Editorial Commentary: Suture Bacterial Contamination May Contribute to Impaired Healing or Retear After Rotator Cuff Repair, Even Using Arthroscopic Techniques.
| Autor: | Cognetti DJ |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association [Arthroscopy] 2024 Sep; Vol. 40 (9), pp. 2379-2380. Date of Electronic Publication: 2024 Mar 25. |
| DOI: | 10.1016/j.arthro.2024.03.026 |
| Abstrakt: | Bacterial contamination as a result of suture contamination may be associated with rotator cuff retear or impaired tendon healing after rotator cuff repair. This represents a potential new area of focus and intervention. Despite an array of rotator cuff repair techniques, from varying suture configurations and double-row repairs to biologic adjuncts and patches, a substantial proportion of repairs do not heal or go on to retear. Decades of research have been dedicated to identifying risk factors for these failures and mitigating their influence. Yet, as we transitioned from open to arthroscopic repair, we became less concerned with regard to overt infection, which is rare using arthroscopic techniques. Now, we must take precautions to prevent occult bacterial contamination. The importance of stringent aseptic practices and tailored prophylactic measures, even in seemingly low-risk arthroscopy cases, requires attention, and similarly, with increasing numbers of shoulder injections, antisepsis around the shoulder must be practiced in all cases. Competing Interests: Disclosures The author declares that he has no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Published by Elsevier Inc.) |
| Databáze: | MEDLINE |
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