Influence of fixation point of latissimus dorsi tendon transfer for irreparable rotator cuff tear on glenohumeral external rotation: A cadaver study

Bargoin, Kevin; Boissard, M.; Kany, Jean; Grimberg, Jean

doi:10.1016/j.otsr.2016.09.012

Cited by 9 publications

(7 citation statements)

References 32 publications

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“…The presented cadaveric specimens appear to be a valid model for the study of external shoulder rotation, as no significant differences were found between the cadaver and control groups in baseline measurements. This is the first time that this comparison has been made in shoulders undergoing LDTT [11,15,17,21]. The values were slightly higher in the cadaver model, which permits a wider range of muscle movements, and have absence of pain.…”

Section: Discussionmentioning

confidence: 76%

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Enhancement of External Rotation after Latissimus Dorsi Tendon Transfer (LDTT): A Cadaveric Study

2021

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Background and objectives: Massive rotator cuff tears compromise shoulder mobility function and cannot be directly repaired. Latissimus dorsi tendon transfer (LDTT) is a therapeutic alternative suitable for the treatment of rotator cuff tears that helps to restore external shoulder rotation. Cadaver models have been used for studying the effects of LDTT and procedural variations, but, to the best of our knowledge, none of them have been validated. The aim of our study was to validate a novel cadaver model while verifying the effects of LDTT on external rotation. Materials and Methods: Two groups were included in the study: a cadaver group and a control group made up of healthy volunteers, which were used for the validation of the cadaver model. Baseline external rotation measurements were performed with both groups, after which a massive rotator cuff tear was inflicted and repaired with LDTT in the cadaver group. Their postoperative external rotation was evaluated using three different tests. Results: No statistically significant differences were found between the baseline measurements of the two groups, and postoperative external rotation was significantly higher after LDTT in all cases but one. Conclusions: Cadaver models were validated, since they had a similar preoperative external rotation to healthy volunteers. Moreover, they allowed us to demonstrate the effect of LDTT on external shoulder rotation.

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Section: Discussionmentioning

confidence: 76%

“…Previous studies have used cadaver models for the assessment of LDTT since they are a rapid and direct way to visualize the effects of procedural variations on shoulder functionality. However, to the best of our knowledge, none of these models have been validated [14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Enhancement of External Rotation after Latissimus Dorsi Tendon Transfer (LDTT): A Cadaveric Study

2021

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“…LDTT, produced by the fixation on the middle portion of the infraspinatus footprint, 19 is used to restore the external rotational coupling of the shoulder. Furthermore, the SBS is intended to improve the mechanics of glenohumeral contact by centering the head and protecting the transfer of the tendon from subacromial compression stresses.…”

Section: Discussionmentioning

confidence: 99%

Latissimus Dorsi Transfer Combined with Subacromial Balloon Spacer for Bidirectional Rotator Cuff Deficiency

Garcia

Valdivia²,

Ayet³

et al. 2022

Arthroscopy Techniques

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“…If the study of 60 patients was removed from our analysis, the re-tear rates and overall clinical failures rates for the aLDT group would be markedly lower [56]. Finally, fixing the graft to the greater tuberosity footprint (oLDTG) compared to the anterolateral humeral shaft (oLDTL) has been demonstrated biomechanically to have superior abduction and external rotation forces, particularly as the arm is abducted away from the side [5,47]. These findings did not translate clinically, as there were similar and relatively equivalent improvements in active shoulder motion and PROMs between the two open techniques.…”

Section: Tablementioning

confidence: 99%

Clinical outcomes of latissimus dorsi tendon transfer and superior capsular reconstruction for irreparable rotator cuff tears: a systematic review

Broida

Sweeney

Gottschalk

et al. 2021

Eur J Orthop Surg Traumatol

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Background Functionally irreparable rotator cuff tears (FIRCTs) present an ongoing challenge to the orthopedic surgeon. The aim of this systematic review was to critically compare the outcomes of three latissimus dorsi tendon transfer (LDT) techniques and two superior capsular reconstruction (SCR) techniques in treatment of FIRCTs. Methods A systematic review of studies evaluating the outcome of FIRCT treatment was performed via a search of four databases in April 2020. Each included study was reviewed in duplicate by two reviewers for evaluation of methodological quality. The treatments analyzed were arthroscopic LDT (aLDT), open LDT Gerber technique (oLDTG), open LDT L'Episcopo technique (oLDTL), SCR with allograft (SCR-Allo), and SCR with autograft (SCR-TFL). Demographics, range of motion, patient-reported outcome measures, radiographic acromiohumeral distance (AHD), treatment failures, and revisions were recorded. Results Forty-six studies (1287 shoulders) met criteria for inclusion. Twenty-three studies involved open latissimus transfer, with 445 shoulders undergoing oLDTG with mean follow-up of 63.2 months and 60 patients undergoing oLDTL with mean follow-up of 51.8 months. Ten studies (n = 369, F/U 29.2mo) reported on aLDT. Seven studies (n = 253, F/U 16.9mo) concerned SCR-Allo, and six studies (n = 160, F/U 32.mo) reported on SCR-TFL. Range of motion and subjective outcome scores improved in all techniques with no differences across treatments. Both SCR methods provided greater improvement in AHD than open LDT methods (p < 0.01). The re-tear rates were lower in both oLDT groups compared to the SCR groups (p = 0.03). Clinical failure rates were higher in the SCR-Allo and oLDTG groups, while overall treatment failures were lowest in oLDTL compared to all four other groups. Conclusion SCR techniques were associated with improved short-term radiographic acromiohumeral distance, while the open LDT techniques had lower tendon re-tear and treatment failure rates. All techniques resulted in improved clinical outcomes and pain relief compared to preoperative levels with no differences across techniques. Level of evidence IV Systematic review of case series and cohort studies.

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Influence of fixation point of latissimus dorsi tendon transfer for irreparable rotator cuff tear on glenohumeral external rotation: A cadaver study

Abstract: Fundamental study, anatomic study.

Cited by 9 publications

References 32 publications

Enhancement of External Rotation after Latissimus Dorsi Tendon Transfer (LDTT): A Cadaveric Study

Enhancement of External Rotation after Latissimus Dorsi Tendon Transfer (LDTT): A Cadaveric Study

Latissimus Dorsi Transfer Combined with Subacromial Balloon Spacer for Bidirectional Rotator Cuff Deficiency

Clinical outcomes of latissimus dorsi tendon transfer and superior capsular reconstruction for irreparable rotator cuff tears: a systematic review

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