Peiguan Huang M.Med., Xiaoxu Wang M.Med., Yong Fu M.D., Xiaojun Tang M.D., Zhihong Xiao M.D., Zhengmao Li M.D., Bin Peng M.D., Min He M.D., Chunrong He M.D.
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引用次数: 0
摘要
目前，缝合桥是治疗大面积肩袖撕裂（MRCT）的可行选择。然而，修复部位的高张力以及缝合收紧时和内侧打结后的内侧张力是使用缝合桥进行 MRCT 修复时不可避免的问题。关节镜下 V 形双滑轮缝合桥修复术是一种实用的 MRCT 修复手术技术。内侧和外侧排锚的独特平行设计可将顶端部分的肌腱张力降至最低；6组双滑轮缝合桥不仅能提供足够的肌腱与骨接触面积，还能降低肌腱的再撕裂率。此外，内侧无结技术也能降低肌腱张力。
Arthroscopic V-Shaped Double-Pulley Suture-Bridge Repair of Massive Rotator Cuff Tear
At present, suture bridge is a feasible choice in the treatment of massive rotator cuff tears (MRCTs). However, high tension on the repair site and medial tension during suture tightening and after medial knotting are unavoidable problems in MRCT repair with a suture bridge. Arthroscopic V-shaped double-pulley suture-bridge repair is a pragmatic surgical technique for the repair of MRCTs. The unique parallel design of medial- and lateral-row anchors can minimize tendon tension on the apex portion; 6 sets of double-pulley suture bridges can not only provide sufficient tendon-bone contact area but also reduce the tendon retear rate. Moreover, medial knotless techniques can reduce tendon tension.
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