Arthroscopic Superior Capsule Reconstruction Using Autologous Fascia Lata and Biceps Tendon Augmentation
| Autor: | Chih-Hao Chiu, Yi-Sheng Chan, Kuo-Yau Hsu, Alvin Chao-Yu Chen, Chun-Jui Weng, Chen-Heng Hsu |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
030222 orthopedics medicine.medical_specialty business.industry Autologous fascia lata Capsule 030229 sport sciences musculoskeletal system eye diseases Surgery body regions 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Fascia lata Technical Note medicine Tears Orthopedics and Sports Medicine Rotator cuff Biceps tendon business Fixation (histology) |
| Zdroj: | Arthroscopy Techniques |
| ISSN: | 2212-6287 |
| Popis: | Whereas arthroscopic superior capsule reconstruction has recently been introduced to treat irreparable rotator cuff tears with encouraging outcomes, graft options and fixation remain debated. The purpose of this article is to introduce a modified arthroscopic technique using the long head of the biceps tendon as augmentation for superior capsule reconstruction with fascia lata autograft. Technique Video Video 1 A 30° arthroscope is used through a standard posterior portal in the right shoulder of a 67-year-old female patient in the beach-chair position. An irreparable rotator cuff tear is identified during arthroscopic examination. The fascia graft is securely fixed to the supraglenoid fossa with anchor suture and to the greater tuberosity with a suture-bridge technique. Full coverage of the rotator cuff defect by the fascia graft is confirmed posteriorly by close approximation between the posterior margin of the fascia graft and residual rotator cuff tissue. Being identified by probing, the proximal part of the long head of the biceps tendon (LHBT) is sutured to the anterosuperior part of the fascia graft. The glenoid side is indicated by ; the greater tuberosity side, by . |
| Databáze: | OpenAIRE |
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