Tendon fixation in arthroscopic latissimus dorsi transfer for irreparable posterosuperior cuff tears: An in vitro biomechanical comparison of interference screw and suture anchors

Diop, Amadou Gallo; Maurel, Nathalie; Chang, Vivian K.; Kany, Jean; Duranthon, Louis-Denis; Grimberg, Jean

doi:10.1016/j.clinbiomech.2011.05.011

Cited by 30 publications

(31 citation statements)

References 36 publications

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“…We have conducted a multi-center study with a new arthroscopic assisted technique for LD tendon transfer with tendon tubularization and fixation in a bone tunnel of the humeral head [68, 69•]. This technique seemed to result in a better mechanical resistance to traction than other already published techniques [71]. Our results (datas submitted for publication) [ Extension of indication: LD transfer with reverse shoulder arthroplasty to restore active external rotation Some authors have extended indication of LD tendon transfer to patients operated on for cuff tear arthropathy with reverse total shoulder prosthesis and suffering from active external rotation deficit.…”

Section: Recent Advancesmentioning

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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Section: Recent Advancesmentioning

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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“…In addition several investigators noted better outcomes in younger patients [127]. Arthroscopically assisted techniques have been reported to obtain results comparable to the open transfers [103, 108]. Moreover a recent clinical study reported significant improvements regarding strength and functional outcome scores in patients treated with arthroscopically assisted LD tendon transfer in comparison to patients treated with arthroscopic partial repair [132].…”

Section: Discussionmentioning

confidence: 99%

“…Variable means of fixation have been used by several authors such as transosseous sutures [23, 47], classic anchors [45, 81, 100] and interference screw [101]. A common mode of repair failure has been discussed by several authors [102, 103] and involves splitting of the transferred tendon by sutures mainly due to its reduced thickness [104]. A recent biomechanical study supports this finding by reporting that the weakest element was the tendon itself and not the anchor – suture construct [103]; while they conclude that interference screw fixation presents higher or similar biomechanical properties to anchor fixation whereas tubularization of the tendon which is performed in conjunction, may address the reduced thickness variable [103].…”

Section: Surgical Techniquesmentioning

confidence: 99%

“…A common mode of repair failure has been discussed by several authors [102, 103] and involves splitting of the transferred tendon by sutures mainly due to its reduced thickness [104]. A recent biomechanical study supports this finding by reporting that the weakest element was the tendon itself and not the anchor – suture construct [103]; while they conclude that interference screw fixation presents higher or similar biomechanical properties to anchor fixation whereas tubularization of the tendon which is performed in conjunction, may address the reduced thickness variable [103]. Regarding this matter, other authors suggested harvesting the tendon with a small bone chip may help alleviate this issue [54].…”

Section: Surgical Techniquesmentioning

confidence: 99%

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Latissimus Dorsi Transfer in Posterior Irreparable Rotator Cuff Tears

Anastasopoulos¹,

Alexiadis²,

Spyridonos³

et al. 2017

TOORTHJ

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Background:Massive rotator cuff tears pose a difficult and complex challenge even for the experienced surgeon; inability to repair these tears by conventional means designates them as irreparable, while management becomes quite taxing. Several operative options have been suggested for the management of such lesions with varying degrees of success, while it is imperative to match patient demands and expectations to the predicted outcome.Methods:Research articles are examined and key concepts are discussed, in order to provide an evidence based review of the available literature. The anatomy and pathomechanics along with the indications, contraindications and surgical techniques are reported.Results:Transfer of the Latissimus dorsi has been used with success to restore shoulder function in deficits of the posterior rotator cuff. Although it can be used in a variety of settings, the ideal patient for a Latissimus dorsi tendon transfer is a young and active individual, with no glenohumeral osteoarthritis that has a severe disability and weakness related to an irreparable posterior cuff tear.Conclusion:Tendon transfers have proved to be a successful treatment option in salvaging this difficult problem, providing pain relief and restoring shoulder function. Despite the excellent functional outcomes and pain suppression following operation, a variety of factors may affect the outcome; thus making indications and preoperative assessment a valuable component.

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“…[73] This technique regarded to bring about a higher mechanical resistance to traction than other already published techniques. [74] The sole negative issue for postoperative consistent score turned into preoperative surgical treatment with postoperative consistent rating being significantly one of a kind between sufferers operated on in a number one manner (imply postoperative constant rating: 70) and patients operated on in a revision system (suggest postoperative steady rating: 60). Extension of indication: LD transfer with reverse shoulder arthroplasty to restore lively outside rotation.…”

Section: Technical Improvementmentioning

confidence: 99%

Untitled

2015

J Cont Med A Dent

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Tendon fixation in arthroscopic latissimus dorsi transfer for irreparable posterosuperior cuff tears: An in vitro biomechanical comparison of interference screw and suture anchors

Cited by 30 publications

References 36 publications

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

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

Latissimus Dorsi Transfer in Posterior Irreparable Rotator Cuff Tears

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