All-Arthroscopic Latissimus Dorsi Transfer

Cutbush, Kenneth; Peter, Noel A.; Hirpara, K. M.

doi:10.1016/j.eats.2016.02.007

Cited by 26 publications

(19 citation statements)

References 27 publications

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“…Recently, with the advancements of arthroscopic surgery, the LDT was expanded to an arthroscopically assisted [ 52 •] or even all-arthroscopic procedure [ 53 •].…”

Section: Treatment Optionsmentioning

confidence: 99%

Surgical Management of Massive Irreparable Cuff Tears: Latissimus Dorsi Transfer for Posterosuperior Tears

Wieser

Ernstbrunner

Zumstein

2020

Curr Rev Musculoskelet Med

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Purpose of Review This review aims to describe the role of the latissimus dorsi transfer (LDT) for patients with irreparable posterosuperior rotator cuff tears (RCTs). Recent Findings Historically, the LDT has been performed as an open (double-incision) procedure for neurologically intact, relatively young patients with irreparable posterosuperior RCTs with disabling loss of active external rotation with or without impaired active elevation. The transferred tendon reconstitutes the posterior rotator cuff and force couple, respectively and thus has the potential to function effectively as an external rotator and humeral head depressor. Long-term results of the open technique have demonstrated in the majority of patients substantial and durable improvements in shoulder function and pain relief at the 10-year benchmark. With the advancements of arthroscopic surgery, the LDT was expanded to an arthroscopically assisted procedure with promising short-term results. In addition to adequate technical performance, the success of the procedure depends on preoperative factors, such as exclusion of glenohumeral osteoarthritis and acromial acetabularization; intact or reparable subscapularis tendon; intact (or hypertrophic) teres minor muscle; adequate preoperative activity of the latissimus dorsi; and normal or mild impairment of overhead function. Summary The LDT (open or arthroscopically assisted) is a reliable treatment option for patients with massive, irreparable posterosuperior RCTs with disabling loss of active external rotation, with or without diminished overhead function and without advanced glenohumeral osteoarthritis. Precise patient selection is of tremendous importance in the success of the LDT.

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“…Recently, with the advancements of arthroscopic surgery, the LDT was expanded to an arthroscopically assisted [ 52 •] or even all-arthroscopic procedure [ 53 •].…”

Section: Treatment Optionsmentioning

confidence: 99%

Surgical Management of Massive Irreparable Cuff Tears: Latissimus Dorsi Transfer for Posterosuperior Tears

Wieser

Ernstbrunner

Zumstein

2020

Curr Rev Musculoskelet Med

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“…K. Cutbush с соавт. (2016) отметили сложность данной операции, которая требует высокой квалификации оперирующего хирурга и знание анатомии плечевого сустава, позволяющее снизить послеоперационные осложнения и предотвратить повреждение плечевого или заднего грудного нерва во время забора трансплантата и проведения операции [22].…”

Section: обзорыunclassified

Treatment of large, massive irreparable rotator cuff tears

Lazko

Prizov

Lazko

et al. 2020

Journal of Clinical Practice

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The rotator cuff is a complex anatomical and biomechanical structure which allows stabilization of the shoulder joint in the correct position and movements in it. The rotator cuff tears remain the most frequent injury as compared to those of other anatomical structures of the shoulder joint and reach the incidence of 21%, according to a number of authors. Such injuries are prone to inducing a fat replacement of muscle tissues in elderly patients against the background of degenerative changes in the structure of the rotator cuff. These injuries are hard-to-heal, and the incidence of relapses after the surgical treatment reaches 2090%, according to several authors. Based on the investigation of the postoperative treatment failures, alternative methods for the replacement, transfer or surgical repair of damaged tendons are adopted, but there is still no single approach and method in the treatment of this pathology. In this literature review, we have analyzed the data on the anatomical structure and biomechanics of the rotator cuff, the role of the rotator cuff damage in the dysfunction of the shoulder joint and possible methods for its recovery.

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“…Endoscopic harvest and transfer of tendons (latissimus dorsi, teres major, and pectoralis minor) have been described by several authors and are a minimally invasive alternative to open surgery. [49][50][51]…”

Section: Tendon Transfersmentioning

confidence: 99%

Recent advances and future trends in shoulder arthroscopy

DeNiese¹,

Bhatia²

2020

JASSM

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Shoulder arthroscopy has evolved significantly over the past decade. Treatment algorithms have evolved in sync with results from cadaveric, biomechanical, and clinical studies, and newer minimally invasive and biomechanically proven surgical techniques have replaced suboptimal procedures. Advances in arthroscopy have influenced three key aspects of shoulder problems: Anterior instability, rotator cuff tears, and osteoarthritis. A new frontier of “endoscopic” extra-articular procedures has evolved and these procedures have convincingly replaced traditional open surgeries. The current evidence suggests a growing trend for arthroscopic procedures in joint preservation and restoration.

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All-Arthroscopic Latissimus Dorsi Transfer

Cited by 26 publications

References 27 publications

Surgical Management of Massive Irreparable Cuff Tears: Latissimus Dorsi Transfer for Posterosuperior Tears

Surgical Management of Massive Irreparable Cuff Tears: Latissimus Dorsi Transfer for Posterosuperior Tears

Treatment of large, massive irreparable rotator cuff tears

Recent advances and future trends in shoulder arthroscopy

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