Anterior cable reconstruction using the proximal biceps tendon for reinforcement of arthroscopic rotator cuff repair prevent retear and increase acromiohumeral distance.

使用近端二头肌腱重建前缆索以加强关节镜肩袖修复可防止再撕裂并增加肩关节距离。

• 发表时间: Jan-Feb 2021
• 来源期刊: J Orthop
• DOI: 10.1016/j.jor.2021.02.003
• PMID: 33664556
• 文章类型: Journal Article
• 作者列表: Seo JB,Kwak KY,Park B,Yoo JS

关键词: Acromiohumeral distance; Long head of biceps tendon; Retear; Rotator cable; Rotator cuff

Abstract

Anterior cable reconstruction (ACR) using the long head of the biceps tendon (LHBT) was developed to place at the native superior capsule attachment site for large to massive rotator cuff tears (LMRCTs) with anterior cable disruption. In this study, we investigated whether ACR for reinforcement before ARCR prevented retear after arthroscopic rotator cuff repair (ARCR), especially in cases of LMRCTs with anterior cable disruption. A total of 125 patients who underwent arthroscopic rotator cuff repair (ARCR) for LMRCTs were retrospectively enrolled. To assess the benefit of ACR with LHBT, all data were compared with those after ARCR alone. As a result, ACR with LHBT showed satisfactory clinical and radiologic outcomes in comparison with conventional ARCR only technique. ACR with LHBT prevented retear after ARCR and improved the AHD, although There was no difference of clinical outcomes between two groups.

摘要

开发了使用二头肌肌腱（LHBT）的长头进行的前缆绳重建（ACR），以将其放置在天然的上囊附着部位，用于大范围的肩袖撕裂（LMRCT），并伴有前缆绳破坏。在这项研究中,我们调查了在ARCR之前进行ACR加固是否可以防止关节镜肩袖修复（ARCR）后的再撕裂，特别是在LMRCTs伴有前电缆中断的情况下。回顾性研究了125例接受关节镜下LMRCT肩袖修复（ARCR）的患者。为了评估ACR与LHBT的益处，将所有数据与单独ARCR后的数据进行比较.因此,与仅使用常规ARCR技术相比，使用LHBT的ACR显示出令人满意的临床和放射学结果。使用LHBT的ACR可防止ARCR后的再撕裂并改善AHD，尽管两组之间的临床结局没有差异。