Secondary latissimus dorsi transfer after failed reverse total shoulder arthroplasty

Reverse shoulder arthroplasty for deltoid-deficient shoulder following latissimus dorsi flap transfer. Case report

“…To our knowledge, no suitable surgical options are available for younger patients [11] with pain and loss of function after the extensive soft tissue injury to the shoulder with chronic glenohumeral arthritis, severe rotator cuff deficiency and partial deltoid muscle functioning. On the other hand, the advances in successful muscle flap and tendon transfer surgeries have made it possible to compensate for a great proportion of muscle loss [12] due to injuries, and in the presence of sufficient glenoid anatomy and bone stock and proper physiotherapy and rehabilitation. The absence of a native deltoid as a contraindication for the reverse shoulder arthroplasty could be rendered rather questionable.…”

Improved external rotation with concomitant reverse total shoulder arthroplasty and latissimus dorsi tendon transfer: A systematic review

“…Additional outcomes evaluated included complications and reoperations. Exclusion criteria were applied to the following conditions: (1) patients with revision RSA or delayed LDT after prior RSA, 27,28 (2) description of surgical technique without extensive discussion of results, 26,29 (3) biomechanical studies without clinical outcomes, 30,31 (4) case reports, 32 and (5) any of the earlier studies published with a repeated patient cohort. 13,17,18 Full manuscripts of remaining individual studies were then thoroughly reviewed by the authors.…”

Understanding shoulder pseudoparalysis. Part II: Treatment

“…It is also possible to do a staged tendon transfer after RSA, if it is not performing well. Puskas et al ( 51 ) published their findings of staged LD transfer in ten patients who were dissatisfied following primary RSA due to poor range of motion. The study focused predominantly on the improvement of AER but did also record outcomes for AFE and abduction.…”