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Arthroscopic Superior Capsule Reconstruction with a Doubled-Over (6 mm) Dermal Allograft

Superior capsule reconstruction has gained popularity as a treatment option for massive rotator cuff tears. The initial graft described was a tensor fascia lata. In the United States, acellular dermal matrix or dermal allograft has gained popularity. The results from published reports have been prom...

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Detalles Bibliográficos
Autores principales: Mirzayan, Raffy, Otarodifard, Karimdad A., Singh, Anshuman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7917301/
https://www.ncbi.nlm.nih.gov/pubmed/33680787
http://dx.doi.org/10.1016/j.eats.2020.10.035
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author Mirzayan, Raffy
Otarodifard, Karimdad A.
Singh, Anshuman
author_facet Mirzayan, Raffy
Otarodifard, Karimdad A.
Singh, Anshuman
author_sort Mirzayan, Raffy
collection PubMed
description Superior capsule reconstruction has gained popularity as a treatment option for massive rotator cuff tears. The initial graft described was a tensor fascia lata. In the United States, acellular dermal matrix or dermal allograft has gained popularity. The results from published reports have been promising, but graft tear on postoperative imaging has been reported in several studies. Strives are being made to reduce the graft tear rate. One such way is to increase the thickness of the graft. Biomechanical studies have shown that thicker and stiffer grafts perform better in restoring superior stability. We present a technique of doubling a commercially available 3 mm dermal allograft and making it into a 6 mm graft for superior capsule reconstruction.
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spelling pubmed-79173012021-03-05 Arthroscopic Superior Capsule Reconstruction with a Doubled-Over (6 mm) Dermal Allograft Mirzayan, Raffy Otarodifard, Karimdad A. Singh, Anshuman Arthrosc Tech Technical Note Superior capsule reconstruction has gained popularity as a treatment option for massive rotator cuff tears. The initial graft described was a tensor fascia lata. In the United States, acellular dermal matrix or dermal allograft has gained popularity. The results from published reports have been promising, but graft tear on postoperative imaging has been reported in several studies. Strives are being made to reduce the graft tear rate. One such way is to increase the thickness of the graft. Biomechanical studies have shown that thicker and stiffer grafts perform better in restoring superior stability. We present a technique of doubling a commercially available 3 mm dermal allograft and making it into a 6 mm graft for superior capsule reconstruction. Elsevier 2021-01-21 /pmc/articles/PMC7917301/ /pubmed/33680787 http://dx.doi.org/10.1016/j.eats.2020.10.035 Text en © 2020 by the Arthroscopy Association of North America. Published by Elsevier. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Mirzayan, Raffy
Otarodifard, Karimdad A.
Singh, Anshuman
Arthroscopic Superior Capsule Reconstruction with a Doubled-Over (6 mm) Dermal Allograft
title Arthroscopic Superior Capsule Reconstruction with a Doubled-Over (6 mm) Dermal Allograft
title_full Arthroscopic Superior Capsule Reconstruction with a Doubled-Over (6 mm) Dermal Allograft
title_fullStr Arthroscopic Superior Capsule Reconstruction with a Doubled-Over (6 mm) Dermal Allograft
title_full_unstemmed Arthroscopic Superior Capsule Reconstruction with a Doubled-Over (6 mm) Dermal Allograft
title_short Arthroscopic Superior Capsule Reconstruction with a Doubled-Over (6 mm) Dermal Allograft
title_sort arthroscopic superior capsule reconstruction with a doubled-over (6 mm) dermal allograft
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7917301/
https://www.ncbi.nlm.nih.gov/pubmed/33680787
http://dx.doi.org/10.1016/j.eats.2020.10.035
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