Li Yi, Yang Wenbo, Wu Fashuai, Peng Yizhong, Meng Chunqing, Wang Hong, Huang Wei
Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan, China.
Arthrosc Tech. 2025 Jun 23;14(8):103700. doi: 10.1016/j.eats.2025.103700. eCollection 2025 Aug.
Rotator cuff tears (RCTs) are common injuries, and treatments for irreparable massive RCTs are still controversial. Among the various treatment options for irreparable massive RCTs, rotator cuff reconstruction is considered a reasonable approach, yet there is no consensus on the optimal reconstruction technique. In this article, we introduce a suture anchor onlay technique for rotator cuff reconstruction. In our technique, the peroneus longus tendon is harvested and prepared as an autograft, and on the lateral side, a suture anchor is implanted to fix the autograft on the greater tuberosity surface. The key steps of our technique are performing anchor implantation to ensure that the autografts are fixed tightly on the greater tuberosity surface, knotting the sutures from the medial-row anchors that we pre-implanted at the midsubstance of the autograft to provide additional fixation, and finally, achieving "onlay" fixation of the autografts. Our technique can effectively reduce surgical time, simplify the reconstruction procedure, and has good clinical application value.
肩袖撕裂（RCTs）是常见损伤，对于不可修复的巨大肩袖撕裂的治疗仍存在争议。在不可修复的巨大肩袖撕裂的各种治疗选择中，肩袖重建被认为是一种合理的方法，但对于最佳重建技术尚无共识。在本文中，我们介绍一种用于肩袖重建的缝线锚钉覆盖技术。在我们的技术中，取腓骨长肌腱作为自体移植物进行制备，在外侧植入缝线锚钉以将自体移植物固定于大结节表面。我们技术的关键步骤包括进行锚钉植入以确保自体移植物紧密固定于大结节表面、将预先植入自体移植物中部的内侧排锚钉的缝线打结以提供额外固定，最后实现自体移植物的“覆盖”固定。我们的技术可有效缩短手术时间、简化重建过程，具有良好的临床应用价值。
