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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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Radiological Healing of The Rotator Cuff On MRI Does Not Correlate With Functional Outcomes After Arthroscopic Rotator Cuff Repair ePoster Presentation Tarun Goyal, MBBS, MS, DNB, MCh, FRCS (Edin), INDIA Souvik Paul, MBBS, MS Orthopedics (AIIMS), DNB, MCh, Dip SICOT, INDIA
Radiological Evaluation Of Rotator Cuff Healing and Its Clinical Correlation After Arthroscopic Repair of Rotator Cuff Tear By Single Row Technique ePoster Presentation Vinod Kumar, MBBS, MS, DNB, MNAMS, INDIA Rakesh Sehrawat, MBBS, MS, INDIA Ananya Sharma, MBBS, MS, DNB , INDIA
Musculotendinous Junction Rotator Cuff Tear - Early Functional Outcomes And Repair Technique In A Single-Surgeon Case Series Of 6 Patients ePoster Presentation Cheryl Gatot, MD, SINGAPORE Hannah Marian Lie, Medical Student, SINGAPORE Denny T. T. Lie, MBBS, FRCS, FAMS, SINGAPORE
Clinical and Radiological Outcomes of Arthroscopic Repair for Delaminated Rotator Cuff Tear vs. Non-Delaminated Tear ePoster Presentation Kengo Kirimura, MD, JAPAN
A Diagnostic Subacromial Injection of Local Anesthetic Significantly Improves the Efficacy of Arthroscopic Shoulder Subacromial Decompression ePoster Presentation John G. Lane, MD, UNITED STATES Tyler Jordan Wipf, PA-C, UNITED STATES Paw Wah, BS, UNITED STATES
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
Disparities In Access To Operative Management Of Rotator Cuff Tears: A Nationwide Sampling ePoster Presentation Zachary Logan LaPorte, BA, UNITED STATES Nathan J Cherian, MD, UNITED STATES Christopher T Eberlin, BS, UNITED STATES Michael Peter Kucharik, BS, UNITED STATES Kieran Sinclair Dowley, BA, UNITED STATES Kaveh A. Torabian, MS, UNITED STATES Michael C Dean, BA, UNITED STATES Stephen M Gillinov, AB, UNITED STATES Scott D Martin, MD, UNITED STATES
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
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
A Cohort Study on Influence of Rotator Cuff Muscle Strength in Functional Outcomes of Arthroscopic Rotator Cuff Repair ePoster Presentation Rajkumar S. Amaravathi, MBBS, DNB, MNAMS, FRCS, INDIA henry mathews, ms, INDIA Padmanaban Sekaran, MSc PT, INDIA Anoop Pilar, MS, DNB, INDIA
Comparison of Tear Characteristics, Outcome Parameters and Healing In Traumatic and Non-Traumatic Rotator Cuff Tear: A Prospective Cohort Study ePoster Presentation Souvik Paul, MBBS, MS Orthopedics (AIIMS), DNB, MCh, Dip SICOT, INDIA Tarun Goyal, MBBS, MS, DNB, MCh, FRCS (Edin), INDIA

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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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