Mamarelis Georgios, Novak Michele, Liu Tong, Lo Ian K Y
Department of Surgery, University of Calgary, Calgary, Alberta, Canada.
Arthrosc Tech. 2025 Apr 17;14(6):103518. doi: 10.1016/j.eats.2025.103518. eCollection 2025 Jun.
The management of massive irreparable rotator cuff tears in young patients without degenerative joint changes or patients who are unsuitable for arthroplasty remains controversial. Biologic tuberoplasty can be a valuable option for patients without pseudoparalysis with preserved glenohumeral cartilage and a good passive range of motion. This is because the acellular dermal allograft covers the tuberosity, acting as an interpositional tissue and preventing bone-to-bone contact between the tuberosity and acromion. In addition biologic tuberoplasty can be faster, less technically demanding, and can lead to accelerated recovery, making this technique attractive. This technique aims to provide a practical solution with modifications to reduce surgical duration, enhance efficiency and reproducibility, and facilitate functional recovery and pain relief.
对于没有退行性关节改变的年轻患者或不适合进行关节成形术的患者，巨大不可修复的肩袖撕裂的治疗仍存在争议。对于没有假性麻痹、保留了肱骨头软骨且被动活动范围良好的患者，生物性结节成形术可能是一种有价值的选择。这是因为脱细胞真皮同种异体移植物覆盖结节，作为一种间置组织，防止结节与肩峰之间的骨对骨接触。此外，生物性结节成形术可能更快，技术要求更低，并可导致恢复加速，使该技术具有吸引力。该技术旨在通过改进提供一种实用的解决方案，以减少手术时间、提高效率和可重复性，并促进功能恢复和缓解疼痛。
