Skip to main content
Log in

Arthroskopische Knotentechnik bei der Rotatorenmanschettenrekonstruktion

Arthroscopic knot tying in rotator cuff repair

  • Leitthema
  • Published:
Arthroskopie Aims and scope

Zusammenfassung

Auf Grund der rapiden Entwicklung und zunehmenden Verbreitung der speziellen Technologie „arthroskopische Rotatorenmanschettenrekonstruktion“ führen immer mehr Operateure diese komplexe und technisch anspruchsvolle Operation durch. Die Operationstechnik erfordert spezielle Fertigkeiten, wie ein präzises Verständnis um den jeweils vorliegenden Rupturtyp, sowie die Beherrschung spezieller Instrumente und Refixationssysteme. Insbesondere ist es unverzichtbar, dass der Operateur arthroskopisches Knoten zügig und mit absoluter Sicherheit auch in schwierigeren Situationen beherrscht. Diese Arbeit soll eine Übersicht zum aktuellen Stand der arthroskopischen Knotentechnik an der Schulter geben.

Abstract

Due to the rapid evolution and wide availability of the special technology of arthroscopic rotator cuff repair more and more surgeons switch from the open to the arthroscopic approach in the management of even complex cuff tears. However the operative technique is still demanding and requires special skills, such as a precise analysis of the type of the lesion and the handling of specialized instruments and refixation systems. It is absolutely mandatory for every surgeon, to be able to tie arthroscopic knots even in difficult situations of the procedure. This paper gives an overview on the current state of the technology of arthroscopic knot tying in arthroscopic rotator cuff repair.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6
Abb. 7
Abb. 8
Abb. 9
Abb. 10
Abb. 11
Abb. 12
Abb. 13
Abb. 14
Abb. 15
Abb. 16
Abb. 17

Literatur

  1. Agneskircher JD, Hosseini H, Tröger M, Lobenhoffer P (2006) Complications in reconstructive arthroscopic shoulder surgery. Arthroskopy 19(2): 157–171

    Article  Google Scholar 

  2. Elkousy H, Hammerman SM, Edwards TB et al. (2006) The arthroscopic square knot: a biomechanical comparison with open and arthroscopic knots. Arthroscopy 22(7): 736–741

    PubMed  Google Scholar 

  3. Elkousy HA, Sekiya JK, Stabile KJ, McMahon PJ (2005) A biomechanical comparison of arthroscopic sliding and sliding-locking knots. Arthroscopy 21(2): 204–210

    PubMed  Google Scholar 

  4. Hassinger SM, Wongworawat MD, Hechanova JW (2006) Biomechanical characteristics of 10 arthroscopic knots. Arthroscopy 22(8): 827–832

    PubMed  Google Scholar 

  5. Ilahi OA, Younas SA, Alexander J, Noble PC (2004) Cyclic testing of arthroscopic knot security. Arthroscopy 20(1): 62–68

    PubMed  Google Scholar 

  6. Lafosse L (2006) The lasso loop, a novel method to pass the suture through the rotator cuff and biceps tendon – technical note. Arthroscopy, in press

  7. Lo IK, Burkhart SS, Chan KC, Athanasiou K (2004) Arthroscopic knots: determining the optimal balance of loop security and knot security. Arthroscopy 20(5): 489–502

    PubMed  Google Scholar 

Download references

Interessenkonflikt

Es besteht kein Interessenkonflikt.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J.D. Agneskirchner.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Agneskirchner, J., Lobenhoffer, P. Arthroskopische Knotentechnik bei der Rotatorenmanschettenrekonstruktion. Arthroskopie 20, 22–32 (2007). https://doi.org/10.1007/s00142-006-0376-9

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00142-006-0376-9

Schlüsselwörter

Keywords

Navigation