Fascia Lata Allograft Compared With Double- and Single-Layer Dermal Allograft: A Biomechanical Study.阔筋膜同种异体移植物重建上囊与双层和单层真皮同种异体移植物的比较:一项生物力学研究。
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Five-Year Follow-up of Arthroscopic Superior Capsule Reconstruction for Irreparable Rotator Cuff Tears.关节镜下上囊重建治疗不可修复性肩袖撕裂的 5 年随访结果。
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