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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 4/2006

01-04-2006 | Knee

Reconstruction of massive rotator cuff lesions with a synthetic interposition graft: a prospective study of 41 patients

Authors: E. Audenaert, J. Van Nuffel, A. Schepens, M. Verhelst, R. Verdonk

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 4/2006

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Abstract

In the present prospective study, we report about our experience with massive rotator cuff tears treated by means of a nonresorbable transosseously fixated patch combined with subacromial decompression. Forty-one patients were followed clinically and radiographically for a mean duration of 43 months. Their mean preoperative Constant and Murley score improved (P<0.001) from 25.7 preoperatively to 72.1 postoperatively. Substantial pain relief and improvement in the performance of activities of daily living were obtained. Anatomically, the repair resulted in a mean acromiohumeral interval of 8.6 mm. At the latest follow-up, three patients presented with a new tear between the inserted mesh and the supraspinatus musculotendinous unit. Reoperations were not performed. For short-term periods, restoring a massive rotator cuff tendon defect with synthetic grafts combined with subacromial decompression can give significant pain relief and improvement of range of motion and strength with few complications.
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Metadata
Title
Reconstruction of massive rotator cuff lesions with a synthetic interposition graft: a prospective study of 41 patients
Authors
E. Audenaert
J. Van Nuffel
A. Schepens
M. Verhelst
R. Verdonk
Publication date
01-04-2006
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 4/2006
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-005-0689-7

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