Achilles tendon allograft-augmented latissimus dorsi tendon transfer for the treatment of massive irreparable posterosuperior rotator cuff tears View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-09

AUTHORS

Jonas Pogorzelski, Marilee P. Horan, Jonathan A. Godin, Zaamin B. Hussain, Erik M. Fritz, Peter J. Millett

ABSTRACT

INTRODUCTION: The purpose of this study was to investigate clinical outcomes following Achilles tendon allograft-augmented latissimus dorsi tendon transfer (LDTT) for the treatment of irreparable posterosuperior rotator cuff tears with a minimum of 2 years post-operative follow-up. We hypothesized that patients would show significant improvement in outcomes scores with a low failure rate. MATERIALS AND METHODS: Patients who were treated with Achilles tendon allograft-augmented LDTT for irreparable posterosuperior rotator cuff tears with a minimum follow-up of 2 years were included. Patient-reported outcomes scores, including ASES, QuickDASH, SANE, SF-12 PCS, and satisfaction, were collected pre- and post-operatively. Pre- and post-operative scores were compared with a Wilcoxon test. Revision to reverse total shoulder arthroplasty (RTSA) was considered as failure. RESULTS: Between March 2006 and November 2014, a total of 16 patients with a mean age of 49 years (range 34-57 years) were included. Minimum 2-year outcomes data were available for 14 of the 16 patients (87.5%) with a mean follow-up of 5.5 years (range 2.1-10.5 years). Two patients (12.5%) advanced to RTSA at a mean of 1.1 years following LDTT. Postoperative median subjective outcomes scores improved, but did not reach statistical significance (SF-12 PCS: 35.4-46.4, P = 0.182; ASES: 47.5-69.9, P = 0.209; QuickDASH: 57.9-31.8, P = 0.176; SANE: 40.0-39.5, P = 0.273). Median post-operative patient satisfaction was 5 on a 10-point scale (range 1-10). CONCLUSION: Patients with irreparable rotator cuff tears treated with Achilles tendon allograft-augmented latissimus dorsi tendon transfer did not experience significant post-operative improvement in patient-reported outcomes. Thus, the use of an additional allograft-augmentation remains questionable. LEVEL OF EVIDENCE: Retrospective case series, level IV. More... »

PAGES

1207-1212

References to SciGraph publications

  • 2011-09. A Radiographic Classification of Massive Rotator Cuff Tear Arthritis in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
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    URI

    http://scigraph.springernature.com/pub.10.1007/s00402-018-2943-8

    DOI

    http://dx.doi.org/10.1007/s00402-018-2943-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1104405678

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/29876638


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