Clinical and functional outcomes of reverse total shoulder arthroplasty supplemented with latissimus dorsi transfer: a systematic review and meta-analysis

Checketts, Jake X.; Steele, Robert; Patel, Ashini; Stephens, B. Joshua; Buhrke, Kate; Reddy, Arjun K; Stallings, Landon; Triplet, Jacob J.; Chalkin, Brian

doi:10.1016/j.xrrt.2022.08.007

Cited by 1 publication

(2 citation statements)

References 27 publications

(86 reference statements)

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“…Others are more critical, showing no significant improvement in external rotation or patient-reported outcome measures [24]. A recent systematic review concluded that RSP combined with latissimus dorsi tendon transfer can improve function and external rotation in patients with cuff tear arthropathy and teres minor dysfunction with an 11.74% revision rate of the implant [6]. In addition, the use of medialized versus lateralized implants and whether the teres major is concomitantly transferred may not influence clinical outcomes [16].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the use of medialized versus lateralized implants and whether the teres major is concomitantly transferred may not influence clinical outcomes [16]. Others have highlighted the reoperation and complication rate, which appears to be sizable, and therefore, surgeons should consider this when considering this modality for their patients [6].…”

Section: Discussionmentioning

confidence: 99%

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Up to date diagnosis and treatment of massive irreparable cuff tears: Results of the survey of the U45 ESSKA Committee

Cerciello,

Ollivier,

Giordano

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeIrreparable rotator cuff tears are disabling and can severely affect daily life activities, especially when young and active patients are involved. The definition is still debated, and they can have several clinical presentations. The treatment depends on the clinical presentation and the patient's age.MethodsThe survey was developed by the ESSKA U45 Committee and was uploaded on the ESSKA website. Fifty‐seven questionnaires were returned. Several aspects of the diagnosis and treatment of massive irreparable cuff tears were investigated. Moreover, treatment options for specific clinical scenarios were given for posterior‐superior and anterior‐superior cuff tears in young and old patients.ResultsFatty degeneration of the muscles was the most common criterion to define an irreparable tear (59.7%). In young patients with external rotation with the arm at side lag, partial repair of the cuff was the most common option (41.8%); in case of external rotation with the arm at side + external rotation at 90° of abduction lag without pseudoparalysis, the most common option was partial repair of the cuff + latissimus dorsi or lower trapezius transfer (39.3%), and in case of external rotation with the arm at side + external rotation at 90° of abduction lag with pseudoparalysis, partial repair of the cuff + latissimus dorsi or lower trapezius transfer was still the most common option (25.5%). The same scenarios in old patients yielded the following results: reverse prosthesis (49.1%), reverse prosthesis (44.6%) and reverse prosthesis ± latissimus dorsi or lower trapezius transfer (44.6%), respectively.ConclusionsThe present survey clearly confirms that biological options (partial cuff repairs and tendon transfers) are the reference in the case of young patients with deficient cuffs (both posterior and anterior). Reverse shoulder prosthesis is the most common treatment option in old patients in all clinical scenarios.Level of EvidenceLevel IV.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%