Double Attack Repair for Massive Rotator Cuff Tears: Superior Capsular Reconstruction Using the Long Head of Biceps Tendon Plus Margin Convergence Repair.

Autor: Morsy MG; Department of Orthopedic Surgery and Traumatology, Arthroscopy and Sports Injury Unit, Alexandria University, Alexandria, Egypt., Gawish HM; Department of Orthopedic Surgery and Traumatology, Kafr el-sheik University, Kafr Elsheikh, Egypt.
Jazyk: angličtina
Zdroj: Arthroscopy techniques [Arthrosc Tech] 2023 Nov 13; Vol. 12 (12), pp. e2187-e2195. Date of Electronic Publication: 2023 Nov 13 (Print Publication: 2023).
DOI: 10.1016/j.eats.2023.07.044
Abstrakt: Arthroscopic repair of massive retracted rotator cuff tears is very challenging with a high incidence of retears. Many techniques have been described to improve the outcomes of arthroscopic repair. In this technique, a superior capsular reconstruction using the long head of the biceps is combined with margin convergence repair aimed at improving the mechanical strength of the repair. The long head of the biceps is used as a superior capsular reconstruction to stabilize the humeral head and prevent proximal migration. Moreover, margin convergence provides an efficient gap filling between remnants of the supraspinatus and infraspinatus tendons to restore an efficient rotator repair in anatomical, biological, and tension-free fashion.
(© 2023 The Authors.)
Databáze: MEDLINE