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使用缝合锚钉和经骨缝合技术修复肩袖的固定强度。

Fixation strength of rotator cuff repairs with suture anchors and the transosseous suture technique.

作者信息

Craft D V, Moseley J B, Cawley P W, Noble P C

机构信息

Baylor College of Medicine, Department of Orthopaedic Surgery, Houston, TX, USA.

出版信息

J Shoulder Elbow Surg. 1996 Jan-Feb;5(1):32-40. doi: 10.1016/s1058-2746(96)80028-0.

DOI:10.1016/s1058-2746(96)80028-0
PMID:8919440
Abstract

The strength of classic transosseous suture repair of rotator cuff tendons was compared with similar repairs with four "third-generation" suture anchors. Results demonstrate the repair construct selected had a significant influence on failure at ultimate load (p = 0.005). Among the anchors tested the Statak design was significantly stronger than the other three. Furthermore Statak, Harpoon, and Superanchor designs were all significantly stronger than the Revo screw. No significant difference was seen between the strength of repairs performed with the Statak, the Harpoon, or the Superanchor compared with the transosseous suture technique. The transosseous suture technique was significantly stronger than repairs performed with the Revo. We conclude suture anchor design has evolved to a point where initial fixation of torn rotator cuff tendons is equivalent to more traditional techniques using only sutures.

摘要

将肩袖肌腱经典经骨缝合修复的强度与使用四种“第三代”缝合锚钉进行的类似修复进行了比较。结果表明,所选的修复结构对极限载荷下的失效有显著影响(p = 0.005)。在测试的锚钉中,Statak设计明显比其他三种更强。此外,Statak、Harpoon和Superanchor设计都明显比Revo螺钉更强。与经骨缝合技术相比,使用Statak、Harpoon或Superanchor进行修复的强度之间没有显著差异。经骨缝合技术明显比使用Revo进行的修复更强。我们得出结论,缝合锚钉设计已经发展到一个阶段,即撕裂的肩袖肌腱的初始固定等同于仅使用缝线的更传统技术。

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