Reverse shoulder arthroplasty for massive irreparable rotator cuff tears and cuff tear arthropathy: a systematic review

Petrillo, Stefano; Longo, Umile Giuseppe; Papalia, Rocco; Denaro, Vincenzo

doi:10.1007/s12306-017-0474-z

Cited by 141 publications

(100 citation statements)

References 53 publications

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“…Total RSA has recently emerged as an option in the treatment of irreparable MRCTs. 16,17,19 Ernstbrunner et al 16 reported on long-term outcomes after RSA for irreparable MRCTs in 20 patients younger than 60 years. The Constant score improved from 24 to 59, and the SSV increased from 20% to 71%.…”

Section: Discussionmentioning

confidence: 99%

“…Petrillo et al 17 reported on outcomes and complications of RSA in 396 patients with an average age of 71.9 years. After surgery, all clinical scores improved in a statistically significant fashion.…”

Section: Discussionmentioning

confidence: 99%

“…16 RSA remains a successful and well-accepted option in a lower-demand patient population older than 70 years with chronic, irreparable MRCTs and rotator cuff arthropathy. 17,18 However, the use of RSA in the management of MRCTs without arthritis in a more physically active patient population younger than 60 years remains controversial because of a relatively high complication rate of up to 17.4% and questionable long-term results. 18,19 Recently, the importance of the superior joint capsule in passive stability of the shoulder joint has been acknowledged.…”

mentioning

confidence: 99%

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Arthroscopic Superior Capsular Reconstruction With Acellular Porcine Dermal Xenograft for the Treatment of Massive Irreparable Rotator Cuff Tears

Polacek

2019

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose: To evaluate the short-term clinical outcomes and the complications related to arthroscopic superior capsular reconstruction (SCR) with acellular porcine dermal xenograft for the treatment of irreparable massive rotator cuff tears. Methods: A prospective observational study of patients treated with arthroscopic SCR for irreparable massive rotator cuff tears in the period from 2016 to 2017 was performed. Range of motion and Shoulder Pain and Disability Index (SPADI) scores were assessed preoperatively, at 6 months postoperatively, and at 12 months postoperatively. Results: A total of 20 shoulders in 19 patients, with an average age of 60 years, were included in the study. Twelve patients met the criterion for the minimal clinically important difference in the SPADI score. The mean SPADI score showed significant improvement from 51.3% to 10.4% at 1-year follow-up. Active abduction improved from 65.4 to 149.3 and active forward flexion improved from 68.6 to 151.4 at 1-year follow-up. The procedure had a 30% complication rate, including a 15% rate of immunologic rejection of the xenograft. Five patients underwent revision procedures, including arthroscopic debridement and removal of xenograft residuals, implantation of a balloon spacer, and revision SCR with a fascia lata autograft. Conclusions: Arthroscopic SCR with an acellular porcine dermal xenograft led to a successful outcome in 60% of cases. The procedure showed a quite high complication rate; the most severe cases were related to acute immunologic rejection of the xenograft. Level of Evidence: Level IV, case series.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Arthroscopic Superior Capsular Reconstruction With Acellular Porcine Dermal Xenograft for the Treatment of Massive Irreparable Rotator Cuff Tears

Polacek

2019

Arthroscopy, Sports Medicine, and Rehabilitation

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“…13,21,26 Reverse total shoulder arthroplasty (RSA) has been reported to be the most widely used and effective treatment for patients with mRCT and CTA. 1,3,11,28,34,38 Various biomechanical and clinical studies have demonstrated the advantages of RSA, including the restoration of active forward flexion (aFF) (ie, pseudoparalysis) by increasing anterior and posterior deltoid muscle fiber recruitment and the leverarm function of the deltoid muscle. 2,6,17 Young et al 39 reported that although patients with cuff deficiency who underwent the implantation of an SMR reverse prosthesis (Systema Multiplana Randelli, Lima-LTO, Italy) showed satisfactory forward flexion, none could reach their ipsilateral buttock with their hands.…”

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confidence: 99%

Difficulty in performing activities of daily living associated with internal rotation after reverse total shoulder arthroplasty

Kim

Jeong

Kim

et al. 2020

Journal of Shoulder and Elbow Surgery

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“…[13][14][15] When there is considerable glenohumeral joint arthropathy, treatment options shift to osseous procedures including glenohumeral joint arthrodesis and, recently, reverse shoulder arthroplasty (RSA). 16 Bridging techniques have been described that improve the biomechanical environment of the repair, with many bridging grafts being used, including long head of the biceps tendon autograft, 17 fascia lata autograft or allograft, 18 and dermal patch allograft, 19 as well as synthetic materials such as poly-L-lactic acid. 20 The purpose of this article was to describe our preferred surgical approach for the reconstruction of a massive irreparable rotator cuff tear using a fascia lata patch autograft.…”

mentioning

confidence: 99%

Rotator Cuff Reconstruction Using Fascia Lata Patch Autograft for the Nonrepairable Rotator Cuff Tear

Matthewson

Coady

Wong

2020

Arthroscopy Techniques

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A large to massive rotator cuff tear is a common issue that lacks reliable options to return a patient's range of motion and function when conservative treatment has failed. With up to 96% of massive rotator cuff repairs failing within the first 6 months of repair, surgeons have been searching for a reliable treatment option for this difficult subset of patients. Surgical options for massive, retracted rotator cuff tears include re-establishing the counterforce coupling of the rotator cuff with techniques such as a partial repair or superior capsular reconstruction, preventing superior humeral migration as seen with balloon spacer implantation, and eliminating pain generators with techniques such as biceps tenotomy; however, these do not reconstitute dynamic cuff control. More recently, an acellular dermal allograft, as seen in superior capsular reconstruction, has been used to reconstruct the remaining rotator cuff. We describe a technique using a fascia lata autograft to reconstruct the rotator cuff in the setting of a massive cuff tear. This is of particular importance in centers that lack the funding or institutional approval to use acellular dermal allografts that have been popularized to date.

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Reverse shoulder arthroplasty for massive irreparable rotator cuff tears and cuff tear arthropathy: a systematic review

Cited by 141 publications

References 53 publications

Arthroscopic Superior Capsular Reconstruction With Acellular Porcine Dermal Xenograft for the Treatment of Massive Irreparable Rotator Cuff Tears

Arthroscopic Superior Capsular Reconstruction With Acellular Porcine Dermal Xenograft for the Treatment of Massive Irreparable Rotator Cuff Tears

Difficulty in performing activities of daily living associated with internal rotation after reverse total shoulder arthroplasty

Rotator Cuff Reconstruction Using Fascia Lata Patch Autograft for the Nonrepairable Rotator Cuff Tear

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