Treatment of irreparable rotator cuff tears with superior capsular reconstruction
Abstract The treatment of irreparable rotator cuff tears with severe muscle atrophy and fatty infiltration remains a challenge, especially in young patients. Many surgical procedures for these tears have been reported. No one surgical treatment has proven to be an optimal solution. Recently, reconst...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Journal of Experimental Orthopaedics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40634-021-00342-1 |
| _version_ | 1797321242546536448 |
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| author | Nobuyuki Yamamoto Eiji Itoi |
| author_facet | Nobuyuki Yamamoto Eiji Itoi |
| author_sort | Nobuyuki Yamamoto |
| collection | DOAJ |
| description | Abstract The treatment of irreparable rotator cuff tears with severe muscle atrophy and fatty infiltration remains a challenge, especially in young patients. Many surgical procedures for these tears have been reported. No one surgical treatment has proven to be an optimal solution. Recently, reconstruction of the superior capsule with an allograft or autograft has gained popularity. In this manuscript, we reviewed the biomechanical and clinical reports that have assessed superior capsular reconstruction and clarified the issues about the surgical techniques and indication which have been discussed recently. Reconstruction of the superior capsule has shown promising early results with good clinical outcomes. Biomechanical studies have suggested various mechanisms of this procedure. Although good clinical results and biomechanical data are available, more research is necessary to further define the surgical indications and improve the surgical outcomes of this procedure. Level of evidence Level V. |
| first_indexed | 2024-03-08T04:55:44Z |
| format | Article |
| id | doaj.art-ae710f1c184549af9a83626a6cbcb01f |
| institution | Directory Open Access Journal |
| issn | 2197-1153 |
| language | English |
| last_indexed | 2024-03-08T04:55:44Z |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj.art-ae710f1c184549af9a83626a6cbcb01f2024-02-07T15:16:41ZengWileyJournal of Experimental Orthopaedics2197-11532021-01-0181n/an/a10.1186/s40634-021-00342-1Treatment of irreparable rotator cuff tears with superior capsular reconstructionNobuyuki Yamamoto0Eiji Itoi1Department of Orthopaedic SurgeryTohoku University School of Medicine1‐1, Seiryo‐machi, Aoba‐ku980‐8574SendaiJapanDepartment of Orthopaedic SurgeryTohoku University School of Medicine1‐1, Seiryo‐machi, Aoba‐ku980‐8574SendaiJapanAbstract The treatment of irreparable rotator cuff tears with severe muscle atrophy and fatty infiltration remains a challenge, especially in young patients. Many surgical procedures for these tears have been reported. No one surgical treatment has proven to be an optimal solution. Recently, reconstruction of the superior capsule with an allograft or autograft has gained popularity. In this manuscript, we reviewed the biomechanical and clinical reports that have assessed superior capsular reconstruction and clarified the issues about the surgical techniques and indication which have been discussed recently. Reconstruction of the superior capsule has shown promising early results with good clinical outcomes. Biomechanical studies have suggested various mechanisms of this procedure. Although good clinical results and biomechanical data are available, more research is necessary to further define the surgical indications and improve the surgical outcomes of this procedure. Level of evidence Level V.https://doi.org/10.1186/s40634-021-00342-1Superior capsular reconstructionFacia lataAutograftAllograft |
| spellingShingle | Nobuyuki Yamamoto Eiji Itoi Treatment of irreparable rotator cuff tears with superior capsular reconstruction Journal of Experimental Orthopaedics Superior capsular reconstruction Facia lata Autograft Allograft |
| title | Treatment of irreparable rotator cuff tears with superior capsular reconstruction |
| title_full | Treatment of irreparable rotator cuff tears with superior capsular reconstruction |
| title_fullStr | Treatment of irreparable rotator cuff tears with superior capsular reconstruction |
| title_full_unstemmed | Treatment of irreparable rotator cuff tears with superior capsular reconstruction |
| title_short | Treatment of irreparable rotator cuff tears with superior capsular reconstruction |
| title_sort | treatment of irreparable rotator cuff tears with superior capsular reconstruction |
| topic | Superior capsular reconstruction Facia lata Autograft Allograft |
| url | https://doi.org/10.1186/s40634-021-00342-1 |
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