Patch-Augmented Rotator Cuff Repair and Superior Capsule Reconstruction
M. Petri1, 2, *, J.A. Greenspoon1, S.G. Moulton1, P.J. Millett1, 2
Identifiers and Pagination:Year: 2016
Issue: Suppl 1: M7
First Page: 315
Last Page: 323
Publisher ID: TOORTHJ-10-315
Article History:Received Date: 14/06/2015
Revision Received Date: 28/06/2015
Acceptance Date: 01/02/2016
Electronic publication date: 21/07/2016
Collection year: 2016
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
Massive rotator cuff tears in active patients with minimal glenohumeral arthritis remain a particular challenge for the treating surgeon.
A selective literature search was performed and personal surgical experiences are reported.
For patients with irreparable rotator cuff tears, a reverse shoulder arthroplasty or a tendon transfer are often performed. However, both procedures have rather high complication rates and debatable long-term results, particularly in younger patients. Therefore, patch-augmented rotator cuff repair or superior capsule reconstruction (SCR) have been recently developed as arthroscopically applicable treatment options, with promising biomechanical and early clinical results.
For younger patients with irreparable rotator cuff tears wishing to avoid tendon transfers or reverse total shoulder arthroplasty, both patch-augmentation and SCR represent treatment options that may delay the need for more invasive surgery.