Rotator Cuff Reconstruction Using Fascia Lata Patch Autograft for the Nonrepairable Rotator Cuff Tear
A large to massive rotator cuff tear is a common issue that lacks reliable options to return a patient's range of motion and function when conservative treatment has failed. With up to 96% of massive rotator cuff repairs failing within the first 6 months of repair, surgeons have been searching...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-01-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628719302026 |
| _version_ | 1818409047904223232 |
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| author | Graeme Matthewson, M.D., M.Sc.(C) Catherine M. Coady, M.D., F.R.C.S.C. Ivan Ho-Bun Wong, M.D., F.R.C.S.C., M.Ac.M., Dip. Sports Med. |
| author_facet | Graeme Matthewson, M.D., M.Sc.(C) Catherine M. Coady, M.D., F.R.C.S.C. Ivan Ho-Bun Wong, M.D., F.R.C.S.C., M.Ac.M., Dip. Sports Med. |
| author_sort | Graeme Matthewson, M.D., M.Sc.(C) |
| collection | DOAJ |
| description | A large to massive rotator cuff tear is a common issue that lacks reliable options to return a patient's range of motion and function when conservative treatment has failed. With up to 96% of massive rotator cuff repairs failing within the first 6 months of repair, surgeons have been searching for a reliable treatment option for this difficult subset of patients. Surgical options for massive, retracted rotator cuff tears include re-establishing the counterforce coupling of the rotator cuff with techniques such as a partial repair or superior capsular reconstruction, preventing superior humeral migration as seen with balloon spacer implantation, and eliminating pain generators with techniques such as biceps tenotomy; however, these do not reconstitute dynamic cuff control. More recently, an acellular dermal allograft, as seen in superior capsular reconstruction, has been used to reconstruct the remaining rotator cuff. We describe a technique using a fascia lata autograft to reconstruct the rotator cuff in the setting of a massive cuff tear. This is of particular importance in centers that lack the funding or institutional approval to use acellular dermal allografts that have been popularized to date. |
| first_indexed | 2024-12-14T09:53:25Z |
| format | Article |
| id | doaj.art-82147406263b4f8ea5edcb32a018a45b |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-14T09:53:25Z |
| publishDate | 2020-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-82147406263b4f8ea5edcb32a018a45b2022-12-21T23:07:28ZengElsevierArthroscopy Techniques2212-62872020-01-0191e123e130Rotator Cuff Reconstruction Using Fascia Lata Patch Autograft for the Nonrepairable Rotator Cuff TearGraeme Matthewson, M.D., M.Sc.(C)0Catherine M. Coady, M.D., F.R.C.S.C.1Ivan Ho-Bun Wong, M.D., F.R.C.S.C., M.Ac.M., Dip. Sports Med.2Pan Am Clinic, University of Manitoba, Winnipeg, ManitobaDivision of Orthopaedic Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, CanadaDivision of Orthopaedic Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada; Address correspondence to Ivan Ho-Bun Wong, M.D., F.R.C.S.C., M.Ac.M., Dip. Sports Med., Division of Orthopaedic Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University, 5955 Veterans Memorial Lane, Room 2106 VMB, Halifax, Nova Scotia B3H 2E1, Canada.A large to massive rotator cuff tear is a common issue that lacks reliable options to return a patient's range of motion and function when conservative treatment has failed. With up to 96% of massive rotator cuff repairs failing within the first 6 months of repair, surgeons have been searching for a reliable treatment option for this difficult subset of patients. Surgical options for massive, retracted rotator cuff tears include re-establishing the counterforce coupling of the rotator cuff with techniques such as a partial repair or superior capsular reconstruction, preventing superior humeral migration as seen with balloon spacer implantation, and eliminating pain generators with techniques such as biceps tenotomy; however, these do not reconstitute dynamic cuff control. More recently, an acellular dermal allograft, as seen in superior capsular reconstruction, has been used to reconstruct the remaining rotator cuff. We describe a technique using a fascia lata autograft to reconstruct the rotator cuff in the setting of a massive cuff tear. This is of particular importance in centers that lack the funding or institutional approval to use acellular dermal allografts that have been popularized to date.http://www.sciencedirect.com/science/article/pii/S2212628719302026 |
| spellingShingle | Graeme Matthewson, M.D., M.Sc.(C) Catherine M. Coady, M.D., F.R.C.S.C. Ivan Ho-Bun Wong, M.D., F.R.C.S.C., M.Ac.M., Dip. Sports Med. Rotator Cuff Reconstruction Using Fascia Lata Patch Autograft for the Nonrepairable Rotator Cuff Tear Arthroscopy Techniques |
| title | Rotator Cuff Reconstruction Using Fascia Lata Patch Autograft for the Nonrepairable Rotator Cuff Tear |
| title_full | Rotator Cuff Reconstruction Using Fascia Lata Patch Autograft for the Nonrepairable Rotator Cuff Tear |
| title_fullStr | Rotator Cuff Reconstruction Using Fascia Lata Patch Autograft for the Nonrepairable Rotator Cuff Tear |
| title_full_unstemmed | Rotator Cuff Reconstruction Using Fascia Lata Patch Autograft for the Nonrepairable Rotator Cuff Tear |
| title_short | Rotator Cuff Reconstruction Using Fascia Lata Patch Autograft for the Nonrepairable Rotator Cuff Tear |
| title_sort | rotator cuff reconstruction using fascia lata patch autograft for the nonrepairable rotator cuff tear |
| url | http://www.sciencedirect.com/science/article/pii/S2212628719302026 |
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