Latissimus Dorsi Tendon Transfer for Irreparable Rotator Cuff Tears

Namdari, Surena; Voleti, Pramod B.; Baldwin, Keith; Glaser, David L.; Huffman, G. Russell

doi:10.2106/jbjs.k.00841

Cited by 168 publications

(133 citation statements)

References 16 publications

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“…This procedure had a low number of complications, reaching 9.5% according to Namdari et al [11,27]. However, it was detected that in more than 50% of the shoulders submitted to the transfer of the large dorsal one there was an increase of the superior migration [11].…”

Section: Tendon Transfermentioning

confidence: 97%

“…The transfer of large dorsal mass to the treatment of the massive bonnet rupture was initially proposed by Gerber et al (Figure 3) [2,48,49]. It is more used in posterior superior ruptures with consequent decompensated external rotation and abduction weakness [11,50]. Some authors argue that this technique is also a valid option for pseudoparalysis of external rotation [10].…”

Section: Tendon Transfermentioning

confidence: 99%

“…However, a return to normal range and force should not be expected. It is still not possible to say whether the concomitant transfer of the greater round influences the results [11].…”

Section: Tendon Transfermentioning

confidence: 99%

“…However, it was detected that in more than 50% of the shoulders submitted to the transfer of the large dorsal one there was an increase of the superior migration [11]. Gumina et al [40] described the detachment of the deltoid as one of the most common complications.…”

Section: Tendon Transfermentioning

confidence: 99%

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Rotary Hood Massive Break Solutions? Massive Rotator Cuff Tear Solutions?

Panzina¹,

Gutierres²

2017

MOJOR

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Aim: review the current literature on options of treatment for massive rotator cuff tear Sources of data:The information was researched on the Pubmed using the following keywords: "massive", "rotator", "cuff ", "tear", "treatment". The survey was restricted to articles in english or portuguese, with less than 5 years. After selection 55 articles were used. Summary of data:Massive Rotator Cuff Tear is an orthopaedic challenge with a technically hard repair and a recurrence rate distinctively higher than the smaller tears rate. Its treatment has a high failure rate, which is influenced by factors such as patient's age, fatty degeneration and muscular retraction. The treatment choice should be based on patient's age, functional demands and symptoms. Conclusion:There are several options for the treatment of rotator cuff tears. Conservative treatment achieved good results in many patients, leaving many of them assymptomatic and with satisfactory function. The arthroscopic débridement, subacromial decompression and bicips tenotomy have as main objective the symptomatic relief and may be indicated in elderly patients with low functional demands, whose major complaint is pain. Repair should be tried specially in young symptomatic high-demand patients. Both hemiarthroplasty as reverse arthroplasty may be indicated in massive rupture and cuff arthropathy, being reverse arthroplasty the most effective treatment, although the not negligible mid-term complication rate.

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Section: Tendon Transfermentioning

confidence: 97%

Section: Tendon Transfermentioning

confidence: 99%

“…However, a return to normal range and force should not be expected. It is still not possible to say whether the concomitant transfer of the greater round influences the results [11].…”

Section: Tendon Transfermentioning

confidence: 99%

Section: Tendon Transfermentioning

confidence: 99%

See 2 more Smart Citations

Rotary Hood Massive Break Solutions? Massive Rotator Cuff Tear Solutions?

Panzina¹,

Gutierres²

2017

MOJOR

View full text Add to dashboard Cite

show abstract

“…This involves transferring the insertion point of the tendon from the humerus onto the greater tuberosity (61). Systemic reviews by Longo et al and Namdari et al does suggest that latissimus dorsi transfer are an acceptable option in the setting of large, irreparable tears with overall improvements in outcome scores (62,63). A ten year follow-up study by Gerber et al while showing an overall benefit following latissimus dorsi tendon transfer, did suggest a guarded prognosis especially in patients with concomitant subscapularis tears, fatty infiltration of the teres minor muscle and large critical shoulder angles (64).…”

Section: Tendon Transfersmentioning

confidence: 99%

Large/Massive Tears, Fatty Infiltration, and Rotator Cuff Muscle Atrophy: A Review Article With Management Options Specific to These Types of Cuff Deficiencies

et al. 2016

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Context: There are many studies in the literature looking into factors affecting outcomes in rotator cuff surgery. The aetiology of rotator cuff deficiency is often multi-factorial and there are many facets towards successful management in this often debilitating condition. Evidence Acquisition: We performed a literature search of MEDLINE and Embase databases using the terms large rotator cuff tears, fatty infiltration rotator cuff, rotator cuff atrophy, rotator cuff augmentation, rotator cuff tendon transfers, allografts rotator cuff repair, xenograft rotator cuff repair and synthetic grafts rotator cuff repair. Results: In this article, we focus particularly on the aetiology, pathology and prognosis of large tears, fatty infiltration and muscle atrophy of the rotator cuff. An overview of the various treatment strategies and current/future concepts are also discussed in managing patients with these types of rotator cuff deficiencies. Conclusions: Large tears, fatty infiltration and muscle atrophy of the cuff are challenging. An in-depth understanding of these elements may prove vital for the practising orthopedician in determining the right course of management. Techniques in strengthening the repair construct using augmentation play an important role in the treatment of this condition.

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Application of Nondegradable Synthetic Materials for Tendon and Ligament Injury

Feng

et al. 2023

Macromolecular Bioscience

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Tendon and ligament injuries, prevalent requiring surgical intervention, significantly impact joint stability and function. Owing to excellent mechanical properties and biochemical stability, Nondegradable synthetic materials, including polyethylene terephthalate (PET) and polytetrafluoroethylene (PTFE), have demonstrated significant potential in the treatment of tendon and ligament injuries. These above materials offer substantial mechanical support, joint mobility, and tissue healing promotion of the shoulder, knee, and ankle joint. This review conclude the latest development and application of nondegradable materials such as artificial patches and ligaments in tendon and ligament injuries including rotator cuff tears (RCTs), anterior cruciate ligament (ACL) injuries, and Achilles tendon ruptures.

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Latissimus Dorsi Tendon Transfer for Irreparable Rotator Cuff Tears

Cited by 168 publications

References 16 publications

Rotary Hood Massive Break Solutions? Massive Rotator Cuff Tear Solutions?

Rotary Hood Massive Break Solutions? Massive Rotator Cuff Tear Solutions?

Large/Massive Tears, Fatty Infiltration, and Rotator Cuff Muscle Atrophy: A Review Article With Management Options Specific to These Types of Cuff Deficiencies

Application of Nondegradable Synthetic Materials for Tendon and Ligament Injury

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