优化胸大肌腱修复:使用高强度缝合线和胶带的改良无结缝合锚技术

Pratchaya Manop MD , Pinkawas Kongmalai MD
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引用次数: 0

摘要

背景胸大肌(PM)肌腱断裂并不常见,但在运动员,尤其是卧推举重运动员中的发生率却有所增加。我们介绍了一种利用无结缝合锚进行胸大肌腱修复的改良手术技术。该技术包括将肌腱端上移和下移至去骨表面,确保肌腱与骨有更广泛的接触。无结缝合锚具有独特的缝合锁定机制,便于调整张力。此外,手术胶带和高强度缝合线的使用也增强了修复的强度。结果手术胶带和高强度缝合线与无结缝合锚的结合使用提供了安全稳定的结构。这种方法最大程度地降低了失败的风险,减少了双皮质钻孔可能造成的神经血管损伤,由于没有金属伪影而保持了成像质量,并有助于避免传统方法带来的骨折风险。结论我们的改良技术具有多种优势,包括增加肌腱与骨骼的接触、增强稳定性、降低神经血管风险以及避免潜在骨折。这使其成为成功修复 PM 肌腱的重要选择。外科医生应考虑其优点,并权衡相关成本,以优化患者护理。
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Optimizing pectoralis major tendon repair: a modified knotless suture anchor technique using high-strength suture and tape

Background

Rupture of the pectoralis major (PM) tendon is infrequent but has shown an increased incidence in athletes, particularly weightlifters during bench presses. Various techniques for repair exist, yet no established gold standard has been defined.

Methods

We present a modified surgical technique utilizing knotless suture anchors for PM tendon repair. The technique involves bringing the tendon end superiorly and inferiorly to the decorticated bone surface, ensuring broader tendon-to-bone contact. Knotless anchors with a unique suture locking mechanism facilitate tension adjustment. Additionally, the repair's strength is reinforced by employing both surgical tape and high-strength suture.

Results

The utilization of both surgical tape and high-strength suture in conjunction with knotless suture anchors provides a secure and stable construct. This approach minimizes the risk of failure, reduces the potential for neurovascular injury associated with bicortical drilling, preserves imaging quality due to the absence of metal artifacts, and helps avoid the risk of fracture associated with traditional methods. However, surgeons should be aware of a potential disadvantage of increased surgical costs compared to traditional techniques.

Conclusion

Our modified technique offers multiple advantages, including increased tendon-to-bone contact, enhanced stability, reduced neurovascular risks, and avoidance of potential fractures. This makes it a valuable option for successful PM tendon repairs. Surgeons should consider its benefits and weigh them against the associated costs for optimal patient care.

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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
0
审稿时长
6 weeks
期刊最新文献
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