Transplantation of teres major muscle for infraspinatus muscle in irreparable rotator cuff tears

Celli, Luigi; Rovesta, Claudio; Marongiu, Maria Carmen; Manzieri, Stefano

doi:10.1016/s1058-2746(98)90199-9

Cited by 79 publications

(63 citation statements)

References 10 publications

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“…The TM can be separated from the LD in both its muscular and tendinous parts, making it possible to perform an isolated transfer flap. These observations are in agreement with the findings of Combes and Mansat (1993) and Celli et al (1998).…”

Section: Tendon Separationsupporting

confidence: 94%

“…Anatomic studies of the TM have established its usefulness in tendon transfer (Combes and Mansat, 1993;Celli et al, 1998;Wang et al, 1999). The observations made and requirements investigated in these studies were:…”

Section: Introductionmentioning

confidence: 99%

“…Celli et al (1998), however, described difficulties of TM tendon transfer in establishing the correct tension in the transfer into the GT, and found that the TM could not completely replace supraspinatus and infraspinatus function, especially regarding the superoinferior and anteroposterior plane stability, which is essential for a dynamic recentering of the humeral head. It is of note that the numbers of cadaveric shoulders used in these anatomical studies were rather small.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Musculotendinous transfer as a treatment option for irreparable posterosuperior rotator cuff tears: Teres major or latissimus dorsi?

et al. 2007

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Irreparable posterior cuff tears can cause pain and lack of shoulder function. Surgical treatment includes musculotendinous transfers of either latissimus dorsi (LD) or teres major (TM). This study aimed to give a detailed description of the morphology of these two muscles with particular regard to their suitability for use in transfers. Sixty-two shoulders in 31 cadaveric specimens (mean age 50 years) were dissected. The mean length of the TM was 13.7 cm at its superior edge while the distance from the muscle origin to the greater tuberosity (GT) was 19.2 cm. The tendon of the TM had a length of 1.5 cm, a width of 3.4 cm, and a thickness of 1.3 mm. The mean length of the LD was 26.0 cm and the distance from its origin to the GT was 32.9 cm. The mean length of the LD tendon was 5.2 cm, its width 2.9 cm, and its thickness 1.0 mm. The increased length required to achieve transfer was 47% (of the original length) for TM and 33% for LD. Both TM and LD could reach the GT with ease, according to the potential muscle excursions. Tension of the neurovascular bundle is more probable with LD because it enters the muscle relatively closer to the tendon. Problems with regard to reattachment may be more likely to occur in a transfer of the TM because of its short tendon.

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Section: Tendon Separationsupporting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Musculotendinous transfer as a treatment option for irreparable posterosuperior rotator cuff tears: Teres major or latissimus dorsi?

et al. 2007

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“…Vandenbussche et al [19] also reported good results with this technique, with an 80% improvement in the mean absolute Constant score value, and subjective results of 89% of satisfied or very satisfied patients after a mean follow-up of 10.5 years. In 1988, Gerber et al [12] reported on the first use of latissimus dorsi transfer in irreparable supraspinatus-infraspinatus tears, with good clinical outcomes [11]; since then, a number of studies have reported on the use of this tendon [1,2,15,21,22] and, to a lesser extent, of the teres major [6].…”

Section: Discussionmentioning

confidence: 99%

Latissimus dorsi transfer for the treatment of massive tears of the rotator cuff

Zafra

Carpintero

Carrasco

2008

International Orthopaedics (SICOT)

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The objective of this paper was to determine the outcome of the transfer of the latissimus dorsi tendon in patients with massive irreparable rotator cuff tears. Eighteen patients of mean age 54 years (range 37-72 years) with massive irreparable rotator cuff tears were studied. The mean follow-up was 28 months (range 12-58 months). The postoperative Constant score was higher by an average of 21.15 points compared to the preoperative score (P=0.002); 88.8% of patients reported significant pain relief and improved mobility, particularly on external rotation. Postoperative resting antero-posterior radiography in neutral rotation revealed a mean 3.2-mm depression of the humeral head, due to the tenodesis effect of tendon transfer, thus, increasing the deltoid lever arm. These clinical results suggest that latissimus dorsi transfer is a useful surgical technique for treating massive irreparable postero-superior tears of the rotator cuff in young and/or active patients, providing significant pain relief and improved shoulder strength.

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“…Persistent rotator cuff deficiency can lead to attritional changes within the muscle and alteration of normal shoulder mechanics after surgery. 6,7 Given the frequency and increasing cost of these injuries, as well as the relatively poor result of surgical intervention, it is not surprising that new and innovative strategies like tissue engineering have become more appealing.…”

Section: Introduction Background and Significance-tissue Engineering mentioning

confidence: 99%

Functional tissue engineering for tendon repair: A multidisciplinary strategy using mesenchymal stem cells, bioscaffolds, and mechanical stimulation

Butler

Juncosa-Melvin

Boivin

et al. 2007

Journal Orthopaedic Research

343

273

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Over the past 8 years, our group has been continuously improving tendon repair using a functional tissue engineering (FTE) paradigm. This paradigm was motivated by inconsistent clinical results after tendon repair and reconstruction, and the modest biomechanical improvements we observed after repair of rabbit central patellar tendon defects using mesenchymal stem cell-gelsuture constructs. Although possessing a significantly higher stiffness and failure force than for natural healing, these first generation constructs were quite weak compared to normal tendon. Fundamental to the new FTE paradigm was the need to determine in vivo forces to which the repair tissue might be exposed. We first recorded these force patterns in two normal tendon models and then compared these peak forces to those for repairs of central defects in the rabbit patellar tendon model (PT). Replacing the suture with end-posts in culture and lowering the mesenchymal stem cell (MSC) concentration of these constructs resulted in failure forces greater than peak in vivo forces that were measured for all the studied activities. Augmenting the gel with a type I collagen sponge further increased repair stiffness and maximum force, and resulted in the repair tangent stiffness matching normal stiffness up to peak in vivo forces. Mechanically stimulating these constructs in bioreactors further enhanced repair biomechanics compared to normal. We are now optimizing components of the mechanical signal that is delivered in culture to further improve construct and repair outcome. Our contributions in the area of tendon functional tissue engineering have the potential to create functional load-bearing repairs that will revolutionize surgical reconstruction after tendon and ligament injury. ß

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Transplantation of teres major muscle for infraspinatus muscle in irreparable rotator cuff tears

Cited by 79 publications

References 10 publications

Musculotendinous transfer as a treatment option for irreparable posterosuperior rotator cuff tears: Teres major or latissimus dorsi?

Musculotendinous transfer as a treatment option for irreparable posterosuperior rotator cuff tears: Teres major or latissimus dorsi?

Latissimus dorsi transfer for the treatment of massive tears of the rotator cuff

Functional tissue engineering for tendon repair: A multidisciplinary strategy using mesenchymal stem cells, bioscaffolds, and mechanical stimulation

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