Technique for Double Row Superior Capsule Reconstruction with Dermal Allograft

Abstract

Superior capsular reconstruction (SCR) is increasingly being used as a procedure for addressing irreparable rotator cuff tears. The procedure was initially described for failed rotator cuff repairs where the retears are severely retracted and when grade 3-4 fatty infiltration and atrophy exist. The SCR procedure can also be considered for irreparable rotator cuff tears in patients that are either too young or too high demand to be appropriate candidates for arthroplasty. Early short and medium term follow up studies support SCR with favorable outcomes compared with other salvage procedures.

Modified Technique for Arthroscopic Bursal Acromial Reconstruction Utilizing Acellular Dermal Allograft

“… 4 , 5 Techniques for SCR have continued to evolve since being introduced and have further developed to use dermal allografts, which significantly reduces donor site morbidity. 6 , 7 , 8 However, SCR is not ideal for all patients. This procedure requires either intact or at least repairable infraspinatus and subscapularis tendons, involves an extensive recovery, and is not immune to failures due to the fastening of multiple anchors required for fixation.…”