2021 Annual Meeting Shoulder Access Pass-Superior Capsular Reconstruction Versus Bridging Graft: A Prospective Randomized Controlled Trial

Superior Capsular Reconstruction Versus Bridging Graft: A Prospective Randomized Controlled Trial

Video Transcription

Video Summary

This randomized controlled trial compared superior capsular reconstruction (SCR) and bridging graft techniques for massive irreparable rotator cuff tears. Both used human dermal allografts and showed similar improvements in clinical scores, acromiohumeral interval, and passive range of motion, with SCR showing temporary early advantages. Healing rates were about 70% overall but dropped when key muscles (subscapularis or posterior cuff) were irreparable. Intact grafts correlated with better outcomes. The study suggests patient selection, fixation methods, and graft type (fascia lata autograft may be superior) influence success. Longer-term studies are needed to optimize treatment strategies.

Asset Caption

Dr. Ian Lo

Keywords

superior capsular reconstruction

bridging graft

massive irreparable rotator cuff tears

human dermal allografts

clinical outcomes