Editorial Commentary: Human Dermal Allograft Is Preferable to Fascia Lata Autograft Based on Similar Outcomes Without Donor-Site Morbidity

Saithna, Adnan

doi:10.1016/j.arthro.2021.05.037

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…The two most frequently used materials for SCR are fascia lata autografts and biopatches. Unfortunately, the practical use of biopatches and human broad fascia has been constrained by numerous issues [24]. Using the LHBT for SCR effectively lowered costs while achieving surgical treatment goals, not requiring additional incisions, using less implant material, lowering the risk of postoperative infection, and being relatively surgeon‐friendly in terms of intraoperative suture management.…”

Section: Discussionmentioning

confidence: 99%

Superior capsular reconstruction using the long head of the biceps to treat massive rotator cuff tears improves patients shoulder pain, mobility and function

Gao

Qiao

Guan

et al. 2023

Knee surg. sports traumatol. arthrosc.

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Purpose Arthroscopic superior capsule reconstruction (SCR) with the long head of the biceps (LHBT) was performed to restore structural stability, force couple balance, and shoulder joint function. This study aimed to evaluate the functional outcomes of SCR using the LHBT over at least 24 months of follow‐up. Method This retrospective study included 89 patients with massive rotator cuff tears who underwent SCR using the LHBT, met the inclusion criteria and underwent follow up for at least 24 months. The preoperative and postoperative shoulder range of motion (forward flexion, external rotation, and abduction), acromiohumeral interval (AHI), visual analog scale (VAS) score, American Shoulder and Elbow Surgeons (ASES) score and Constant–Murley score were obtained, and the tear size, and Goutallier and Hamada grades were also investigated. Results Compared with those measured preoperatively, the range of motion, AHI, and VAS, Constant–Murley, and ASES scores were significantly improved immediately postoperatively (P < 0.001) and at the 6‐month, 12‐month, and final follow‐ups (P < 0.001). At the last follow‐up, the postoperative ASES score and Constant‐Murley score increased from 42.8 ± 7.6 to 87.4 ± 6.1, and 42.3 ± 8.9 to 84.9 ± 10.7, respectively; with improvements of 51 ± 21.7 in forward flexion, 21.0 ± 8.1 in external rotation, and 58.5 ± 22.5 in abduction. The AHI increased 2.1 ± 0.8 mm and the VAS score significantly changed from 6.0 (5.0, 7.0) to 1.0 (0.0, 1.0), at the final follow‐up. Eleven of the 89 patients experienced retears, and one patient needed reoperation. Conclusion In this study with at least 24‐months of follow‐up, SCR using the LHBT for massive rotator cuff tears could effectively relieve shoulder pain, restore shoulder function and increase shoulder mobility to some extent. Level of evidence IV.

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Section: Discussionmentioning

confidence: 99%

Superior capsular reconstruction using the long head of the biceps to treat massive rotator cuff tears improves patients shoulder pain, mobility and function

Gao

Qiao

Guan

et al. 2023

Knee surg. sports traumatol. arthrosc.

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“… 7 , 8 , 26 In an effort to minimize donor-site morbidity 12 , 16 and expedite surgery, the use of acellular dermal allografts has become a popular alternative 15 to autografts in the United States. 14 , 27 A recent systematic review of 14 studies commonly reported complications of SCR using dermal allografts, such as graft retear due to rupture of graft, anchor displacement, revision, reoperation, and infection. 12 Surgeons in our study reported their rationale for not using or decreasing the use of SCR to primarily be due to published reports of suboptimal outcomes and no perceived benefit to their personal patient outcomes.…”

Section: Discussionmentioning

confidence: 99%

The Number of Surgeons Using Superior Capsular Reconstruction for Rotator Cuff Repair Is Declining

Hankins

Griffin

Taliaferro

et al. 2022

Arthroscopy, Sports Medicine, and Rehabilitation

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Early Treatment of Shoulder Pathology Is Necessary but Not Enough Is Being Performed

Lubowitz¹,

Brand²,

Rossi³

2022

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Editorial Commentary: Human Dermal Allograft Is Preferable to Fascia Lata Autograft Based on Similar Outcomes Without Donor-Site Morbidity

Cited by 4 publications

References 10 publications

Superior capsular reconstruction using the long head of the biceps to treat massive rotator cuff tears improves patients shoulder pain, mobility and function

Superior capsular reconstruction using the long head of the biceps to treat massive rotator cuff tears improves patients shoulder pain, mobility and function

The Number of Surgeons Using Superior Capsular Reconstruction for Rotator Cuff Repair Is Declining

Early Treatment of Shoulder Pathology Is Necessary but Not Enough Is Being Performed

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