scholarly journals Subacromial resurfacing with fascia lata autograft for irreparable cuff tears

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Nuno Gomes ◽  
Helder Fonte ◽  
Sara Santos ◽  
Duarte Sousa
Keyword(s):  
Rotator Cuff ◽  
Low Cost ◽  
The Elderly ◽  
Clinical Results ◽  
Technical Note ◽  
Fascia Lata ◽  
Rotator Cuff Tears ◽  
Surgical Options ◽  
Technical Simplicity ◽  
The Ideal

AbstractMassive and irreparable rotator cuff tears remain a major challenge for orthopaedic surgeons and several surgical options have been accepted for different patterns of irreparable cuff tears. However, the high-cost and technical complexity of some surgeries and the inconsistent clinical results of others, leave room for the search for surgical options that can offer a good balance between technical simplicity, a lower cost and an acceptable clinical result.The rationale behind some available techniques includes lowering the humeral head, which enables a more efficient balance of the force couples around the shoulder during rehabilitation. The interpositional arthroplasty with a biodegradable balloon, the Superior Capsule Reconstruction and, more recently, subacromial resurfacing with a dermal allograft have been presented as valid options to address that purpose.This technical note presents Subacromial Resurfacing with fascia lata as an option for the treatment of irreparable rotator cuff tears in the elderly population. Its low-cost and reasonable technical demand, along with the need for further elucidation of the ideal indications and technical optimization of other available techniques may open up room for the success of this option.

scholarly journals Arthroscopic knotless single-row repair preserving full footprint versus tear completion repair for partial articular-sided rotator cuff tear

2018 ◽  
Vol 26 (2) ◽  
pp. 230949901877089 ◽  
Author(s):  
Cen Tao Liu ◽  
Heng an Ge ◽  
Rui Hu ◽  
Jing Biao Huang ◽  
Yi Chao Cheng ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Pain Score ◽  
Operation Time ◽  
Clinical Results ◽  
Rotator Cuff Tears ◽  
Single Row ◽  
Repair Technique ◽  
Randomized Controlled Studies ◽  
Group 2 ◽  
Group 1

Background: The comparison of clinical outcomes of arthroscopic footprint-preserving knotless single-row repair with the tear completion repair technique for articular-sided partial-thickness rotator cuff tears (PTRCTs) remains unclear. Methods: A total of 68 patients diagnosed with articular-sided PTRCTs who underwent rotator cuff repair between December 2014 and June 2015 were included. Of the 68 patients, 30 received footprint-preserving knotless single-row repair (group 1) and 38 received the tear completion repair technique (group 2). Preoperative and postoperative assessments were compared. Results: Both groups had significantly improved American Shoulder and Elbow Surgeons (ASES) scores (group 1: 48.2 preoperatively to 81.9 postoperatively, p < 0.001; group 2: 47.1 preoperatively to 84.9 postoperatively, p < 0.001) and visual analog scale (VAS) pain score (group 1: 6.0 preoperatively to 0.93 postoperatively, p < 0.001; group 2: 6.1 preoperatively to 1.1 postoperatively, p < 0.001), showing that the two procedures significantly improved postoperative shoulder function. No significant differences were shown in ASES score or VAS pain score between the two groups ( p > 0.05). The mean operation time was significantly shorter in group 1 with an average of 48.1 min than in group 2 with an average of 60.4 min ( p < 0.001). Conclusions: Footprint-preserving knotless single-row repair obtains similar clinical results compared to tear completion repair in the treatment of articular-sided PTRCTs. Footprint-preserving knotless single-row repair may be a convenient choice for the treatment of articular-sided PTRCTs. Randomized controlled studies are needed to investigate whether the footprint-preserving knotless single-row repair yields better long-term outcomes through the protection of the bursal cuff and restoration of the healthy footprint.

scholarly journals Results of reconstruction of massive irreparable rotator cuff tears using a fascia lata allograft

2015 ◽  
Vol 49 (3) ◽  
pp. 304 ◽  
Author(s):  
Varvitsiotis Dimitrios ◽  
Papaspiliopoulos Athanasios ◽  
Antipa Eleni ◽  
Papacharalampous Xenofon ◽  
Flevarakis George ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Fascia Lata ◽  
Rotator Cuff Tears

Arthroscopic Rotator Cuff Repair Using Modified Mason-Allen Medial Row Stitch

2012 ◽  
Vol 40 (11) ◽  
pp. 2440-2447 ◽  
Author(s):  
Yong Girl Rhee ◽  
Nam Su Cho ◽  
Chong Suck Parke
Keyword(s):  
Rotator Cuff ◽  
Clinical Results ◽  
Rotator Cuff Tears ◽  
Knot Tying ◽  
Suture Bridge ◽  
Group A ◽  
Group B ◽  
Arthroscopic Rotator Cuff ◽  
Suture Bridge Technique

Background: When using a method of suture bridge technique, there may be a possibility of strangulation of the rotator cuff tendon at the medial row. The style of knots chosen to secure the medial row might conceivably be a factor to reduce this possibility. Purpose: To compare the clinical results and repair integrity of arthroscopic rotator cuff repair between a knotless and a conventional knot-tying suture bridge technique for patients with full-thickness rotator cuff tears and to evaluate retear patterns in the cases with structural failure after arthroscopic repair by magnetic resonance imaging (MRI). Study Design: Cohort study; Level of evidence, 2. Methods: After arthroscopic repair for medium-sized rotator cuff tears, 110 patients available for postoperative MRI evaluation at least 6 months were enrolled in this study. According to the repair technique, 51 shoulders were enrolled in a knotless suture bridge technique group (group A) and 59 shoulders in a conventional knot-tying suture bridge technique group (group B). The mean age at the time of the operation was 61.0 years (range, 44-68 years) in group A and 57.6 years (range, 45-70 years) in group B. The mean follow-up period was 21.2 months (range, 12-34 months) and 22.1 months (range, 13-32 months), respectively. Results: The Constant score of group A increased from the preoperative mean of 65.2 points to 79.1 points at the last follow-up ( P < .001). The corresponding figures for group B improved from 66.6 points to 76.3 points ( P < .001). The preoperative Shoulder Rating Scale of the University of California at Los Angeles (UCLA) score was 21.1 points in group A and 18.3 points in group B. The UCLA score at the last follow-up was 31.0 points in group A and 27.9 points in group B ( P < .001, P < .001). Retear rate was significantly lower in group A (5.9%) than group B (18.6%) ( P < .001). In group B, retear occurred at the musculotendinous junction in 72.7%, but group A had no medial cuff failure. Conclusion: In arthroscopic suture bridge repair of full-thickness rotator cuff tears, clinical results of both a knotless and a conventional knot-tying group showed improvement without significant difference between the 2 groups. However, the knotless group had a significantly lower retear rate compared with the conventional knot-tying group. A knotless suture bridge technique could be a new supplementary repair technique to conventional technique.

scholarly journals Rotator Cuff Tears in the Elderly Patients

2015 ◽  
Vol 6 (3) ◽  
pp. 220-224 ◽  
Author(s):  
Michael B. Geary ◽  
John C. Elfar
Keyword(s):  
Rotator Cuff ◽  
Elderly Patients ◽  
The Elderly ◽  
Rotator Cuff Tears

scholarly journals Recovery of Range of Motion and Decrease in Pain after Progression of Supraspinatus Tendon Tear: A Case Report

2019 ◽  
Vol 13 (1) ◽  
pp. 84-88
Author(s):  
Yoshihiro Hagiwara ◽  
Junichiro Hamada ◽  
Akira Ando ◽  
Kenji Kanazawa ◽  
Yutaka Yabe ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Range Of Motion ◽  
The Elderly ◽  
Supraspinatus Tendon ◽  
Operative Management ◽  
Rotator Cuff Tears ◽  
Tendon Tear ◽  
Duration Of Symptoms ◽  
First Case ◽  
The Right

Rotator cuff disease is one of the most prevalent shoulder disabilities especially in the elderly population. Tear progression is significantly greater in the symptomatic patients than in the asymptomatic ones. From these aspects, shoulder surgeons interpret surgical indications and counsel patients regarding the risk of non-operative treatments. However, there were a few reports that pain and duration of symptoms were not strongly associated with severity of rotator cuff tears, and non-operative management with physical therapy was effective. There have remained controversies for the treatment of rotator cuff tears.A 59-year-old man with a sedentary work life experienced right shoulder pain with abduction at night. However, the pain kept worsening after two months, and he finally visited our clinic three months after the onset of pain. Magnetic resonance imaging in the coronal and axial planes showed effusion around the subacromial and subcoracoid bursae and joint-side tear of the supraspinatus tendon. A range of motion in the right shoulder was severely restricted at the initial visit of our clinic. After sufficient rehabilitation, the symptoms were not changed and an arthroscopic rotator cuff repair was scheduled. However, during waiting for surgery, he felt something popped in the right shoulder while wearing a jacket. Immediately after this, pain during motion and at night decreased, and he experienced no difficulty with activities of daily living and the surgery was cancelled. This is the first case with a recovery of range of motion and a decrease in pain after progression of a supraspinatus tendon tear.

scholarly journals Repair of Large to Massive Rotator Cuff Tears in the Elderly Patients

2012 ◽  
Vol 15 (2) ◽  
pp. 91-98
Author(s):  
Hong Jun Jung ◽  
Jae Myeung Chun ◽  
In-Ho Jeon ◽  
Jun Kwon ◽  
Sang-Ho Ha ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Elderly Patients ◽  
The Elderly ◽  
Rotator Cuff Tears ◽  
Massive Rotator Cuff Tears

scholarly journals Surgical Options for Failed Rotator Cuff Repair, except Arthroplasty: Review of Current Methods

2020 ◽  
Vol 23 (1) ◽  
pp. 48-58
Author(s):  
Jangwoo Kim ◽  
Yunki Ryu ◽  
Sae Hoon Kim
Keyword(s):  
Rotator Cuff ◽  
Conservative Treatment ◽  
Rotator Cuff Repair ◽  
Review Article ◽  
Rotator Cuff Tears ◽  
Surgical Options ◽  
Patients Experience ◽  
Cuff Repair

Although the prevalence of rotator cuff tears is dependent on the size, 11% to 94% of patients experience retear or healing failure after rotator cuff repair. Treatment of patients with failed rotator cuff repair ranges widely, from conservative treatment to arthroplasty. This review article attempts to summarize the most recent and relevant surgical options for failed rotator cuff repair patients, and the outcomes of each treatment, except arthroplasty.

scholarly journals Lateral acromioplasty for correction of the critical shoulder angle

2020 ◽  
Vol 15 (3) ◽  
pp. 228-232
Author(s):  
Mark Tauber ◽  
Peter Habermeyer ◽  
Nikolaus Zumbansen ◽  
Frank Martetschläger
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Constant Score ◽  
Logical Consequence ◽  
Clinical Results ◽  
Rotator Cuff Tears ◽  
Critical Shoulder Angle ◽  
Cuff Repair ◽  
Shoulder Angle

Abstract The critical shoulder angle (CSA) was introduced as a radiological parameter associated with a higher incidence of rotator cuff tears. As a logical consequence, correcting the CSA together with rotator cuff repair should prevent re-tear and provide reliable and good clinical results. We present an all-arthroscopic technique resecting the lateral edge of the acromion (lateral acromioplasty) in order to reduce and correct the CSA after preoperative planning. Preliminary results from 20 patients with an average age of 62 years after rotator cuff repair are reported showing good clinical outcome with a Constant score of 88 points and no re-tear after an average follow-up of 16 months. The CSA was reduced from 39.7° to 32.1°. Previous concerns regarding weakening of the deltoid origin were not confirmed and there were no complications linked to lateral acromioplasty.

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