Latissimus dorsi transfer for irreparable rotator cuff tears: A longitudinal study

Irlenbusch, Ulrich; Bracht, Meike; Gansen, Heike-Kathrin; Lorenz, U.; Thiel, Jens

doi:10.1016/j.jse.2007.11.022

Cited by 87 publications

(89 citation statements)

References 40 publications

(57 reference statements)

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“…Furthermore, progression of osteoarthritis and decrease of acromiohumeral distance were reported for the latissimus dorsi transfer [10,12,16].…”

Section: Discussionmentioning

confidence: 96%

“…The mean active flexion increased from 119°to 170°, mean abduction from 118°to 169°, and mean external rotation from 19°to 33°. Irlenbusch et al [16] reported continuous improvement in the Constant and Murley score during a 50-month period from 33 points initially to 71 points in patients undergoing primary reconstruction. Range of motion increased with active flexion from 81°to 166°.…”

Section: Discussionmentioning

confidence: 99%

“…For treatment of posterosuperior rotator cuff tears, Gerber et al [8,11] and others [1,12,16,23] have described transfer of the latissimus dorsi tendon sutured to the insertion site of the supraspinatus tendon using a twoincision technique.…”

Section: Discussionmentioning

confidence: 99%

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Modified L'Episcopo Tendon Transfers for Irreparable Rotator Cuff Tears: 5-year Followup

Gerhardt

Lehmann

Lichtenberg³

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Patients with posterosuperior cuff tears lose functional external rotation of the shoulder. Latissimus dorsi and teres major transfer is performed to restore external rotation. Twenty patients with a mean age was 55.8 ± 6 years underwent this procedure and were examined at averages of 24.7 (n = 17) and 70.6 (n = 13) months. Two patients did not improve presumably because of failure of the transfer. The Constant and Murley score increased from 55.6 to 90.4 after 2 years and to 87.9 after 5 years. The mean active flexion increased from 119.4°to 169.3°and reached 170°after 5 years, and mean external rotation increased from 12°to 35°, finally reaching 23°.

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“…Furthermore, progression of osteoarthritis and decrease of acromiohumeral distance were reported for the latissimus dorsi transfer [10,12,16].…”

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Modified L'Episcopo Tendon Transfers for Irreparable Rotator Cuff Tears: 5-year Followup

Gerhardt

Lehmann

Lichtenberg³

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…Aoki [57] found lower results for revision patients but they included in their primary cases patients who had been already operated on with an isolated acromioplasty which is a serious bias to compare revision and primary patients although one might think that those patients being included in revision cases, primary cases might have obtained even more better results.…”

Section: Revision and Primary Patientsmentioning

confidence: 99%

Latissimus dorsi tendon transfer for irreparable postero-superior cuff tears: current concepts, indications, and recent advances

Grimberg

Kany

2014

Curr Rev Musculoskelet Med

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Latissimus dorsi tendon transfer is a method for surgical treatment of massive irreparable posterosuperior cuff tears. It partially restores active anteflexion, external rotation, and function of the shoulder but does not significantly increase strength of the shoulder. It is contraindicated in case of pseudoparalytic shoulder; associated irreparable subscapularis tear, deltoid palsy, and in case of associated osteoarthritis, as an isolated procedure. Results are inferior when performed as a secondary procedure compared with a primary procedure. However, latissimus dorsi tendon transfer is an attractive solution to improve shoulder mobility and function of young and non osteoarthritic patients whose previous surgical treatment of massive postero-superior irreparable rotator cuff tear failed. As a primary procedure, latissimus dorsi tendon transfer competes with debridement, biceps tenotomy, and partial cuff repair. In association with reverse shoulder arthroplasty, it restores active external rotation in osteoarthritic patients with active external rotation deficit. New arthroscopic assisted techniques might improve results in the future.

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“…[56] Sooner or later, some authors observed lower outcomes for revision sufferers but they protected of their number one instances patients who were already operated on with an remoted acromioplasty which is an extreme bias to compare revision and primary sufferers even though one may think that the ones sufferers being included in revision cases, primary instances may have obtained even better effects. [57] As a conclusion a majority of authors discovered less favorable consequences for revision patients except detachment and/or atrophy of the anterior deltoid regarded to be a primary danger issue for postoperative decrease results while less competitive preoperative surgical treatment as arthroscopic debridement, acromioplasty or lengthy head of the biceps tenotomy is probably greater favorable. Age, gender very few authors analyzed the effect of age and gender on results of LD tendon transfer.…”

Section: Current Conceptsmentioning

confidence: 95%

Untitled

2015

J Cont Med A Dent

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Latissimus dorsi transfer for irreparable rotator cuff tears: A longitudinal study

Cited by 87 publications

References 40 publications

Modified L'Episcopo Tendon Transfers for Irreparable Rotator Cuff Tears: 5-year Followup

Modified L'Episcopo Tendon Transfers for Irreparable Rotator Cuff Tears: 5-year Followup

Latissimus dorsi tendon transfer for irreparable postero-superior cuff tears: current concepts, indications, and recent advances

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