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关节内双锚双环8字交叉肱二头肌长头肌腱转位固定术

Intra-articular Double-Anchor Double-Loop Figure-of-Eight Transtendon Long Head of the Biceps Tendon Tenodesis.

作者信息

Song Jidong, Lei Tian, Jing Zhaopu, Fan Lihong

机构信息

Department of Sports Medicine and Pediatric Orthopeadics, The Second Affiliated Hospital of Xi'an Jiaotong University, Shaanxi, China.

出版信息

Arthrosc Tech. 2025 Jun 25;14(8):103696. doi: 10.1016/j.eats.2025.103696. eCollection 2025 Aug.

DOI:10.1016/j.eats.2025.103696
PMID:40936529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12420604/
Abstract

Tenodesis emerges as the gold standard for pathologic lesions of the long head of the biceps tendon. Various arthroscopic or open techniques have been described and intra-articular single-anchor methods may penetrate the tendon aggressively and decrease fixation strength. We describe an all-arthroscopic intra-articular double-anchor double-loop figure-of-eight transtendon tenodesis technique using all-suture anchors. This technique may balance tendon preservation with biomechanical stability-a critical trade-off in current surgical strategies.

摘要

腱固定术已成为肱二头肌长头病理损伤的金标准。已经描述了各种关节镜或开放技术，而关节内单锚定方法可能会过度穿透肌腱并降低固定强度。我们描述了一种使用全缝线锚钉的全关节镜关节内双锚定双环8字形经肌腱腱固定术技术。该技术可以在保留肌腱和生物力学稳定性之间取得平衡，这是当前手术策略中的一个关键权衡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b059/12420604/6404acac16a4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b059/12420604/656b36f07a0d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b059/12420604/54ccda50a91b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b059/12420604/6404acac16a4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b059/12420604/656b36f07a0d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b059/12420604/54ccda50a91b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b059/12420604/6404acac16a4/gr3.jpg

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本文引用的文献

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Arthrosc Tech. 2025 Mar 3;14(6):103498. doi: 10.1016/j.eats.2025.103498. eCollection 2025 Jun.
2
Surgical treatment of long head of biceps pathology: analyzing trends in the United States from 2010 to 2019.肱二头肌长头病变的外科治疗：分析2010年至2019年美国的趋势
JSES Rev Rep Tech. 2025 Jan 23;5(2):160-169. doi: 10.1016/j.xrrt.2024.12.013. eCollection 2025 May.
3
The Incidence of Popeye Deformity After Soft-Tissue Biceps Tenodesis Is Comparable to Biceps Anchor Tenodesis and Lower Than Biceps Tenotomy During Arthroscopic Rotator Cuff Repair.
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Arthroscopy. 2025 Jul;41(7):2200-2210. doi: 10.1016/j.arthro.2024.11.069. Epub 2024 Nov 22.
4
All-Suture Anchor Techniques for Biceps Tenodesis Are Noninferior in End-Cycle Stiffness to an Interference Screw Technique; However, Secondary Outcomes, Such as Ultimate Failure Load, Yield Load, Creep, and Load-to-Failure Stiffness, Are Inferior in an Ovine Model.用于肱二头肌固定术的全缝线锚钉技术在终末周期刚度方面不劣于干涉螺钉技术；然而，在绵羊模型中，诸如极限破坏载荷、屈服载荷、蠕变和破坏载荷刚度等次要结果较差。
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