Improved Clinical and Radiologic Outcomes Seen after Superior Capsule Reconstruction using Long Head Biceps Tendon Autograft

Kim, Doo-Sup; Um, Jaewoong; Lee, JunHyeok; Kim, Jaehyeon

doi:10.1016/j.arthro.2021.04.006

Cited by 23 publications

(47 citation statements)

References 37 publications

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“…Different graft materials were used for SCR including in teflon felt synthetic graft [ 18 ], semitendinosus tendon autograft [ 27 ], biceps tendon [ 28 ]. Dukan et al reported that SCR with a porcine dermal matrix xenograft improved shoulder outcome and restored the acromiohumeral distance [ 29 ]. In fact, both of fascia lata and double-layer porcine dermal matrix xenograft may restore superior translation and subacromial contact pressure [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Revascularization character of autologous fascia lata graft following shoulder superior capsule reconstruction by enhanced magnetic resonance imaging

Liao

et al. 2022

J Orthop Surg Res

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Background Fascia lata has been used for arthroscopic superior capsule reconstruction (ASCR) and verified to achieve a good clinical outcome. However, it is still not known about revascularization character of the fascia lata after ASCR. This study was performed to evaluate the revascularization of autologous fascia lata grafts after ASCR by enhanced magnetic resonance imaging (MRI). Methods A prospective study of 19 patients with irreparable rotator cuff tears underwent ASCR with autologous fascia lata grafts from September 2019 to April 2021. Radiography examinations and clinical evaluations were performed preoperatively and postoperatively at 6 weeks and 3, 6, and 12 months. The signal-to-noise quotient (SNQ) value and enhancement index (EI) of autologous fascia lata grafts in the great tubercle insertion (GTI), midpoint of the graft (MG), and glenoid insertion (GI) were compared for radiography examination. Clinical evaluation included the American Shoulder and Elbow Surgeons (ASES) score, University of California Los Angeles (UCLA) shoulder score, and Visual Analog Scale (VAS) score. Results The SNQ values in T1WI enhancement at GI and GTI were significantly higher than those at the plain MRI scan at all postoperative observation timepoints; however, the SNQ values in T1WI enhancement at MG did not show a significant difference until 3 months postoperation. EI values at GTI and GI were significantly higher than those at MG at 6 weeks and 3 months postoperation, while there was no significant difference in the EI value between GTI and GI. At 6 months postoperation, the EI value at GI was significantly higher than those at MG. At 12 months postoperation, the EI value at GI was significantly higher than those at MG and GTI; however, there was no significant difference between GTI and MG. The EI values at GTI and MG peaked at 3 months and 6 months postoperation, respectively, and then plateaued at 12 months postoperation. However, there was no significant difference in the EI value among the different postoperative timepoints at GI. The EI value did not correlate with the VAS and ASES, UCLA scores at any time point or any postoperative observation location. Conclusion Revascularization of the fascia lata was dependent on the location of the fascia lata and plateaus at 12 months postoperation. The EI value did not correlate with the VAS and ASES, UCLA scores during12 months postoperation.

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Section: Discussionmentioning

confidence: 99%

Revascularization character of autologous fascia lata graft following shoulder superior capsule reconstruction by enhanced magnetic resonance imaging

Liao

et al. 2022

J Orthop Surg Res

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“…Recently, several surgical techniques have been proposed to use the LHB for the augmentation of rotator cuff repairs or superior capsule reconstruction. 6 , 20 We believe that the status of the LHB is important for these techniques. Therefore, this information might be helpful when surgeons consider these techniques for patients with Hamada Grade 2 or higher.…”

Section: Discussionmentioning

confidence: 99%

Relationship between the Hamada Grade and underlying pathological conditions in the rotator cuff and long head of biceps in symptomatic patients with rotator cuff tears

Hasegawa¹,

Mihata²,

Fukunishi³

et al. 2022

JSES International

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“…of revision procedures Post-op imaging performed—no. of patients Number of retears on imaging Infections Additional complications Alarcon [ 55 ] 31 0 29 4 0 1 haematoma Barth [ 56 ] 24 0 24 2 n/r n/r Burkhart [ 57 ] 41 2 (post-falls) 26 4 0 1 stroke 1 tear biceps tenodesis Denard [ 58 ] 59 0 20 11 1 1 biceps pain Ferrando [ 59 ] 56 4 56 14 n/r n/r Greiner [ 23 ] 20 0 20 1 n/r n/r Kim [ 60 ] 45 0 45 6 0 1 skin dehiscence, 2 Popeye sign Kocaoglu [ 61 ] 26 0 ...…”

Section: Complicationsmentioning

confidence: 99%

Superior capsule reconstruction, partial cuff repair, graft interposition, arthroscopic debridement or balloon spacers for large and massive irreparable rotator cuff tears: a systematic review and meta-analysis

et al. 2022

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Background Multiple non-arthroplasty surgical techniques are described for the management of large and massive irreparable rotator cuff tears. There is currently no consensus on the best management strategy. Our aim was to compare clinical outcomes following arthroscopic debridement, arthroscopic partial cuff repair, superior capsule reconstruction, balloon spacers or graft interposition for the management of large and massive irreparable rotator cuff tears. Methods A comprehensive search was performed of the following databases: Medline, Embase, CINAHL and Cochrane Database of Systematic Reviews. Data were extracted from relevant studies published since January 2000 according to the pre-specified inclusion criteria. The primary outcome was the post-operative improvement in shoulder scores. Meta-analysis of the primary outcome was performed. Secondary outcomes included retear rates and complications. Results Eighty-two studies were included reporting the outcomes of 2790 shoulders. Fifty-one studies were included in the meta-analysis of the primary outcome. The definition of an irreparable tear varied. All procedures resulted in improved shoulder scores at early follow-up. Shoulder scores declined after 2 years following balloon spacers, arthroscopic debridement and partial cuff repair. High retear rates were seen with partial cuff repairs (45%), graft interposition (21%) and superior capsule reconstruction (21%). Conclusions Large initial improvements in shoulder scores were demonstrated for all techniques despite high retear rates for reconstructive procedures. Shoulder scores may decline at mid- to long-term follow-up.

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Improved Clinical and Radiologic Outcomes Seen after Superior Capsule Reconstruction using Long Head Biceps Tendon Autograft

Cited by 23 publications

References 37 publications

Revascularization character of autologous fascia lata graft following shoulder superior capsule reconstruction by enhanced magnetic resonance imaging

Revascularization character of autologous fascia lata graft following shoulder superior capsule reconstruction by enhanced magnetic resonance imaging

Relationship between the Hamada Grade and underlying pathological conditions in the rotator cuff and long head of biceps in symptomatic patients with rotator cuff tears

Superior capsule reconstruction, partial cuff repair, graft interposition, arthroscopic debridement or balloon spacers for large and massive irreparable rotator cuff tears: a systematic review and meta-analysis

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