These authors reviewed 86 patients (aged 59.8 ± 5.9 years) who underwent an arthroscopic-assisted latissimus dorsi tendon transfer for treatment of irreparable, posterosuperior massive rotator cuff tears at 36.4 ± 9 months after surgery. Of these, 14 patients (16.3%) sustained an irreparable massive rotator cuff retear after a prior arthroscopic rotator cuff repair.
The Constant scores improved. A lower preoperative Constant score and a previous failed rotator cuff repair resulted in lower postoperative range of motion, Constant score, and patient satisfaction.
Comment: This article can be compared to another recent publication that used a lower trapezius transfer for similar indications (see this link).
The management of a patient with an irreparable cuff tear needs to be highly individualized based on the patients health and expectations as well as the condition of the shoulder before shoulder surgery. We use a range of approaches including the smooth and move procedure, CTA arthroplasty, and reverse total shoulder arthroplasty. We have not found a role for tendon transfers in our practice, but will observe with interest the attempts of others to explore other approaches.
The management of a patient with an irreparable cuff tear needs to be highly individualized based on the patients health and expectations as well as the condition of the shoulder before shoulder surgery. We use a range of approaches including the smooth and move procedure, CTA arthroplasty, and reverse total shoulder arthroplasty. We have not found a role for tendon transfers in our practice, but will observe with interest the attempts of others to explore other approaches.
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