Latissimus Dorsi Tendon Transfer vs. Superior Capsular Reconstruction for Treatment of Irreparable Rotator Cuff Tears: A Retrospective Comparison Study With Short-term Clinical Results

Delaney, Ruth A.; Kadow, Tiffany R.; García, Daniel Essig; Minorini, Rebecca; Baratz, Mark E.; Lin, Albert

doi:10.1016/j.jses.2019.10.064

Cited by 2 publications

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“…They are characterized by the retraction of the torn supraspinatus tendon to an extent where it can no longer reach its native footprint on the greater tuberosity of the humerus. There are a number of approaches to the operative management of such tears, including arthroscopic debridement, interposition with synthetic [ 1 , 2 , 3 , 4 , 5 ] or biological [ 6 , 7 , 8 ] grafts, tendon transfers [ 9 , 10 , 11 ], and reverse total shoulder arthroplasty [ 12 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Reliability of a Novel Preoperative Protocol for Determining Graft Sizes for Superior Capsular Reconstruction Using Plain Film Radiography

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Rosenthal

Law

et al. 2023

JCM

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Background: Superior capsular reconstruction (SCR) for massive, irreparable rotator cuff tears involves anchoring a graft between the superior glenoid and the greater tuberosity of the humerus. Optimizing the graft size is important. We aimed (1) to evaluate the reliability of plain film radiography in determining graft size for SCR and (2) to create a database to help predict future graft sizes. Methods: An inter- and intra-rater reliability trial was conducted on 10 and 6 subjects with healthy shoulders, respectively, using plain film radiography to measure the distance between the superior glenoid and the supraspinatus footprint. The subjects were positioned upright with an abduction pillow modified to hold the shoulder at 30° abduction and 45° external rotation, afterwhich a true antero-posterior shoulder radiograph was captured. Thirty subjects were recruited for the database and grouped using the aforementioned protocol. Results: The inter-rater and intra-rater trial agreement was excellent, with intraclass correlation coefficients of 0.94 (95% CI) and 0.76 (95% CI), respectively. Three medio-lateral patch sizes, of 33 mm, 38 mm, and 47 mm, were proposed based on the protocol in 30 subjects. Conclusions: Plain film radiography demonstrated excellent reliability in measuring the distance between the superior glenoid and the supraspinatus footprint. Three ordinal patch sizes are proposed.

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Section: Introductionmentioning

confidence: 99%

Reliability of a Novel Preoperative Protocol for Determining Graft Sizes for Superior Capsular Reconstruction Using Plain Film Radiography

Ting

Rosenthal

Law

et al. 2023

JCM

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“…Massive, irreparable rotator cuff tears are difficult injuries to treat, and there are various approaches to their management. These have included debridement, tendon transfers [8,11,16,29], interposition grafts [2,4,5,13–15,22,24,31,32,34,41–43,45,47,48], shoulder arthroplasty [17,23,30,35,40,49], and superior capsule reconstruction (SCR). Mihata et al [28] pioneered SCR in 2012, using autologous fascia lata graft anchored to the glenoid medially and to greater tuberosity laterally in a biomechanical study of 8 human cadaveric shoulders.…”

mentioning

confidence: 99%

Biomechanical Comparison of Synthetic Polytetrafluoroethylene (PTFE) vs Human Dermal Allograft (HDA), 2 vs 3 Glenoid Anchors, and Suture vs Minitape in Superior Capsule Reconstruction

Ting

Guo

Rosenthal

et al. 2022

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Background: Superior capsule reconstruction (SCR) is an option for the treatment of massive, irreparable rotator cuff tears. However, which materials yield the strongest constructs remains undetermined. Purposes: We sought to investigate whether SCR with polytetrafluoroethylene (PTFE) or human dermal allograft (HDA), 2 or 3 glenoid anchors, and suture or minitape resulted in better failure load properties at the patch-glenoid interface. Methods: We conducted a biomechanical study in 30 glenoid-sided SCR repairs in Sawbones models divided into 5 groups. Each was pulled to failure to assess mode of failure, peak load (N), stiffness (N/mm), yield load (N), peak energy (N m), and ultimate energy (N m). The 5 groups were as follows: group 1—PTFE, 2 anchors, and suture; group 2—PTFE, 2 anchors, and minitape; group 3—HDA, 2 anchors, and suture; group 4—HDA, 2 anchors, and minitape; group 5—PTFE, 3 anchors, and minitape. Results: Repairs failed by button-holing of suture/minitape. Group 5 had greater peak load, stiffness, yield load, and peak energy (384 ± 62 N; 24 ± 3 N/mm; 343 ± 42 N; 4 ± 2 N m) than group 3 (226 ± 67 N; 16 ± 4 N/mm; 194 ± 74 N; 2 ± 1 N m) or group 4 (274 ± 62 N; 17 ± 4 N/mm; 244 ± 50 N; 2 ± 1 N m) and greater ultimate energy (8 ± 3 N m) than all other groups. Conclusions: This biomechanical study of SCR repairs in Sawbones models found that yield load was greater in PTFE than HDA, 3 anchors were better than 2, and minitape was no better than suture.

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Latissimus Dorsi Tendon Transfer vs. Superior Capsular Reconstruction for Treatment of Irreparable Rotator Cuff Tears: A Retrospective Comparison Study With Short-term Clinical Results

Cited by 2 publications

References 0 publications

Reliability of a Novel Preoperative Protocol for Determining Graft Sizes for Superior Capsular Reconstruction Using Plain Film Radiography

Reliability of a Novel Preoperative Protocol for Determining Graft Sizes for Superior Capsular Reconstruction Using Plain Film Radiography

Biomechanical Comparison of Synthetic Polytetrafluoroethylene (PTFE) vs Human Dermal Allograft (HDA), 2 vs 3 Glenoid Anchors, and Suture vs Minitape in Superior Capsule Reconstruction

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