Clinical Effectiveness of Mini Open Superior Capsular Reconstruction Using Autologous Tensor Fascia Lata Graft

Author(s):  
Kazumasa Takayama ◽  
Shunsuke Yamada ◽  
Yuu Kobori
1997 ◽  
Vol 10 (03) ◽  
pp. 141-145 ◽  
Author(s):  
B. A. Selcer ◽  
J. D. Smith ◽  
D. N. Aron

SummaryThis report documents a complicated trauma case in a dog that was successfully managed by substitution of a missing patellar ligament with an autogenous tensor fascia lata free graft. Important to the success of the case was the use of a careful postoperative regime of progressive controlled mobilization with the aid of the hinged transarticular external skeletal fixator. Because of the advantages provided by use of the autogenous tensor fascia lata graft and the hinged transarticular external skeletal fixator, patient morbidity was low and the end result was good.An autogenous tensor fascia lata free graft was successfully used to completely substitute for a missing patellar ligament in a dog. Postoperative rehabilitation was facilitated by the use of the hinged transarticular external skeletal fixator. The technique is described along with the results. Complete substitution of the patellar ligament with a graft has not been reported in the dog.


2019 ◽  
Vol 101 (7) ◽  
pp. e160-e163
Author(s):  
D Izadi ◽  
S Al-Zahid ◽  
J Smith ◽  
CG Wallace

We describe a rare case of ectopic papillary thyroid cancer in the thyroglossal duct tract invading the floor-of-mouth musculature. The postablative defect was reconstructed with a bone-anchored tensor fascia lata graft to resuspend the floor of mouth to the mandible as a neogeniohyoid sling, enabling maintenance of a functional tongue position for normal speech and swallowing. This reconstruction should be considered when suprahyoid musculature is resected without breaching the oral lining.


2021 ◽  
Vol 8 (6) ◽  
pp. 1938
Author(s):  
Madhusoodan Gupta ◽  
Ankur Goel ◽  
Deepti Varshney ◽  
Vishal K. Biswkarma

Equinus deformity is a condition in which dorsiflexion movement of the ankle joint is limited or decreased. Equinus deformity arises due to contracture/shortening/tightening in achilles tendon or soleus muscles or gastrocnemius muscle. The lengthening procedure of the achilles tendon can be done by various techniques such as the open or percutaneous method and Z-plasty versus sliding technique. Here we reported a case of post-traumatic equinus deformity of the right foot. The patient’s dorsiflexion movement was restricted. In this case, the patient was operated for open Z-plasty of the achilles tendon with rollover tensor fascia lata graft for lengthening of the contracted achilles tendon. The patient was discharged on the third postoperative day uneventfully. After 7 months of follow-up, the patient was walking normally without limping with the full range of motion at the right ankle joint as similar to his left ankle joint.   


2019 ◽  
Vol 12 (8) ◽  
pp. e229926 ◽  
Author(s):  
Patricio III Espinoza Dumlao ◽  
Juanito Javier ◽  
Carlo Emmanuel Sumpaico

Untreated traumatic hip dislocation is a rare condition in children. Capsular arthroplasty is a previously abandoned surgical technique in dealing with developmental dysplasia of the hips but not described in traumatic dislocations. We present a 2-year follow-up of a 7-year-old boy who sustained chronic traumatic posterior hip dislocation treated as a first case in published literature combining a modified version of the Codivilla-Hey Groves-Colonna procedure, using tensor fascia lata graft and application of a hinged Ilizarov frame. The patient is currently independent on all activities of daily living.


2021 ◽  
Vol 30 (1) ◽  
pp. 178-187 ◽  
Author(s):  
Zachary D. Vredenburgh ◽  
John P. Prodromo ◽  
James E. Tibone ◽  
Taylor R. Dunphy ◽  
Joel Weber ◽  
...  

2019 ◽  
Vol 7 (11_suppl6) ◽  
pp. 2325967119S0046
Author(s):  
Erica Kholinne ◽  
In-Ho Jeon

Objectives: Superior capsular reconstruction (SCR) is an alternative to treat massive chronic rotator cuff tear with the premise to provide static restraint avoiding upward migration of the humeral head. However, graft tears and their impact on clinical function outcomes following SCR is still in contentious. We aimed to compare clinical and radiologic outcomes following arthroscopic SCR using fascia lata graft with or without mesh augmentation in massive chronic rotator cuff tear. Methods: There were 63 patients underwent SCR with fascia lata from 2014 to 2017. From 2013 to 2016, only fascia lata tendon was used, categorized as fascia lata only group (F). From 2016 to 2018, a mesh is added in the reconstructed capsule, categorized as mesh group (M). Mesh was fashioned inside the folded fascia lata graft for the purpose of structural augmentation. The final study population included 34 and 24 shoulders in group F and M, respectively. All patients were followed for a minimum of 3 months, with mean total follow-ups of 31.3 ± 8.2 and 11.45 ± 11.6 months in Group F and M, respectively. Average ages were 64.9 ± 8.7 and 65.1 ± 6.1 years in Group F and M, respectively. Assessment of both clinical and radiological outcome was conducted at the final follow up. The clinical outcome included ASES (American Shoulder Elbow Society) score and VAS (Visual Analogue Scale) score. The radiological outcome included the re-tear rate and AHD (Acromio-humeral distance). Results: Overall, all scores in ASES (40.8 to 78.4), VAS (6.2 to 3.0) and AHD were improved. Both groups showed improvement of clinical and radiological outcome. ASES score was improved from 54.43 ± 17.27 to 73.7 ± 13.8 for group F, and 48.13 ± 13.2 to 77.42 ± 12.04 for group M. VAS score was improved from 6 ± 1.13 to 2.5 ± 0.87 for group F, and 5.72 ± 1.07 to 2.4 ± 0.84. AHD was significantly superior in group M (9.08 ± 2.43 mm) compared to group F (6.36 ± 1.80 mm) at the final follow up. The re-tear rate was found higher at group F for 41.1% compared to group M for 16.6% (Table 2). There was no significant difference for both groups regarding demographic data (age, sex, preoperative VAS score, ASES score, ROM). Conclusion: The early graft tear rate for SCR was 41.4%. Mesh augmentation can reduce for more than half of the graft tear rate from 41.4% to 16.6% by providing structural support. In conclusion, SCR with mesh augmentation for massive rotator cuff tear showed better clinical outcome with a lower re-tear rate compared to conventional SCR with fascia lata only.


2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Ayman Ali Abdel Fattah ◽  
Abdel Hay Rashad Elasy ◽  
Ahmed Helmy Hoseini ◽  
Tarek Abdel Rahman Abdel Hafez

Abstract Background Repair of a perforated tympanic membrane (myringoplasty) can facilitate normal middle ear function, resist infection, and help re-establish normal hearing. Autogenous graft materials are the most popular graft materials used in myringoplasty because of their easy acceptability by the body. This study is conducted to compare between temporalis fascia graft and fascia lata graft in myringoplasty for patients with tubo-tympanic dry perforation. Results A total of 60 patients with persistent dry tympanic membrane perforation were included in our study during the period from January 2018 to May 2020. Patients underwent myringoplasty with temporalis fascia (30 patients as group A) or fascia lata (30 patients as group B). Patients were scheduled for follow-up visits concerning graft status, ear discharge, and audiograms. The mean postoperative air-bone gap in group A was 17.5 ± 4 after 1 month and 8.6 ± 6.9 after 3 months, while in group B, the mean postoperative air-bone gap was 17.6 ± 4.9 after 1 month and 9.4 ± 7.5 after 3 months. There was 90% success in graft uptake in group A, while there was 80% success in group B. Conclusion Using temporalis fascia is still the best and most trustworthy technique of myringoplasty compared to fascia lata graft. However, fascia lata can be a good alternative to temporalis fascia especially in cases of revision myringoplasty, ears having large perforation, or near-total perforation where the chances of residual perforation are high because of the limited margin of remnant tympanic membrane overlapping the graft.


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