A Load-Sharing Rip-Stop Fixation Construct for Arthroscopic Rotator Cuff Repair
A Load-Sharing Rip-Stop Fixation Construct for Arthroscopic Rotator Cuff Repair
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DOI：
10.1016/j.eats.2011.12.005
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发表时间：
2012-09-01
影响因子：
1.2
通讯作者：
Burkhart, Stephen S.
中科院分区：
文献类型：
--
作者：
Denard, Patrick J.;Burkhart, Stephen S.
尽管在关节镜下肩袖修复技术的进步，实现肌腱骨愈合可能是困难的设置质量差的肌腱。此外，内侧肌腱撕裂或撕裂伴外侧肌腱缺失可能妨碍标准技术。与简单或褥式缝合模式相比，防撕裂缝线配置已被证明可改善失效载荷，并且在这些情况下可能特别有价值。本报告旨在描述防撕裂肩袖修复术的技术改良，该改良结合了防撕裂缝线（通过提供组织切口阻力）和双排负荷分担缝线锚钉（最大限度地减少每个锚的负荷，从而最大限度地减少每个锚内每个缝线的负荷）的优点。
Despite advancements in arthroscopic rotator cuff repair techniques, achieving tendonto-bone healing can be difficult in the setting of poor-quality tendon. Moreover, medial tendon tears or tears with lateral tendon loss may preclude standard techniques. Rip-stop suture configurations have been shown to improve load to failure compared with simple or mattress stitch patterns and may be particularly valuable in these settings. The purpose of this report is to describe a technical modification of a rip-stop rotator cuff repair that combines the advantages of a rip-stop suture (by providing resistance to tissue cutout) and a double row of load-sharing suture anchors (minimizing the load per anchor and therefore the load per suture within each anchor).