My Approach to Failed Rotator Cuff Repair.
| Autor: | Chan E; Faculty of Medicine., Remedios S; Faculty of Health, Dalhousie University.; Division of Orthopaedic Surgery, Nova Scotia Health, Halifax, NS., Wong I; Faculty of Medicine.; Faculty of Health, Dalhousie University. |
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| Jazyk: | angličtina |
| Zdroj: | Sports medicine and arthroscopy review [Sports Med Arthrosc Rev] 2023 Dec 01; Vol. 31 (4), pp. 120-128. Date of Electronic Publication: 2023 Dec 18. |
| DOI: | 10.1097/JSA.0000000000000370 |
| Abstrakt: | Failed rotator cuff repairs pose several challenges due to the high incidence rate, complexity, and range of symptoms. We propose an overview for assessing and treating failed rotator cuff repairs. For active young patients, attempt revision repair with patch augmentation if possible. When anatomic revision is not viable, but muscle is retained, consider partial repair with interposition bridging. Isolated, irreparable supraspinatus tears may benefit from superior capsule reconstruction. Tendon transfer is suitable for patients with significant atrophy and multiple irreparable cuff tears. Low-demand elderly patients or those with substantial glenohumeral arthritis may consider reverse total shoulder arthroplasty if conservative management fails. There are a variety of reported outcomes in the literature but long-term studies with larger cohorts are needed to improve the management of failed rotator cuff repair. Competing Interests: Disclosure: The authors declare no conflict of interest. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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