These authors sought to evaluate the bone healing potential of fascia lata autograft (FLA) by magnetic resonance imaging (MRI) 69 patients at > 6 months ( mean of 35.6 months, range 10-78 months)) after surgery.
Based on MRI, retear cases were divided into type 1 (the graft did not remain on the greater tuberosity) and type 2 (the graft remained on the greater tuberosity).
Only 50% of the grafts were intact at followup: there were 35 intact repairs and 34 failures: 7 type 1 and 27 type 2 shoulders.
Comment: This study did not provide clinical evaluation of these 69 patients so we do not know if this procedure was of value to the patients or if healing of the graft affected the outcome. The added cost and complications of the use of a fascial graft are not mentioned. Harvest of fascia late is a morbid procedure and needs justification based on clinical benefit to the patient.
Only 50% of the grafts were intact at followup: there were 35 intact repairs and 34 failures: 7 type 1 and 27 type 2 shoulders.
Comment: This study did not provide clinical evaluation of these 69 patients so we do not know if this procedure was of value to the patients or if healing of the graft affected the outcome. The added cost and complications of the use of a fascial graft are not mentioned. Harvest of fascia late is a morbid procedure and needs justification based on clinical benefit to the patient.
=====
We have a new set of shoulder youtubes about the shoulder, check them out at this link.
Be sure to visit "Ream and Run - the state of the art" regarding this radically conservative approach to shoulder arthritis at this link and this link
Use the "Search" box to the right to find other topics of interest to you.
Be sure to visit "Ream and Run - the state of the art" regarding this radically conservative approach to shoulder arthritis at this link and this link
Use the "Search" box to the right to find other topics of interest to you.
How you can support progress in shoulder surgery
You may be interested in some of our most visited web pages arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
