Miguel Ángel Ruiz Ibán , Roque Pérez Expósito , Jorge Díaz Heredia , Miguel Garcia Navlet , Ricardo Cuéllar , Jose Luis Ávila Lafuente , Eduardo Sanchez Alepuz , Sergi Sastre Solsona
{"title":"Reparación artroscópica de las roturas del manguito rotador","authors":"Miguel Ángel Ruiz Ibán , Roque Pérez Expósito , Jorge Díaz Heredia , Miguel Garcia Navlet , Ricardo Cuéllar , Jose Luis Ávila Lafuente , Eduardo Sanchez Alepuz , Sergi Sastre Solsona","doi":"10.1016/j.reaca.2014.12.004","DOIUrl":null,"url":null,"abstract":"<div><p>Arthroscopic repair of rotator cuff disorders is a technically demanding, but successful procedure. The main keys to success are a combination of proper indication, good technique, and an adequate rehabilitation protocol. The tears should be evaluated for reparability, taking into account personal, anatomical, and biological considerations.</p><p>The first step in an arthroscopic procedure should be to identify the tear pattern and define the repair strategy. The surgeon should then carefully prepare the rotator cuff footprint and use a repair technique that improves tendon-bone contact. It is essential to obtain a tension-free repair with tendon releases if necessary.</p><p>After surgery a protocol designed to protect the healing tendon without causing stiffness is essential.</p></div>","PeriodicalId":101107,"journal":{"name":"Revista Espa?ola de Artroscopia y Cirugía Articular","volume":"21 2","pages":"Pages 109-119"},"PeriodicalIF":0.0000,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.reaca.2014.12.004","citationCount":"4","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Espa?ola de Artroscopia y Cirugía Articular","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2386312915000067","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 4
Abstract
Arthroscopic repair of rotator cuff disorders is a technically demanding, but successful procedure. The main keys to success are a combination of proper indication, good technique, and an adequate rehabilitation protocol. The tears should be evaluated for reparability, taking into account personal, anatomical, and biological considerations.
The first step in an arthroscopic procedure should be to identify the tear pattern and define the repair strategy. The surgeon should then carefully prepare the rotator cuff footprint and use a repair technique that improves tendon-bone contact. It is essential to obtain a tension-free repair with tendon releases if necessary.
After surgery a protocol designed to protect the healing tendon without causing stiffness is essential.
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