Supraspinatus Tendon Reconstruction Using Fascia Lata Autograft for Irreparable Posterosuperior Massive Rotator Cuff Tears

Clinical effectiveness of supraspinatus tendon reconstruction using autogenous fascia latas for irreparable posterosuperior massive rotator cuff tears: study protocol for a randomized, controlled clinical trial

“…SCR restored the stability of the glenohumeral joint superiorly at extremes of range of motion [ 6 , 7 ]. STR and bridging techniques restore dynamic stability by restoring the anatomy and dynamics of the SSP [ 5 ]. The difference between STR and bridging techniques was the healing of the interface.…”

“…Panzert, J reported that the surgical procedure of STR using open infraspinatus tendon shift and autologous biceps tendon interposition grafts resulted in the successful reconstruction of otherwise nonreconstructable MRCT in 2022 [ 10 ]; however, in fact, it was a tendon transfer, not a real STR. Ma and Zhou first reported an anatomical STR using an autogenous fascia latas for irreparable posterosuperior MRCT [ 5 ]. STR could transfer the strength of the SSP muscle to the rotator cuff insertion of the greater tubercle of the humerus.…”

“…However, this technique should be used carefully because of the high retear rate associated with the patch graft-tendon interface, the poor mechanical properties of allogenic grafts and the possibility of inflammation [ 4 ]. The STR technique using the autogenous fascia latas (FL) was recently introduced to treat IPMRCT [ 5 ]. The technique achieved a stable anatomic and dynamic reconstruction of the SSP tendon with fascia-muscle fusion.…”

Arthroscopic Superior Capsular Reconstruction Using Hybrid Autologous Fascia Lata and the Long Head of Biceps Tendon Graft: the Central Beam Concept

“…Despite encouraging results after superior capsular reconstruction with autologous fascia lata graft, debate still exists regarding graft options and fixation techniques. 4 , 5 , 6 , 7 The core principle of superior capsular reconstruction is to restore the force couples and prevent proximal migration of the center of rotation of the humerus head by recreating the superior capsule. 8 Superior capsular reconstruction using the long head of the biceps tendon was described since the long head of the biceps acts as a sling and prevents proximal migration and helps in depressing the proximal humerus head through various range of motion.…”