All Arthroscopic Path Augementation of a Massive Rotator Cuff Tear Surgical Technique英文学习资料 .pdfVIP

All-Arthroscopic Patch Augmentation of a Massive Rotator Cuff Tear: Surgical Technique Peter N. Chalmers, M.D., Rachel M. Frank, M.D., Anil K. Gupta, M.D., M.B.A., Adam B. Yanke, M.D., Scott W. Trenhaile, M.D., Anthony A. Romeo, M.D., Bernard R. Bach, Jr., M.D., and Nikhil N. Verma, M.D. Abstract: Surgical management of massive rotator cuff tears remains challenging, with failure rates ranging from 20% to 90%. Multiple different arthroscopic and open techniques have been described, but there is no current gold standard. Failure after rotator cuff repair is typically multifactorial; however, failure of tendon-footprint healing is often implicated. Patch augmentation has been described as a possible technique to augment the biology of rotator cuff repair in situations of compromised tendon quality and has shown promising short-term results. The purpose of this article is to describe our preferred surgical technique for arthroscopic rotator cuff repair with patch augmentation. Surgical management of massive rotator cuff tears been described as a technique to augment the biology remains challenging, and failure occurs in 20% to of rotator cuff repair (RCR), with promising short- 90% of patients.1,2 Multiple surgical techniques have term results.3-5 been described; there is no current gold standard. Arthroscopic RCR with patch augmentation is best Treatment options include debridement with possible used in situations involving poor tissue quality with biceps tenotomy/tenodesis, partial repair, muscle transfer, massive rotator cuff tears, tears of 2 or more tendons, tissue interposition, and repair with patch augmentation.