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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 9/2007

01-09-2007 | Shoulder

Deltoid flap combined with fascia lata autograft for rotator cuff defects: a histologic study

Authors: Timothy R. McAdams, Karl R. Knudsen, Naveen Yalamanchi, James Chang, Stuart B. Goodman

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 9/2007

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Abstract

The purpose of this study was to compare the histological characteristics of an autogenous fascia lata graft alone and a fascia lata graft combined with a deltoid flap in the reconstruction of rotator cuff tears. Ten New Zealand white rabbits were divided into two groups. Infraspinatus tendon defects (1 × 1 cm) were created in each animal. Reconstruction consisted of either a fascia lata graft alone or a fascia lata graft combined with a distally based deltoid flap. At 3 months, tissue harvest and histological analysis was performed. Compared to the fascia lata graft alone, there was significantly increased remodeling activity and neovascularization in the group that included a deltoid flap. Also, there was pronounced interdigitation at the graft/flap interface in the latter group. A mutually beneficial relationship may exist when an autogenous fascial graft is combined with a functional deltoid flap for reconstructing large rotator cuff defects.
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Metadata
Title
Deltoid flap combined with fascia lata autograft for rotator cuff defects: a histologic study
Authors
Timothy R. McAdams
Karl R. Knudsen
Naveen Yalamanchi
James Chang
Stuart B. Goodman
Publication date
01-09-2007
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 9/2007
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-006-0281-9

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