2021 AANA/ASES Specialty Session-Superior Capsule Reconstruction Can Get You There! My Lessons Learned

Superior Capsule Reconstruction Can Get You There! My Lessons Learned

Video Transcription

Video Summary

Dr. Tokish discusses superior capsule reconstruction (SCR) for treating massive irreparable rotator cuff tears, emphasizing proper patient selection and lessons learned. He highlights that SCR works best in patients with good muscle but poor motion, while others may need arthroplasty or tendon transfers. Thin grafts and subscapularis tears predict failure. An extension graft technique improves outcomes by transmitting force through the remnant cuff. Autografts, especially biceps tendon, are effective, but graft thickness matters; thicker grafts like tensor fascia lata outperform thinner dermal allografts. Innovations include SCR plus (resurfacing acromion) and SCR minus (acromion resurfacing only). Preparation and technical skill are crucial for success.

Asset Caption

John M. Tokish, M.D.

Keywords

superior capsule reconstruction

massive rotator cuff tears

graft thickness

autografts

acromion resurfacing