A NEW TECHNIQUE FOR AUGMENTATION OF MASSIVE ROTATOR CUFF RECONSTRUCTION USING THE BICEPS TENDON ALONG WITH TENODESIS

2021 ◽  
pp. 77-79
Author(s):  
T. Mutlu ◽  
İbrahim Eke ◽  
M. A. Akçal
Keyword(s):  
Rotator Cuff ◽  
Minimally Invasive ◽  
Rotator Cuff Tear ◽  
Constant Score ◽  
Biceps Tendon ◽  
New Technique ◽  
Reconstruction Technique ◽  
Massive Rotator Cuff Tear ◽  
Cuff Tear ◽  
The Difference

The purpose of this study is to describe a new, minimally invasive massive rotator cuff tear reconstruction technique that uses the biceps tendon and to compare the results of this novel technique with primer repair. Eighteen patients were operated on a minimally invasive biological reconstruction of the massive rotator cuff tear using the biceps tendon, together with tenodesis. A further 23 patients underwent operations using anchors during the same period. The difference in postoperative UCLA scores between the two groups was not statistically signicant, but the postoperative Constant score was signicantly higher for the new technique, while the postoperative VAS score was signicantly lower for the new technique. Massive rotator cuff tear reconstruction using the biceps tendon as a graft, together with tenodesis, was feasible using the technique described here and was associated with good middle term clinical and functional outcomes, with a low re-rupture rate.

Biceps Detachment Preserves Joint Function in a Chronic Massive Rotator Cuff Tear Rat Model: Response

2019 ◽  
Vol 47 (5) ◽  
pp. NP34-NP35
Author(s):  
Mengcun Chen ◽  
Snehal S. Shetye ◽  
Julianne Huegel ◽  
Corinne N. Riggin ◽  
Daniel J. Gittings ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Rat Model ◽  
Joint Function ◽  
Massive Rotator Cuff Tear ◽  
Cuff Tear ◽  
Model Response

scholarly journals Midterm outcome after rotator cuff reconstruction

2012 ◽  
Vol 153 (17) ◽  
pp. 655-661 ◽  
Author(s):  
Eszter Kővári ◽  
Ádám Koteczki ◽  
Balázs Kovács ◽  
Péter Magyar ◽  
Imre Antal ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Ultrasound Examination ◽  
Constant Score ◽  
Functional Results ◽  
Full Thickness ◽  
Clinical Tests ◽  
Cuff Tear ◽  
Midterm Outcome ◽  
Acromiohumeral Distance

Rotator cuff tear is a common degenerative shoulder disorder that often requires surgical treatment. However, the correlation between the size of the tear and the functional results is somewhat controversial, which generates inconsistency among orthopaedic surgeons about the indications for and methods of rotator cuff reconstruction. Aims: The aim of the authors was to evaluate the midterm functional outcome after rotator cuff reconstruction and the possible connection between the results and the surgical technique or the postoperative ultrasound examination. In addition, recently published corresponding studies are also reviewed by the authors. Methods: Twenty-seven patients with full thickness rotator cuff tear were enrolled into the study who were treated either by arthroscopic (14 patients) or by open repair (13 patients) technique. Functional results were assessed using clinical tests. Ultrasound examination was also performed. Results: The average postoperative Constant Score was 73, the average DASH (Disabilities of the arm, shoulder and hand score) was 14. The Constant scores averaged 80 for the arthroscopic and 70 for the open group. Ultrasound examination showed partial or full thickness retear of the cuff in 40% of the cases. Conclusion: More than 70% of the patients had excellent or good results two years after the reconstruction. The change in the acromiohumeral distance or partial retear failed to affect the results significantly, but full thickness tear had an effect on them. Orv. Hetil., 2012, 153, 655–661.

scholarly journals The association between Interleukin-6 rs1800795/rs1800797 polymorphisms and risk of rotator cuff tear in a Chinese population

2020 ◽  
Vol 40 (4) ◽  
Author(s):  
Jin Li ◽  
Lifeng Jiang ◽  
Xindie Zhou ◽  
Lidong Wu ◽  
Dong Li ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Constant Score ◽  
Enzyme Linked Immunosorbent Assay ◽  
Mutant Genotype ◽  
Cuff Tear ◽  
Increased Risk ◽  
Polymerase Chain ◽  
Tear Size

Abstract Expression of proinflammatory cytokines, such as interleukin (IL)-6 (IL-6) and metalloproteases, are elevated in patients with rotator cuff tear (RCT). In order to investigate the role of IL-6 gene polymorphisms on RCT risk, we genotyped two SNPs on IL-6 gene (rs1800795 and rs1800797) in 138 RCT patients and 137 healthy controls using polymerase chain reaction (PCR) and Sanger sequencing. The IL-6 expression in shoulder joint synovial fluid was determined by using enzyme-linked immunosorbent assay (ELISA) method. The constant score and visual analog scale (VAS) were used to evaluate the clinical outcome of two s (surgicsal vs. conservative) for RCT patients. For rs1800795, individuals with the GG genotype or G allele had significantly higher risk of RCT. Elevated risk of tear size was associated with the GG genotype of the rs1800795 polymorphism. The IL-6 rs1800797 polymorphism was also associated with an increased risk of RCT, especially among female, drinkers, and individuals with B(MI) < 25 kg/m2. The elevated levels of IL-6 gene were observed among the mutant genotype of rs1800795/rs1800797 polymorphism. Surgical group is significantly better than conservative treatment from the perspective of constant score and VAS. Furthermore, CG genotype of rs1800795 polymorphism increased the constant score at 6 months in comparison with CC genotype. In conclusion, our study supports a role of IL-6 rs1800795/rs1800797 polymorphisms on increased RCT risk. The RCT patients with CG genotype of rs1800795 polymorphism have more obvious surgical treatment effects by influencing the IL-6 expression.

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