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Cuff Plus Procedure for the Treatment of Large to Massive Rotator Cuff Tears

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Cuff Plus Procedure for the Treatment of Large to Massive Rotator Cuff Tears

Francesco De Filippo, MD, ITALY Marcello Motta, MD, ITALY Marco Adriani, MD, ITALY Emanuele Maggini, MD, ITALY Maristella Francesca Saccomanno, MD, PhD, ITALY Giuseppe Milano, Prof., ITALY

University of Brescia, Brescia, ITALY

2023 Congress ePoster Presentation 2023 Congress Not yet rated

Anatomic Location

Shoulder Rotator Cuff

Diagnosis / Condition

Tears

Treatment / Technique

Repair / Reconstruction

Summary: Tha aim of the present study was to evaluate the clinical outcome of the cuff plus procedure for the treatment of large to massive rotator cuff tears

Background

Biomechanical studies supported the hypothesis that anatomic reconstruction of the superior capsule and rotator cuff improves biomechanical properties in repairing delaminated rotator cuff tears. Tha aim of the present study was to evaluate the clinical outcome of the cuff plus procedure for the treatment of large to massive rotator cuff tears. The hypothesis of the study was that this new surgical technique could improve subjective and functional outcomes.

Methods

A retrospective study was conducted. Patients with large to massive rotator cuff tears of the posterosuperior rotator cuff who underwent the cuff plus procedure were included. Exclusion criteria were: shoulder stiffness, cuff-tear arthropathy, glenohumeral osteoarthritis, symptomatic acromioclavicular joint osteoarthritis, previous fractures and/or previous surgery to the same shoulder. Indication to the cuff plus was always confirmed arthroscopically after assessing the long head of the biceps tendon status and cuff tear morphology and delamination. All patients underwent the same surgical technique and rehabilitation protocol. The long head of the biceps tendon was freed from its groove using an electrocautery device and then mobilized posteriorly. Two #2 high-strength non-absorbable braided sutures were passed about 5 mm apart through the distal aspect of the intraarticular part of the tendon. The tendon was then released one centimeter distal to the most lateral suture and re-routed over the footprint of the posterior aspect of the supraspinatus tendon. A standard single row cuff repair, based on tear shape, was then performed by using two double or triple loaded anchors. Sutures were passed through the rotator cuff and through the most lateral part of the biceps stump to obtain a robust and solid construct. Primary outcome was the ASES score. Secondary outcomes were: QuickDASH and WORC score. Moreover, a postoperative magnetic resonance imaging was performed six months postoperatively to evaluate tendon integrity. A paired t-test was used to compare pre and postoperative outcomes. Significance was set at p < 0.05.

Results

The study included 11 males and 4 females. Mean age (+ SD) of patients was 63.3 ± 7.83 years. Mean follow-up was 28.40 ± 5.74. Comparison between pre- and postoperative functional scores showed significant clinical improvement (p < 0.001). Postoperative imaging showed higher rate of tendon integrity compared to the current literature results.

Conclusion

Arthroscopic cuff plus technique for the treatment of large to massive rotator cuff tears provides satisfactory functional and structural outcomes.

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Impact of Patient Resilience on Rotator Cuff Repair Post-Operative Outcomes ePoster Presentation Ryan W. Paul, BS, UNITED STATES Michael P Campbell, MD, UNITED STATES Sydney Streicher, BA, UNITED STATES Matthew P Wallingford, BS, UNITED STATES Taylor D'Amore, MD, UNITED STATES Sean Bryan, MD, UNITED STATES Fotios P. Tjoumakaris, MD, UNITED STATES Kevin Freedman, MD, UNITED STATES
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Type-II Re-Tears Found to be Higher in the Knot-Tying Suture Bridge Rotator Cuff Repair: A Systematic Review and Meta-Analysis ePoster Presentation Niti Prasathaporn, MD, THAILAND Napatpong Thamrongskulsiri, MD, THAILAND Thun Itthipanichpong, MD, THAILAND Danaithep Limskul, MD, THAILAND
Effect of Polydeoxyribonucleotide and Polynucleotide on Healing and Fatty Degeneration of Rotator Cuff in Hypercholesterolemic Rat model ePoster Presentation Jung-Taek Hwang, MD, PhD, KOREA, REPUBLIC OF
The Effect On Healing Rate of the Addition Of A Bioinductive Implant To A Rotator Cuff Repair. The Results Of A Randomized Controlled Trial in 124 Subjects. ePoster Presentation Miguel Angel Ruiz Iban, MD, PhD, SPAIN Jose Luis Avila Lafuente, MD, SPAIN Miguel Garcia Navlet, MD, SPAIN Raquel Ruiz Díaz, MD, SPAIN Santos Moros, MD, SPAIN Calos Vaquero Comino, MD, SPAIN Gabriel Del Monte Bello, MD, SPAIN Maria Luisa Rosas, MD, SPAIN Ignacio Rus De Rus Aznar, MD, PhD, SPAIN Paul Sierra, MD, SPAIN Jorge Diaz Diaz Heredia, MD, PhD, SPAIN
Superior Capsule Reconstruction with Long Head of the Biceps Tendon for Massive Irreparable Rotator Cuff Tears ePoster Presentation Marco Adriani, MD, ITALY Marcello Motta, MD, ITALY Francesco DeFilippo, MD, ITALY Alessandro Colosio, MD, ITALY Maristella Francesca Saccomanno, MD, PhD, ITALY Giuseppe Milano, Prof., ITALY
Utilization of Injectable Biologic Augmentation in Primary Rotator Cuff Repair: Systematic Review ePoster Presentation Olivia Bono, BS, UNITED STATES Bryan Jenkin, BA, UNITED STATES Julaine Forlizzi , MD, UNITED STATES Albert Mousad, BS, UNITED STATES Stephen Le Breton, BS, UNITED STATES Glen Ross, MD, UNITED STATES Sarav Shah, MD, UNITED STATES
Minimal Clinically Important Difference (MCID) of the Oxford Shoulder Score for Arthroscopic Rotator Cuff Repair at 5 Years Post-Operatively ePoster Presentation Merrill Lee, MBBS, MRCS(Edin), SINGAPORE Khai Cheong Wong, MBChB, MRCS (Eng), SINGAPORE Gek Hsiang Lim, MSc, SINGAPORE Benjamin Fu Hong Ang, MBBS, MRCS, MMed(Orth), FRCS(Orth), SINGAPORE Jerry Chen, MBBS, MRCS(Edin), MMed(Orth), SINGAPORE Paul Chee Cheng Chang, MBBS,FRCS, SINGAPORE Denny T. T. Lie, MBBS, FRCS, FAMS, SINGAPORE
An Analysis Of Shoulder Surgeon Volume On Competency, Hospital Costs And Adverse Events: A Systematic Review ePoster Presentation Moin Khan, MD, MSc, FRCSC, CANADA Haseeb Ahmed Faisal, BHSc(Cand), CANADA Ajaykumar Shanmugaraj, BSc, CANADA Shahrukh Khan, BHSc, CANADA Loiy Alkhatib , MD, UNITED ARAB EMIRATES Mahdi Alsaffar, KUWAIT Timothy Leroux, MD, MEd, FRCSC, CANADA
Usability of the Dynamic Assessment of the Supraspinatus Using Ultrasonography ePoster Presentation Junsuke Miyasaka, MS, JAPAN Ryuzo Arai, MD, JAPAN Yuji Yoshioka, MS, JAPAN Takuma Yuri, PhD, JAPAN Shuichi Matsuda, MD, PhD, JAPAN
Does Rotator Cuff Tear Morphology Affect Clinical Outcomes Post-Surgical Repair In Large To Massive Tears? ePoster Presentation Mark H.X. Yeo, MBBS, SINGAPORE Shawn Js Seah, MBBS, SINGAPORE Merrill Lee, MBBS, MRCS(Edin), SINGAPORE Denny T. T. Lie, MBBS, FRCS, FAMS, SINGAPORE

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Cuff Plus Procedure for the Treatment of Large to Massive Rotator Cuff Tears

Cuff Plus Procedure for the Treatment of Large to Massive Rotator Cuff Tears

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Cuff Plus Procedure for the Treatment of Large to Massive Rotator Cuff Tears

Cuff Plus Procedure for the Treatment of Large to Massive Rotator Cuff Tears

Background

Methods

Results

Conclusion

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