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Treatment of Irreparable Rotator Cuff Tears: Superior Capsular Reconstruction with Fascia Lata Allograft

Objective  The objective of the present study was to evaluate the efficacy and safety of superior capsular reconstruction (SCR) using fascia lata allograft. Methods  A prospective case series of 15 patients with irreparable supraspinatus tear who underwent SCR using fascia lata allograft. The Americ...

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Autores principales: Beraldo, Rodrigo Alves, Gracitelli, Mauro Emilio Conforto, Malavolta, Eduardo Angeli, Assunção, Jorge Henrique, Silva, Fernando Brandão de Andrade e, Neto, Arnaldo Amado Ferreira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda. 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550356/
https://www.ncbi.nlm.nih.gov/pubmed/36226220
http://dx.doi.org/10.1055/s-0041-1732389
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author Beraldo, Rodrigo Alves
Gracitelli, Mauro Emilio Conforto
Malavolta, Eduardo Angeli
Assunção, Jorge Henrique
Silva, Fernando Brandão de Andrade e
Neto, Arnaldo Amado Ferreira
author_facet Beraldo, Rodrigo Alves
Gracitelli, Mauro Emilio Conforto
Malavolta, Eduardo Angeli
Assunção, Jorge Henrique
Silva, Fernando Brandão de Andrade e
Neto, Arnaldo Amado Ferreira
author_sort Beraldo, Rodrigo Alves
collection PubMed
description Objective  The objective of the present study was to evaluate the efficacy and safety of superior capsular reconstruction (SCR) using fascia lata allograft. Methods  A prospective case series of 15 patients with irreparable supraspinatus tear who underwent SCR using fascia lata allograft. The American Shoulder and Elbow Surgeons (ASES) scale at 12 months after surgery was the primary outcome. The University of California Los Angeles (UCLA), Constant-Murley, and Single Assessment Numeric Evaluation (SANE) scales, in addition to the range of motion, were secondary outcomes. Radiological parameters were also evaluated by simple radiographs and magnetic resonance imaging (MRI). Results  Fifteen patients completed 12 months of postoperative follow-up. The ASES score increased from 34.0 to 73.0 ( p  = 0.005). The UCLA, Constant-Murley, and SANE scales also showed statistically significant differences ( p  = 0.001; p  = 0.005; and p  = 0.046). In the evaluation of range of motion, there was improvement in elevation and in external rotation (95 to 140°, p  = 0.003; 30 to 60°, p  = 0.007). Six patients (40%) had complete graft healing. The clinical outcomes were significantly higher in the patients who presented graft healing. Conclusions  Superior capsular reconstruction using a fascia lata allograft is a safe and effective procedure in short follow-up. Level of Evidence IV; Therapeutic Study; Case Series.
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spelling pubmed-95503562022-10-11 Treatment of Irreparable Rotator Cuff Tears: Superior Capsular Reconstruction with Fascia Lata Allograft Beraldo, Rodrigo Alves Gracitelli, Mauro Emilio Conforto Malavolta, Eduardo Angeli Assunção, Jorge Henrique Silva, Fernando Brandão de Andrade e Neto, Arnaldo Amado Ferreira Rev Bras Ortop (Sao Paulo) Objective  The objective of the present study was to evaluate the efficacy and safety of superior capsular reconstruction (SCR) using fascia lata allograft. Methods  A prospective case series of 15 patients with irreparable supraspinatus tear who underwent SCR using fascia lata allograft. The American Shoulder and Elbow Surgeons (ASES) scale at 12 months after surgery was the primary outcome. The University of California Los Angeles (UCLA), Constant-Murley, and Single Assessment Numeric Evaluation (SANE) scales, in addition to the range of motion, were secondary outcomes. Radiological parameters were also evaluated by simple radiographs and magnetic resonance imaging (MRI). Results  Fifteen patients completed 12 months of postoperative follow-up. The ASES score increased from 34.0 to 73.0 ( p  = 0.005). The UCLA, Constant-Murley, and SANE scales also showed statistically significant differences ( p  = 0.001; p  = 0.005; and p  = 0.046). In the evaluation of range of motion, there was improvement in elevation and in external rotation (95 to 140°, p  = 0.003; 30 to 60°, p  = 0.007). Six patients (40%) had complete graft healing. The clinical outcomes were significantly higher in the patients who presented graft healing. Conclusions  Superior capsular reconstruction using a fascia lata allograft is a safe and effective procedure in short follow-up. Level of Evidence IV; Therapeutic Study; Case Series. Thieme Revinter Publicações Ltda. 2021-11-11 /pmc/articles/PMC9550356/ /pubmed/36226220 http://dx.doi.org/10.1055/s-0041-1732389 Text en Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Beraldo, Rodrigo Alves
Gracitelli, Mauro Emilio Conforto
Malavolta, Eduardo Angeli
Assunção, Jorge Henrique
Silva, Fernando Brandão de Andrade e
Neto, Arnaldo Amado Ferreira
Treatment of Irreparable Rotator Cuff Tears: Superior Capsular Reconstruction with Fascia Lata Allograft
title Treatment of Irreparable Rotator Cuff Tears: Superior Capsular Reconstruction with Fascia Lata Allograft
title_full Treatment of Irreparable Rotator Cuff Tears: Superior Capsular Reconstruction with Fascia Lata Allograft
title_fullStr Treatment of Irreparable Rotator Cuff Tears: Superior Capsular Reconstruction with Fascia Lata Allograft
title_full_unstemmed Treatment of Irreparable Rotator Cuff Tears: Superior Capsular Reconstruction with Fascia Lata Allograft
title_short Treatment of Irreparable Rotator Cuff Tears: Superior Capsular Reconstruction with Fascia Lata Allograft
title_sort treatment of irreparable rotator cuff tears: superior capsular reconstruction with fascia lata allograft
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550356/
https://www.ncbi.nlm.nih.gov/pubmed/36226220
http://dx.doi.org/10.1055/s-0041-1732389
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