Superior capsular reconstruction

5-12 months Comply with-up of Arthroscopic Superior Capsule Reconstruction for Irreparable Rotator Cuff Tears

These authors, together with the originator of the process,  assessed the 5 yr practical and radiographic outcomes of superior capsule reconstruction carried out on 30 sufferers with irreparable cuff tears utilizing fascia lata autograft.

In contrast with preoperative values, ASES and JOA scores, energetic elevation, and acromiohumeral distance elevated postoperatively at each 1 yr (p < zero.001) and 5 years (p < zero.001).

The 1-year values elevated by 54.zero factors for the ASES rating, 34.four factors for the JOA rating, 53° for energetic elevation, and 5.7 mm for acromiohumeral distance,

The  5-year values elevated by 63.three factors for the ASES rating, 39.9 factors for the JOA rating, 66° for energetic elevation, and four.7 mm for acromiohumeral distance. The ASES rating was better at 5 years postoperatively than it was at 1 yr postoperatively (imply distinction, 9.three factors; p = zero.03). At 5 years postoperatively, 11 of 12 sufferers returned to bodily work, a fee of 92% (95% confidence interval [CI], 73% to 100%), and eight of Eight sufferers returned to sports activities, a fee of 100% (95% CI, 79% to 100%).

Not one of the 27 sufferers who had graft therapeutic confirmed development of cuff tear arthropathy, however all three sufferers with a graft tear (10% [95% CI, 0% to 22%]) had extreme cuff tear arthropathy at 5 years postoperatively.

Within the 27 sufferers whose grafts remained intact, the graft thicknesses at three months, 1 yr, and 5 years postoperatively didn’t differ (p = zero.67).

Remark: These authors emphasize the worth of utilizing a thick (Eight-9mm) fascia lata autograft (as proven within the determine under) to optimize therapeutic, sturdiness and the subacromial spacer impact of the graft.

Superior capsular reconstruction 1

Additionally they level to the challenges in utilizing superior capsular reconstruction in circumstances with extra superior preoperative pathology as proven within the case of graft failure under

Superior capsular reconstruction 2

Lastly, they warning that their outcomes with thick fascia lata allograft can’t be extrapolated to the usage of thinner dermal allograft.

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Superior capsular reconstruction 3