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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

28-01-2023 | Painful Arc | SHOULDER

Superior capsular reconstruction using hybrid graft for irreparable massive rotator cuff tear

Authors: Jong Pil Yoon, Dong-Hyun Kim, Jee wook Yoon, Youngsoo Jung, Kyeong Hyeon Park, Jihwan Lee, Seok Won Chung

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2023

Abstract

Purpose

To evaluate the clinical and radiological outcomes of arthroscopic superior capsular reconstruction (SCR) using hybrid grafts composed of tensor fascia lata autografts and human dermal allografts.

Methods

This study included 30 patients with chronic irreparable posterosuperior rotator cuff tears (RCTs) who underwent arthroscopic SCR using a hybrid graft composed of tensor fascia lata autograft and human dermal allograft. Clinical outcomes were evaluated using the pain visual analogue scale score, shoulder range of motion, American Shoulder and Elbow Surgeons score, constant score, University of California–Los Angeles score, and simple shoulder test score preoperatively and at least 2 years after surgery. Radiographic analysis included the Hamada classification grade, acromiohumeral distance (AHD), and graft integrity at 2 years after surgery.

Results

All patients exhibited significant clinical improvement in all functional outcome measurements, except external rotation (all P < 0.05). The number of patients who exhibited pseudoparalysis decreased from 7 (23.3%) to 2 (6.7%) postoperatively. Complications were not observed. Radiologically, the mean postoperative AHD increased significantly from 6.9 ± 1.6 cm to 8.8 ± 2.1 cm at 2 years postoperatively (P < 0.001). Twenty five out of the 30 (83.3%) patients showed successful graft healing, and all healing failures occurred on the humeral side. The differences between the healed-graft and failed-graft groups were significantly lower graft thickness (P = 0.001) and smaller AHD (P < 0.001) in the failed-graft group. Every functional outcome scores were not statistically different between healed-graft and failed-graft groups.

Conclusions

An arthroscopic SCR technique using a hybrid graft consisting of a tensor fascia lata autograft and human dermal allograft showed satisfactory clinical outcomes in patients with irreparable RCTs.

Level of evidence

IV.

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Title: Superior capsular reconstruction using hybrid graft for irreparable massive rotator cuff tear
Authors: Jong Pil Yoon
Dong-Hyun Kim
Jee wook Yoon
Youngsoo Jung
Kyeong Hyeon Park
Jihwan Lee
Seok Won Chung
Publication date: 28-01-2023
Publisher: Springer Berlin Heidelberg
Keyword: Painful Arc
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2023
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-023-07321-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Superior capsular reconstruction using hybrid graft for irreparable massive rotator cuff tear

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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