“As we continue to do more outcomes research, we become more precise at predicting the best candidates for each technique. Dines, MD, HSS sports medicine surgeon and senior study author. “This technique has proven to be effective for patients with irreparable tears,” said Joshua S. Patient scores were high, averaging 80%, 78% and 85%, respectively.įive patients required a second operation – no other complications were recorded. At follow-up appointments, patients completed various patient-reported outcome surveys including Single Assessment Numeric Evaluation (SANE), American Shoulder and Elbow Surgeons (ASES), and University of California at Los Angeles (UCLA). Nearly 42% of the patients had a history of failed rotator cuff repair.Īfter surgery, the overwhelming majority of patients demonstrated significant improvements in forward elevation, abduction and external rotation through their pre- and post-operative active range of motion. All patients were operated on at HSS between 20. One is superior capsular reconstruction (SCR) which uses a graft to reconstruct the superior capsule of the shoulder in the region of the irreparable rotator cuff.Ī new retrospective study from Hospital for Special Surgery (HSS) evaluated 72 patients who underwent arthroscopic SCR with dermal allograft to treat symptomatic irreparable rotator cuff tears. For these cases, several salvage procedures exist. While surgical techniques have vastly improved over the years, a high re-tear rate still exists and some tears are not even able to be repaired primarily. Complete rotator cuff tears are generally repaired by arthroscopic surgery. While rotator cuff injuries are quite common, rotator cuff tears can be debilitating, occurring either over time from prolonged wear and tear or from an acute trauma injury.
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