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使用生物诱导胶原蛋白贴片增强肱二头肌长头肌腱以治疗巨大和回缩性肩袖撕裂

Long Head of the Biceps Tendon Augmentation Enhanced With a Bioinductive Collagen Patch for Massive and Retracted Rotator Cuff Tears.

作者信息

Laprus Hubert, Słota Grzegorz, Juszczak Bartłomiej, Brzoska Roman

机构信息

St. Luke's Hospital, Bielsko-Biala, Poland.

University Children's Hospital, Cracow, Poland.

出版信息

Arthrosc Tech. 2025 Jun 27;14(8):103679. doi: 10.1016/j.eats.2025.103679. eCollection 2025 Aug.

DOI:10.1016/j.eats.2025.103679
PMID:40936554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12420600/
Abstract

Massive and retracted rotator cuff tears are challenging to treat, with high rates of retear. Current surgical techniques strive to restore full function by addressing biomechanical complexities of these injuries. Additional use of long head of the biceps tendon augmentation and bioinductive patch may lower the retear rate by promoting healing of the construct. This Technical Note describes technique of combined double-row rotator cuff repair, long head of the biceps tendon augmentation, and a bio-inductive collagen patch as well as consisting of first results.

摘要

巨大且退缩的肩袖撕裂治疗具有挑战性，再撕裂率很高。当前的手术技术致力于通过解决这些损伤的生物力学复杂性来恢复全部功能。额外使用肱二头肌长头肌腱增强术和生物诱导补片可能通过促进修复结构的愈合来降低再撕裂率。本技术说明描述了双排肩袖联合修复、肱二头肌长头肌腱增强术和生物诱导胶原蛋白补片的技术以及初步结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b754/12420600/e387790fbd0f/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b754/12420600/e35d82d0dbf6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b754/12420600/389f1b16b30f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b754/12420600/799faa79d18b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b754/12420600/5d88b8f970df/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b754/12420600/9208f5c38475/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b754/12420600/e387790fbd0f/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b754/12420600/e35d82d0dbf6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b754/12420600/389f1b16b30f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b754/12420600/799faa79d18b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b754/12420600/5d88b8f970df/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b754/12420600/9208f5c38475/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b754/12420600/e387790fbd0f/gr7.jpg

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本文引用的文献

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Arthroscopy. 2024 Jun;40(6):1760-1773. doi: 10.1016/j.arthro.2023.12.014. Epub 2023 Dec 28.
2
Comparison of Arthroscopic Single-row and Double-row Repair for Rotator Cuff Injuries With Different Tear Sizes: A Systematic Review and Meta-analysis.不同撕裂大小的肩袖损伤关节镜下单排与双排修复的比较：一项系统评价和荟萃分析。
Orthop J Sports Med. 2023 Aug 16;11(8):23259671231180854. doi: 10.1177/23259671231180854. eCollection 2023 Aug.
3
Massive and irreparable rotator cuff tear treatment by arthroscopic partial repair with long head of the biceps tendon augmentation provides better healing and functional results than partial repair only.关节镜下肱二头肌长头腱增强部分修复治疗巨大不可修复肩袖撕裂的愈合和功能效果优于单纯部分修复。
J Shoulder Elbow Surg. 2024 Feb;33(2):263-272. doi: 10.1016/j.jse.2023.06.022. Epub 2023 Jul 22.
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Augmentation of Massive Rotator Cuff Repairs Using Biceps Transposition Without Tenotomy Improves Clinical and Patient-Reported Outcomes: The Biological Superior Capsular Reconstruction Technique.采用不切开肱二头肌的转位加强巨大肩袖修复术可改善临床和患者报告的结果：生物性上囊重建技术。
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Prevalence of rotator cuff tendon tears and symptoms in a Chingford general population cohort, and the resultant impact on UK health services: a cross-sectional observational study.在钦福德普通人群队列中，肩袖肌腱撕裂和症状的流行情况，以及对英国卫生服务的影响：一项横断面观察性研究。
BMJ Open. 2022 Sep 13;12(9):e059175. doi: 10.1136/bmjopen-2021-059175.
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Symptomatic Rotator Cuff Tear Progression: Conservatively Treated Full- and Partial-Thickness Tears Continue to Progress.有症状的肩袖撕裂进展：保守治疗的全层和部分厚度撕裂仍在继续进展。
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Abnormal findings on magnetic resonance images of asymptomatic shoulders.无症状肩部磁共振成像的异常发现。
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