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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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Partial Thickness Rotator Cuff Tears: Retear Rate and Functional Outcome Following an Arthroscopic Tear Completion and Suture-Bridge Technique Suggests a Specific Rehabilitation Plan ePoster Presentation Mark David Haber, MBBS, FRACS, AUSTRALIA Andres Eduardo Rodriguez Borgonovo, MD, AUSTRALIA Noam Rosen, MD, AUSTRALIA Dvir Shalom Ben Shabat, MD, AUSTRALIA
Marrow-Derived Augmentation for Primary Rotator Cuff Repair: Systematic Review and Meta-Analysis ePoster Presentation Stephen Le Breton, BS, UNITED STATES Julaine Forlizzi , MD, UNITED STATES Olivia Bono, BS, UNITED STATES Albert Mousad, BS, UNITED STATES Sophie Kush , BS, UNITED STATES Alaia Christensen, BS, MD, UNITED STATES Arun Ramappa, MD, UNITED STATES Glen Ross, MD, UNITED STATES Sarav Shah, MD, UNITED STATES
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
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Does Cold Therapy Reduce Pain After Arthroscopic Rotator Cuff Surgery: A Randomized Controlled Trial ePoster Presentation Christoffer von Essen, MD, PhD, SWEDEN
Tenodesis of Long Head of Biceps Tendon Does Not Affect Outcome after Rotator Cuff Reconstruction ePoster Presentation Mirco Sgroi, MD, GERMANY Thomas Kappe, MD, Prof., GERMANY Thomas Caffard, MD, GERMANY Marius Ludwig, MD, GERMANY Heiko Reichel, Prof., GERMANY
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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
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Muscle Edema of Retraction and Pseudo Fatty Infiltration After Traumatic Rotator Cuff Tears as an Experimental Model in Sheep ePoster Presentation Tiago Martinho, MD, SWITZERLAND Joe Chih-Hao Chiu, MD, PhD, TAIWAN Marko Nabergoj, MD, SLOVENIA Sean W.L. Ho, MBBS, MRCS, MMed (Ortho), FRCS (Ortho), SINGAPORE Hugo Bothorel, MEng, SWITZERLAND Alexandre Lädermann, MD, SWITZERLAND
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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
Clinical Results And Retear Rates After Arthroscopic Rotator Cuff Repair With Manipulation Under Anesthesia ePoster Presentation Yoshitsugu Takeda, MD, PhD, JAPAN Naoto Suzue, MD, PhD, JAPAN
Thresholds For Preoperative Opioid Use In Arthroscopic Rotator Cuff Repair That Negatively Influence Postoperative Clinical Outcomes ePoster Presentation Michael Andrew Fox, MD, UNITED STATES Justin James Greiner, MD, UNITED STATES Noel Carlos, MS, UNITED STATES Zachary J Herman, MD, UNITED STATES Nicholas P Drain, MD, UNITED STATES Shaquille Charles, MSc, UNITED STATES Bryson P. Lesniak, MD, UNITED STATES Albert Lin, MD, UNITED STATES
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
Allograft Augmentation of Irreparable Supraspinatus Tendon Tears, High Graft Healing Rate with Improved Clinical Function: A Case Series Study ePoster Presentation Mark David Haber, MBBS, FRACS, AUSTRALIA Andres Eduardo Rodriguez Borgonovo, MD, AUSTRALIA Noam Rosen, MD, AUSTRALIA Dvir Shalom Ben Shabat, MD, AUSTRALIA
Outcome Comparison Between Arthroscopic Repair of Full-Thickness Rotator Cuff Tear and Partial-Thickness Rotator Cuff Tear ePoster Presentation Andres Eduardo Rodriguez Borgonovo, MD, AUSTRALIA Mark David Haber, MBBS, FRACS, AUSTRALIA Noam Rosen, MD, AUSTRALIA Dvir Shalom Ben Shabat, MD, AUSTRALIA
Acromiohumeral Center Edge Angle For Predicting Degenerative Rotator Cuff Tear In Aging Patients: A Retrospective Study ePoster Presentation Sittan Aimprasittichai, MD, THAILAND Nithi Pakmanee, MD, THAILAND Siravich Suvithayasiri, MD, THAILAND Tanadul Jarrusrojwuttikul, MD, THAILAND Sasikarn Wanitchakorn, MD, THAILAND
Efficacy of MRI Imaging Versus Reports On Surgical Decision Making In the Shoulder ePoster Presentation Maciej J K Simon, MD, PhD, GERMANY William Regan, MD FRCSc, CANADA
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
Effects of an Abduction Brace After Shoulder Surgery on Gait Parameters and Functional Mobility ePoster Presentation Filippo Familiari, MD, Prof., ITALY Michele Mercurio, Prof., MD, ITALY Francesca Greco, MSc, ITALY Alessandro Barone, MD, Prof., ITALY Gian Pietro Emerenziani, PT, ITALY Olimpio Galasso, MD, Prof., ITALY Giorgio Gasparini, MD, Prof., ITALY
Clinical and Radiological Outcomes of Arthroscopic Repair for Delaminated Rotator Cuff Tear vs. Non-Delaminated Tear ePoster Presentation Kengo Kirimura, MD, 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
Surgical Outcome Following Arthroscopic Rotator Cuff Tear Repair in a Low-Income Population: Quality of Life Improvement ePoster Presentation Mohamed Amine Gharbi , MD, TUNISIA Houssem Eddine Chahed, MD, TUNISIA Moatassem Belleh Jelassi, MD, TUNISIA Rami Triki, TUNISIA Anis Tebourbi, MD, TUNISIA Ramzi Bouzidi, PhD, TUNISIA Khelil Ezzaouia, PhD, TUNISIA Mouadh Nefiss, MD, TUNISIA
Structured Exercise Therapy Improves Shoulder Function and Patient Reported Outcomes Without Increasing Tear Size for Individuals With Isolated Supraspinatus Tear ePoster Presentation Luke Mattar, BS, UNITED STATES Camille Johnson, M.S., UNITED STATES Tom Gale, MS, UNITED STATES Adam J. Popchak, DPT, PhD, UNITED STATES William Anderst, PhD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES James J. Irrgang, PT, PhD, FAPTA, UNITED STATES Richard E Debski, PhD, UNITED STATES
The Functional Outcome Of Arthroscopic Subscapularis Tendon Repair Through Anterolateral Viewing Portal Using Lasso-Loop Technique ePoster Presentation Prince Shanavas Khan, D' ORTHO, M.S. ORTHO, INDIA Arun Mundakkal, M.B.B.S, INDIA
Arthroscopic Repair of Displaced Greater Tuberosity Fractures: Outcomes and Radiographic Consolidation ePoster Presentation Pablo A. Narbona, MD, ARGENTINA Martin Vaquer, Md, ARGENTINA Manuel Olmos, MD, ARGENTINA Rafael Norberto Martinez Gallino, MD, ARGENTINA Gabriel Arce, MD, ARGENTINA Guillermo Ruffini, ARGENTINA Nicolas Ignacio Carranza, MD, ARGENTINA
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
Influence of the Pattern of Rotator Cuff Tear in the Stability Obtained After Arthroscopic Superior Capsular Reconstruction: A Computational Analysis ePoster Presentation Madalena João Antunes, MEng, PORTUGAL Carlos Quental, PhD, Prof., PORTUGAL João Folgado, PhD, Prof., PORTUGAL Clara Azevedo, MD, PhD, PORTUGAL Ana Catarina Ângelo, MD, PORTUGAL
Is Superior and Posterior Capsular Release More Effective Than Superior Capsular Release Alone in Arthroscopic Repair of Large to Massive Rotator Cuff Tear? ePoster Presentation Jung-Taek Hwang, MD, PhD, KOREA, REPUBLIC OF
Histopathology Of Long Head Of Biceps Tendon Removed During Tenodesis Demonstrates Degenerative Histopathology and Not Inflammatory Changes ePoster Presentation Maciej J K Simon, MD, PhD, GERMANY Jane Yeoh, MD, FRCSC, CANADA Michael Nimmo, MD, FRCPC, CANADA William Regan, MD FRCSc, CANADA
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
The Influence of Different Rotator Cuff Tears in Relation to Glenoid Depth on Glenohumeral Stability - A Robotic Biomechanical Analysis ePoster Presentation Sebastian Oenning, MD, GERMANY Mats Jonas Wiethölter, MD, GERMANY Jens Wermers, Prof., GERMANY Alina Köhler, MD, GERMANY Sebastian Oenning, MD, GERMANY Michael J. Raschke, MD, Prof., GERMANY J. Christoph Katthagen, MD, GERMANY
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
Evaluated The Effective Of Tendon Healing After Rotator Cuff Repair Used Modified Mason-Allen Suture Technique Combined With Microfracture Procedure ePoster Presentation Quyet Tran, MD, VIETNAM Viet Duc Vu, MD, VIETNAM Trần Trung Dũng, Professor, MD, PhD, VIETNAM
Efficacy of Marrow-Stimulating Technique Through Nanofractures of the Greater Tuberosity in Arthroscopic Rotator Cuff Repair ePoster Presentation Francesco De Filippo, MD, ITALY Marco Adriani, MD, ITALY Marcello Motta, MD, ITALY Giuseppe Bertoni, MD, ITALY Maristella Francesca Saccomanno, MD, PhD, ITALY Giuseppe Milano, Prof., ITALY
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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