关节镜下缝合通过器械对肩袖损伤及修复强度的影响。

Biren V Chokshi, Erik N Kubiak, Laith M Jazrawi, Jonathan B Ticker, Nigel Zheng, Frederick J Kummer, Andrew S Rokito
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引用次数: 0

摘要

有各种各样的关节镜设备用于通过肌腱套进行缝合修复。由于它们的大小和形状各不相同,它们可能会损坏袖带并影响修复的完整性。我们选择了四种器械进行评估——SutureLasso (Arthrex, Naples, FL)、直BirdBeak (Arthrex, Naples, FL)、Viper (Arthrex, Naples, FL)和7号锥形Mayo针,并使用缝合锚钉对四对肩膀进行袖带复位。这些修理经过循环和测试,直到失败。SutureLasso和Mayo针修复在285牛顿时失败,而BirdBeak和Viper在150牛顿时失败。这些设备在袖带上制造了更大的洞,可能会损害修复的完整性。
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The effect of arthroscopic suture passing instruments on rotator cuff damage and repair strength.

There are a variety of arthroscopic devices used to pass sutures through the rotator cuff for its repair. Because they vary in size and shape, it is possible that they could damage the cuff and affect the integrity of the repair. We chose four devices for assessment--SutureLasso (Arthrex, Naples, FL), straight BirdBeak (Arthrex, Naples, FL), Viper (Arthrex, Naples, FL), and a #7 tapered Mayo needle--and performed cuff reattachments in four paired shoulders using suture anchors. These repairs were cycled and tested to failure. The SutureLasso and Mayo needle repairs failed at approximately 285 N whereas the BirdBeak and Viper failed during cycling at 150 N. It appears that the devices, which made the bigger holes in the cuff, can compromise the integrity of the repair.

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