Arthroscopic Superior Capsular Reconstruction Using “Sandwich” Patch Technique for Irreparable Rotator Cuff Tears

作者：Shaohua Ding, Yunshen Ge, Minzhe Zheng, Wei Ding, Wenhe Jin, Jin Li, Shiyi Chen · 发表于：Arthroscopy Techniques · 年份：2019 · DOI：10.1016/j.eats.2019.05.004 · 被引用次数：28 · 研究领域：Shoulder Injury and Treatment、Shoulder and Clavicle Injuries、Sports injuries and prevention

The technique of superior capsular reconstruction (SCR) using fascia lata autograft, described by Mihata et al. in 2012, has been an acceptable and effective method for treating irreparable massive rotator cuff tears, especially in cases with severe fatty infiltration and tendon retraction. After the SCR procedure of Mihata et al., it was found that some graft failure occurred with thinning and elongation during the follow-up time, which was called graft "creep." To avoid graft creep and reduce graft failure rates after SCR, we created an arthroscopic SCR technique with a "sandwich" patch augmented with polyethylene terephthalate scaffold interspaced between 2 folded layers of fascia lata autograft.