Treatment of Irreparable Rotator Cuff Tears: Superior Capsular Reconstruction with Fascia Lata Allograft.

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  • Additional Information
    • Source:
      Publisher: Thieme Country of Publication: Germany NLM ID: 0123326 Publication Model: eCollection Cited Medium: Print ISSN: 0102-3616 (Print) Linking ISSN: 01023616 NLM ISO Abbreviation: Rev Bras Ortop (Sao Paulo) Subsets: PubMed not MEDLINE
    • Publication Information:
      Publication: 2019- : [Stuttgart] : Thieme
      Original Publication: São Paulo : Sociedade Brasileira de Ortopedia e Traumatologia
    • Abstract:
      Objective  The objective of the present study was to evaluate the efficacy and safety of superior capsular reconstruction (SCR) using fascia lata allograft. Methods  A prospective case series of 15 patients with irreparable supraspinatus tear who underwent SCR using fascia lata allograft. The American Shoulder and Elbow Surgeons (ASES) scale at 12 months after surgery was the primary outcome. The University of California Los Angeles (UCLA), Constant-Murley, and Single Assessment Numeric Evaluation (SANE) scales, in addition to the range of motion, were secondary outcomes. Radiological parameters were also evaluated by simple radiographs and magnetic resonance imaging (MRI). Results  Fifteen patients completed 12 months of postoperative follow-up. The ASES score increased from 34.0 to 73.0 ( p  = 0.005). The UCLA, Constant-Murley, and SANE scales also showed statistically significant differences ( p  = 0.001; p  = 0.005; and p  = 0.046). In the evaluation of range of motion, there was improvement in elevation and in external rotation (95 to 140°, p  = 0.003; 30 to 60°, p  = 0.007). Six patients (40%) had complete graft healing. The clinical outcomes were significantly higher in the patients who presented graft healing. Conclusions  Superior capsular reconstruction using a fascia lata allograft is a safe and effective procedure in short follow-up. Level of Evidence IV; Therapeutic Study; Case Series.
      Competing Interests: Conflito de Interesses Os autores declaram não haver conflito de interesses.
      (Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
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    • Contributed Indexing:
      Keywords: fascia lata/transplantation; joint capsule; rotator cuff injuries/surgery; shoulder joint; treatment outcome
    • Publication Date:
      Date Created: 20221013 Latest Revision: 20221014
    • Publication Date:
      20231215
    • Accession Number:
      PMC9550356
    • Accession Number:
      10.1055/s-0041-1732389
    • Accession Number:
      36226220