Radiologic and clinical outcomes of an arthroscopic bridging graft for irreparable rotator cuff tears with a modified Mason-Allen stitch using a plantaris tendon autograft: a case series with minimum 2-year outcomes
Background Surgical management of a massive rotator cuff tear (RCT) is always challenging. This study describes the clinical and radiological outcomes of patients who underwent bridging grafts using a plantaris tendon for an irreparable RCT. Methods Thirteen patients with a massive RCT were treated...
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| Format: | Article |
| Language: | English |
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Korean Shoulder and Elbow Society
2023-12-01
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| Series: | Clinics in Shoulder and Elbow |
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| Online Access: | http://www.cisejournal.org/upload/pdf/cise-2022-01445.pdf |
| _version_ | 1827349932135153664 |
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| author | Hyun-Gyu Seok Sam-Guk Park |
| author_facet | Hyun-Gyu Seok Sam-Guk Park |
| author_sort | Hyun-Gyu Seok |
| collection | DOAJ |
| description | Background Surgical management of a massive rotator cuff tear (RCT) is always challenging. This study describes the clinical and radiological outcomes of patients who underwent bridging grafts using a plantaris tendon for an irreparable RCT. Methods Thirteen patients with a massive RCT were treated with arthroscopic interposition of a folded plantaris tendon autograft between June 2017 and January 2020. For clinical evaluation, a visual analog scale (VAS), American Shoulder and Elbow Surgeons (ASES) score, Disabilities of the Arm, Shoulder, and Hand (DASH) score, Constant-Murley score, and range of motion values were collected. For radiographic evaluation, standardized magnetic resonance imaging and ultrasonography were performed to check the integrity of the interposed tendon. Results A statistically significant improvement at the final follow-up was evident in scores for the VAS (−3.0, P=0.003), ASES (24.9, P=0.002), DASH (−20.6, P=0.001), and Constant-Murley values (14.2, P=0.010). In addition, significant improvement was shown in postoperative flexion (17.3°, P=0.026) and external rotation (27.7°, P<0.001). In postoperative radiologic evaluations, the interposed tendons were intact at the last examination in 12 of the 13 patients. No complications related to donor sites were reported. Conclusions An arthroscopic bridging graft for irreparable RCTs using a modified Mason-Allen stitch and a plantaris autograft resulted in improved short-term radiological and clinical outcomes. Graft integrity was maintained for up to 2 years in most patients. Level of evidenceIV. |
| first_indexed | 2024-03-08T00:51:27Z |
| format | Article |
| id | doaj.art-e77938f8651643b48aa3a89b5fbada4a |
| institution | Directory Open Access Journal |
| issn | 2288-8721 |
| language | English |
| last_indexed | 2024-03-08T00:51:27Z |
| publishDate | 2023-12-01 |
| publisher | Korean Shoulder and Elbow Society |
| record_format | Article |
| series | Clinics in Shoulder and Elbow |
| spelling | doaj.art-e77938f8651643b48aa3a89b5fbada4a2024-02-15T04:40:54ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212023-12-0126440641510.5397/cise.2022.01445922Radiologic and clinical outcomes of an arthroscopic bridging graft for irreparable rotator cuff tears with a modified Mason-Allen stitch using a plantaris tendon autograft: a case series with minimum 2-year outcomesHyun-Gyu Seok0Sam-Guk Park Department of Orthopedic Surgery, Yeungnam University Medical Center, Daegu, KoreaBackground Surgical management of a massive rotator cuff tear (RCT) is always challenging. This study describes the clinical and radiological outcomes of patients who underwent bridging grafts using a plantaris tendon for an irreparable RCT. Methods Thirteen patients with a massive RCT were treated with arthroscopic interposition of a folded plantaris tendon autograft between June 2017 and January 2020. For clinical evaluation, a visual analog scale (VAS), American Shoulder and Elbow Surgeons (ASES) score, Disabilities of the Arm, Shoulder, and Hand (DASH) score, Constant-Murley score, and range of motion values were collected. For radiographic evaluation, standardized magnetic resonance imaging and ultrasonography were performed to check the integrity of the interposed tendon. Results A statistically significant improvement at the final follow-up was evident in scores for the VAS (−3.0, P=0.003), ASES (24.9, P=0.002), DASH (−20.6, P=0.001), and Constant-Murley values (14.2, P=0.010). In addition, significant improvement was shown in postoperative flexion (17.3°, P=0.026) and external rotation (27.7°, P<0.001). In postoperative radiologic evaluations, the interposed tendons were intact at the last examination in 12 of the 13 patients. No complications related to donor sites were reported. Conclusions An arthroscopic bridging graft for irreparable RCTs using a modified Mason-Allen stitch and a plantaris autograft resulted in improved short-term radiological and clinical outcomes. Graft integrity was maintained for up to 2 years in most patients. Level of evidenceIV.http://www.cisejournal.org/upload/pdf/cise-2022-01445.pdfautograftplantaris musclerotator cuff tear |
| spellingShingle | Hyun-Gyu Seok Sam-Guk Park Radiologic and clinical outcomes of an arthroscopic bridging graft for irreparable rotator cuff tears with a modified Mason-Allen stitch using a plantaris tendon autograft: a case series with minimum 2-year outcomes Clinics in Shoulder and Elbow autograft plantaris muscle rotator cuff tear |
| title | Radiologic and clinical outcomes of an arthroscopic bridging graft for irreparable rotator cuff tears with a modified Mason-Allen stitch using a plantaris tendon autograft: a case series with minimum 2-year outcomes |
| title_full | Radiologic and clinical outcomes of an arthroscopic bridging graft for irreparable rotator cuff tears with a modified Mason-Allen stitch using a plantaris tendon autograft: a case series with minimum 2-year outcomes |
| title_fullStr | Radiologic and clinical outcomes of an arthroscopic bridging graft for irreparable rotator cuff tears with a modified Mason-Allen stitch using a plantaris tendon autograft: a case series with minimum 2-year outcomes |
| title_full_unstemmed | Radiologic and clinical outcomes of an arthroscopic bridging graft for irreparable rotator cuff tears with a modified Mason-Allen stitch using a plantaris tendon autograft: a case series with minimum 2-year outcomes |
| title_short | Radiologic and clinical outcomes of an arthroscopic bridging graft for irreparable rotator cuff tears with a modified Mason-Allen stitch using a plantaris tendon autograft: a case series with minimum 2-year outcomes |
| title_sort | radiologic and clinical outcomes of an arthroscopic bridging graft for irreparable rotator cuff tears with a modified mason allen stitch using a plantaris tendon autograft a case series with minimum 2 year outcomes |
| topic | autograft plantaris muscle rotator cuff tear |
| url | http://www.cisejournal.org/upload/pdf/cise-2022-01445.pdf |
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