Early Postoperative MRI Evaluation of a Fascia Lata Autograft With and Without Polypropylene Mesh Augmentation After Superior Capsular Reconstruction

Ben, Hui; Kholinne, Erica; Zeng, Chu Hui; So, Sang-Pil; Lee, Jun-Bum; Sun, Yucheng; Koh, Kyoung Hwan

doi:10.1177/03635465231151927

Cited by 10 publications

(5 citation statements)

References 47 publications

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“… 15 , 45 Biological enhancement of SCR has recently been reported with the use of a polypropylene mesh to augment the function of fascial lata autograft. 1 In the short term, this has been demonstrated to improve both healing and remodeling of the graft although it remains to be seen whether this can be maintained in the long term and lead to a sustainable improvement in function. 1 Nonetheless, in this study, no further surgery was required and the results did not differ between intact and ruptured grafts.…”

Section: Discussionmentioning

confidence: 99%

“… 1 In the short term, this has been demonstrated to improve both healing and remodeling of the graft although it remains to be seen whether this can be maintained in the long term and lead to a sustainable improvement in function. 1 Nonetheless, in this study, no further surgery was required and the results did not differ between intact and ruptured grafts. This suggests that the integrity of the graft may not necessarily be the most important factor determining the results of SCR and that it may simply represent a temporary spacer that decreases pain so that rehabilitation can continue uninterrupted.…”

Section: Discussionmentioning

confidence: 99%

“…Subsequent reports of SCR have similarly focused on the outcomes in primary cases, with very few studies examining its effectiveness in the revision setting. 1 , 10 , 11 , 15 , 36 …”

mentioning

confidence: 99%

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Arthroscopic superior capsular reconstruction with dermal allograft for primary and recurrent rotator cuff tears

Thangarajah¹,

Tsuchiya²,

Lukenchuk³

et al. 2023

JSES International

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Arthroscopic superior capsular reconstruction with dermal allograft for primary and recurrent rotator cuff tears

Thangarajah¹,

Tsuchiya²,

Lukenchuk³

et al. 2023

JSES International

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“…All graft fixation procedures were performed in 30° of shoulder abduction, and all shoulders were fixed at the same position for 6 weeks. The pendulum exercises were performed for 3 weeks [8], and rotator cuff muscle strengthening exercises were performed 3 months postoperatively.…”

Section: Methodsmentioning

confidence: 99%

Effect of age and gender in rates of achieving minimal clinically important difference and patient‐acceptable symptom state 2 years after arthroscopic superior capsular reconstruction

Ben,

Yeom,

Kholinne

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThis study aimed to evaluate patient‐reported outcome measures (PROMs) and the effects of gender and age on achieving clinically significant outcomes in patients undergoing arthroscopic superior capsular reconstruction (ASCR) with a minimum 2‐year follow‐up.MethodsPatients undergoing ASCR for irreparable rotator cuff tear between 2013 and 2020 were reviewed. Preoperative and minimum 2‐year postoperative PROMs were collected, including American Shoulder and Elbow Surgeons (ASES), Constant, single assessment numeric evaluation (SANE), and visual analog scale (VAS) scores. Minimal clinically important difference (MCID) and patient‐acceptable symptomatic state (PASS) were calculated for each functional score and analyzed according to age and gender. The percentages of patients achieving MCID and PASS were recorded.ResultsThe study included 83 patients, with a mean follow‐up of 3.5 ± 1.4 years. Significant improvements were found in ASES, Constant, SANE, and VAS for all groups based on gender and age. Based on receiver‐operating characteristic curves, all scores had acceptable areas under the curve for PASS. Values for PASS and MCID were 81.5 and 10.3 for ASES; 61.5 and 6.2 for Constant; 82.5 and 11.5 for SANE and 1.5 and 1.1 for VAS, respectively. Analysis of achieving MCID and PASS showed no difference between the groups in the majority of outcome measures. However, female patients achieved the SANE thresholds for PASS at significantly higher rates than male patients. Patients ≥65 years old achieved ASES and Constant thresholds for MCID at significantly higher rates than patients ˂65 years old.ConclusionMost patients achieved MCID and PASS at a 2‐year follow‐up. Patients showed comparable rates of MCID and PASS achievement on most outcome tools based on age and gender. Female patients achieved PASS on SANE at significantly higher rates than male patients and older patients achieved MCID on ASES and Constant at higher rates than young patients. Thus, age is a stronger factor for achieving MCID than gender.Level of EvidenceLevel II.

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“…Finally, two knotless anchors (Footprint Ultra 4.5 mm; Smith & Nephew) were used to fix the suture limbs. After surgery, all patients were provided with a shoulder abduction brace and instructed to initiate strengthening exercises after a six-week recovery period [4].…”

Section: Surgical Technique and Postoperative Protocolmentioning

confidence: 99%

Time required to achieve clinically significant outcomes after arthroscopic superior capsular reconstruction

Ben,

Zeng,

Kholinne

et al. 2023

Knee surg. sports traumatol. arthrosc.

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Purpose To investigate the time-dependent nature of clinically significant outcomes, including the minimal clinically important difference (MCID), substantial clinical benefit, and Patient Acceptable Symptomatic State (PASS) after arthroscopic superior capsular reconstruction, and the factors contributing to the achievement of early clinically significant outcomes. Methods Patients who underwent ASCR between March 2015 and September 2020 with complete preoperative and postoperative 6-month, 1-year, and 2-year patient-reported outcome measures (PROMs) were retrospectively analysed. Threshold values for MCID, substantial clinical benefit, and PASS were obtained from the previous literature for the PROMs. The time required to achieve clinically significant outcomes was calculated using Kaplan-Meier analysis. Multivariate Cox regression was performed to evaluate the variables predictive of an earlier or delayed achievement of MCID. Results Fifty-nine patients with a mean age of 64.5 ± 8.7 years old were included. The time of mean achievement of MCID, substantial clinical benefit, and PASS for VAS was 11.2 ± 0.9, 16.3 ± 1.1, and 16.6 ± 0.9 months, respectively. The time of mean achievement of MCID, substantial clinical benefit, and PASS for ASES was 13.2 ± 1.0, 16.8 ± 1.0, and 18.3 ± 0.9 months, respectively. The time of mean achievement of MCID, substantial clinical benefit, and PASS for the Constant score was 11.6 ± 0.9, 15.1 ± 1.0, and 14.7 ± 0.9 months, respectively. The time of mean achievement of MCID, substantial clinical benefit, and PASS for SANE was 14.4 ± 1.0, 16.1 ± 1.0, and 15.5 ± 0.8 months, respectively. Patients with a higher preoperative VAS score achieved an earlier MCID for VAS (P = 0.014). However, patients with a higher preoperative ASES and SANE scores achieved delayed MCID for ASES and SANE (P = 0.026, and P < 0.001, respectively). Conclusion Most patients achieved MCIDs around 1 year after arthroscopic superior capsular reconstruction. A higher preoperative VAS score favours faster MCID achievement, while higher preoperative ASES and SANE scores contribute to delayed MCID achievement. Study design Cohort studyLevel of evidence Level IV.

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Early Postoperative MRI Evaluation of a Fascia Lata Autograft With and Without Polypropylene Mesh Augmentation After Superior Capsular Reconstruction

Cited by 10 publications

References 47 publications

Arthroscopic superior capsular reconstruction with dermal allograft for primary and recurrent rotator cuff tears

Arthroscopic superior capsular reconstruction with dermal allograft for primary and recurrent rotator cuff tears

Effect of age and gender in rates of achieving minimal clinically important difference and patient‐acceptable symptom state 2 years after arthroscopic superior capsular reconstruction

Time required to achieve clinically significant outcomes after arthroscopic superior capsular reconstruction

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