The complication rate was 10% and reoperation rate was 7%. Factors predictive of a poorer result included prior failed cuff repair, subscapularis insufficiency, and advanced teres minor muscle atrophy.
The authors are careful to point out that these studies did not compare latissimus transfer to other operative and non-operative treatments. They were unable to determine whether a single-incision or dual incision approaches yielded better results, whether adding a teres major transfer improved the results, or whether the transfer had an effect on the progression of shoulders with large cuff tears toward rotator cuff arthropathy.
It is worth pointing out that the articles reviewed in this investigation each had a substantial number of cases (range 10-75), thus the results are those of experienced surgeons. Those surgeons considering this procedure for the first time are advised to carefully review the technical details and to practice them in cadaver specimens.
--
Use the "Search the Blog" box to the right to find other topics of interest to you.
You might like to see the countries from where our visitors come.
You may be interested in some of our most visited web pages including: shoulder arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, revision surgery for failed shoulder joint replacement, rotator cuff disease, and rotator cuff surgery.You may also be interested in our information about quadriceps sparing or 'mini' total knee replacement or about hip replacement arthroplasty.
