Arthroscopic Superior Capsular Reconstruction for Massive, Irreparable Rotator Cuff Tears: A Systematic Review of Modern Literature

High Clinical Failure Rate After Latissimus Dorsi Transfer for Revision Massive Rotator Cuff Tears

“…8,9 In the absence of glenohumeral arthritis, superior capsule reconstruction has been proposed for the treatment of massive, irreparable posterosuperior rotator cuff tears; however, this technique has been shown to be limited in restoring sufficient external rotation. 10,11 To circumvent this problem, transfer of the latissimus dorsi tendon has been described for use in this patient population. [12][13][14][15] First described by Gerber et al, 16 latissimus dorsi transfer has shown promising results for massive rotator cuff tears in several studies.…”

Augmented Repair of Large to Massive Delaminated Rotator Cuff Tears With Autologous Long Head of the Biceps Tendon Graft: The Arthroscopic “Cuff-Plus” Technique

“…This assumption has been progressively confirmed by biomechanical and clinical studies. 9,10 Moreover, a recent clinical study showed that SCR, if used as a reinforcement for repairable cuff tears, improves structural integrity at 1 year postoperatively; the authors included medium as well as large tears and used SCR with fascia lata. 11 In our opinion, at least 3 major downsides could be claimed regarding the standard SCR technique.…”

Editorial Commentary: Take What You're Given and Play the Best Shot You Can: The Load-Sharing Rip-Stop for Arthroscopic Repair of Retracted and Poor-Quality Rotator Cuff Tendon Tissue

“…It will be interesting to see how the encouraging early clinical results associated with superior capsular reconstruction affect surgeons' tendency to approach the contracted or tissue-deficient RC tear with a more technically demanding, alternative joint-preserving surgical tactic. [10][11][12] This will be especially true if larger series involving the LSRS construct are unable to significantly improve clinical outcomes or healing rates beyond what have been previously reported. But for now, a limited repair strategy using an LSRS construct may very well be a reasonable approach to this difficult predicament.…”