[Rotator cuff repair: single- vs double-row. Clinical and biomechanical results].

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Abstract

[Indexed for MEDLINE] 6. EFORT Open Rev. 2023 Jan 27;8(1):35-44. doi: 10.1530/EOR-22-0015. Treatment options for massive irreparable rotator cuff tears: a review of arthroscopic surgical options. Dey Hazra ME(1), Dey Hazra RO(1), Hanson JA(1), Ganokroj P(1)(2), Vopat ML(1)(3), Rutledge JC(1), Yamaura K(1), Suppauksorn S(4), Millett PJ(1)(3). Author information: (1)Steadman Philippon Research Institute, Vail, Colorado, USA. (2)Faculty of Medicine Siriraj Hospital, Mahidol University. (3)The Steadman Clinic, Vail, Colorado, USA. (4)Institute of Orthopaedics, Lerdsin General Hospital, Bangkok, Thailand. While functional reconstruction of massive irreparable rotator cuff tears remains a challenge, current techniques aimed at recentering and preventing superior migration of the humeral head allow for clinical and biomechanical improvements in shoulder pain and function. Recentering of the glenohumeral joint reduces the moment arm and helps the deltoid to recruit more fibers, which compensates for insufficient rotator cuff function and reduces joint pressure. In the past, the concept of a superior capsular reconstruction with a patch secured by suture anchors has been used. However, several innovative arthroscopic treatment options have also been developed. The purpose of this article is to present an overview of new strategies and surgical techniques and if existing present initial clinical results. Techniques that will be covered include rerouting the long head of the biceps tendon, utilization of the biceps tendon as an autograft to reconstruct the superior capsule, utilization of a semitendinosus tendon allograft to reconstruct the superior capsule, superior capsular reconstruction with dermal allografts, and subacromial spacers. DOI: 10.1530/EOR-22-0015 PMCID: PMC9969010