Arthroscopy-Assisted Latissimus Dorsi Transfer for Irreparable Subscapularis Tears

Reinares, Felipe; Caballero‐Calvo, Andrés; Reyes, José Tomás; Moreno, J.L. Pontones; Paccot, Daniel

doi:10.1016/j.eats.2020.09.008

Cited by 3 publications

(1 citation statement)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Использование мышечно-сухожильных трансферов позволяет воссоздать близкую к нормальной биомеханику плечевого сустава, снизить болевой синдром и замедлить прогрессирование артропатии, что и обуславливает интерес к данным методам лечения, особенно у молодых пациентов с высокими функциональными запросами. Но сложность проведения данных вмешательств требует высокого профессионализма хирурга, что объясняет весьма высокие показатели осложнений в послеоперационном периоде, в том числе разрывы сухожильной ткани в месте рефиксации (до 38%), неврологические и сосудистые осложнения [7,19,20].…”

Section: материал и методыunclassified

Options in Tendon Transfers for Anterior-Superior Rotator Cuff Tears: Review

Shershnev¹,

Доколин²,

Кузьмина³

et al. 2023

Traumatology and Orthopedics of Russia

View full text Add to dashboard Cite

Background. Irreparable anterior-superior rotator cuff tears can cause significant dysfunction of a shoulder joint due to the failure of normal biomechanics of the joint, because of the loss of compressive effect of rotator cuff on the humeral head. Muscle-tendon transfers are an alternative to standard surgical treatment options: debridement of injured tendons, arthroscopic anchor suture, and reverse shoulder arthroplasty. Currently, several options of muscle-tendon transfers for treatment of relevant patients are described in the foreign literature, and there is an active discussion over results of the already proposed techniques, and their improvements, while these techniques are practically not covered in domestic literature. The aim is to describe modern surgical technique options of the muscle-tendon transfers for the treatment of patients with anterior-superior rotator cuff tears based on a review of foreign literature sources. Results. Nowadays, most common muscle-tendon transfers options for patients with anterior-superior rotator cuff tears are the sternocostal portion of the of pectoralis major tendon transfer and the latissimus dorsi tendon transfer. A review of foreign literature showed that muscle-tendon transfers are a well-described alternative to standard methods of treating profile patients with a predictable result. Conclusion. Currently, there is no consensus on clear indications for certain types of muscle-tendon transfers in case of anterior-superior rotator cuff tears, there is a lack of data on long-term results. This determines the need of study of the long-term clinical results of use of these methods and develop an algorithm for choosing the tactics of surgical treatment of relevant patients.

show abstract

Section: материал и методыunclassified