Deltoid flap reconstruction for massive rotator cuff tears: Mid- and long-term functional and structural results

Glanzmann, Michael C.; Goldhahn, Jörg; Flury, Manuel; Schwyzer, Hans‐Kaspar; Simmen, Beat R.

doi:10.1016/j.jse.2009.06.005

Cited by 38 publications

(32 citation statements)

References 20 publications

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“…With the current study, this issue could not be answered. Similar findings of improvement of function were described in other series of deltoid flap repair, 5,14,32,37,43,47 in contrast to Glanzmann et al, 27 who described only a minor functional gain in their series. In our study, factors that were associated with lower flexion scores included tear size (which means tears involving 3 tendons), and fatty infiltration of the subscapularis muscle.…”

Section: Discussionsupporting

confidence: 87%

Rotator cuff tears treated with a modified deltoid flap repair technique

Schneeberger

Schuler

Rikli

et al. 2012

Journal of Shoulder and Elbow Surgery

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Section: Discussionsupporting

confidence: 87%

Rotator cuff tears treated with a modified deltoid flap repair technique

Schneeberger

Schuler

Rikli

et al. 2012

Journal of Shoulder and Elbow Surgery

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“…Gupta et al 12 described a prospective ob- E. SAVARESE AND R. ROMEO servational study of 24 patients who underwent interposition repair of massive rotator cuff tears with human dermal allograft; all patients showed a significant improvement in pain, range of motion, and strength, with ultrasonography-confirmed "fully intact" repairs in 76% of patients who were followed up for a 3-year period on average. Glanzmann et al 13 performed retrospective assessment of 31 deltoid flap transfers for massive posterosuperior rotator cuff tears at midterm and long-term follow-up examinations (mean, 53 and 175 months, respectively). They showed that functional gains were minor but improvement in pain and patient satisfaction was high.…”

Section: Discussionmentioning

confidence: 99%

New Solution for Massive, Irreparable Rotator Cuff Tears: The Subacromial “Biodegradable Spacer”

Savarese

Romeo

2012

Arthroscopy Techniques

164

121

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Massive, irreparable rotator cuff tears are a source of pain and disability. Although most rotator cuff tears can be completely repaired, a significant number are considered massive and irreparable. Numerous operative techniques have been described for the treatment of these kinds of tears including arthroscopic debridement, biceps tenotomy, tendon transfer, grafting, and reverse arthroplasty. We describe a surgical technique using a biodegradable subacromial balloon spacer (InSpace; OrthoSpace, Kfar Saba, Israel) implanted between the humeral head and acromion that permits smooth, frictionless gliding, restoring the shoulder biomechanics. The technique is easy to perform and is less invasive than the conventional surgical techniques available, and it may potentially serve as a bridging option in patients with massive, irreparable tears who are normally candidates for reverse arthroplasty.

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“…Its main disadvantage is the compromise of deltoid muscle integrity [33]. The conclusions regarding the usefulness of this procedure are quite different.…”

Section: Deltoid Flapmentioning

confidence: 99%

“…The conclusions regarding the usefulness of this procedure are quite different. Schneeberger concluded that the modified deltoid flap is a viable alternative for the treatment of irreparable coifa ruptures in young patients, since of the 57 patients 91% showed pain relief [33]. Glanzmann has not found any advantage of this invasive technique in the face of arthroscopic debridement, which does not alter the integrity of the deltoid.…”

Section: Deltoid Flapmentioning

confidence: 99%

Rotary Hood Massive Break Solutions? Massive Rotator Cuff Tear Solutions?

Panzina¹,

Gutierres²

2017

MOJOR

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Aim: review the current literature on options of treatment for massive rotator cuff tear Sources of data:The information was researched on the Pubmed using the following keywords: "massive", "rotator", "cuff ", "tear", "treatment". The survey was restricted to articles in english or portuguese, with less than 5 years. After selection 55 articles were used. Summary of data:Massive Rotator Cuff Tear is an orthopaedic challenge with a technically hard repair and a recurrence rate distinctively higher than the smaller tears rate. Its treatment has a high failure rate, which is influenced by factors such as patient's age, fatty degeneration and muscular retraction. The treatment choice should be based on patient's age, functional demands and symptoms. Conclusion:There are several options for the treatment of rotator cuff tears. Conservative treatment achieved good results in many patients, leaving many of them assymptomatic and with satisfactory function. The arthroscopic débridement, subacromial decompression and bicips tenotomy have as main objective the symptomatic relief and may be indicated in elderly patients with low functional demands, whose major complaint is pain. Repair should be tried specially in young symptomatic high-demand patients. Both hemiarthroplasty as reverse arthroplasty may be indicated in massive rupture and cuff arthropathy, being reverse arthroplasty the most effective treatment, although the not negligible mid-term complication rate.

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Deltoid flap reconstruction for massive rotator cuff tears: Mid- and long-term functional and structural results

Cited by 38 publications

References 20 publications

Rotator cuff tears treated with a modified deltoid flap repair technique

Rotator cuff tears treated with a modified deltoid flap repair technique

New Solution for Massive, Irreparable Rotator Cuff Tears: The Subacromial “Biodegradable Spacer”

Rotary Hood Massive Break Solutions? Massive Rotator Cuff Tear Solutions?

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